Prevalence and characteristics of depression in mild cognitive impairment: the Sydney Memory and Ageing Study

Shahnawaz Z, Reppermund S, Brodaty H, Crawford JD, Draper B, Trollor JN, Sachdev PS. Prevalence and characteristics of depression in mild cognitive impairment: the Sydney memory and ageing study. Objective:  Depression might be a risk factor for dementia. However, little is known about the prevalenc...

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Veröffentlicht in:Acta psychiatrica Scandinavica 2013-05, Vol.127 (5), p.394-402
Hauptverfasser: Shahnawaz, Z., Reppermund, S., Brodaty, H., Crawford, J. D., Draper, B., Trollor, J. N., Sachdev, P. S.
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container_end_page 402
container_issue 5
container_start_page 394
container_title Acta psychiatrica Scandinavica
container_volume 127
creator Shahnawaz, Z.
Reppermund, S.
Brodaty, H.
Crawford, J. D.
Draper, B.
Trollor, J. N.
Sachdev, P. S.
description Shahnawaz Z, Reppermund S, Brodaty H, Crawford JD, Draper B, Trollor JN, Sachdev PS. Prevalence and characteristics of depression in mild cognitive impairment: the Sydney memory and ageing study. Objective:  Depression might be a risk factor for dementia. However, little is known about the prevalence of depressive symptoms in mild cognitive impairment (MCI) and whether mood or motivation‐related symptoms are predominant. Method:  A total of 767 non‐demented community‐dwelling adults aged 70–90 years completed a comprehensive assessment, including neuropsychological testing, and a past psychiatric/medical history interview. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS) and Kessler Psychological Distress Scale (K10). Exploratory factor analysis was performed on the GDS and K10 to derive ‘mood’ and ‘motivation’ subscales. Results:  A total of 290 participants were classified as having MCI and 468 as cognitively normal (CN). Participants with MCI reported more depressive symptoms, and more MCI participants met the cut‐off for clinically significant symptoms, relative to CN participants. Those with amnestic MCI (aMCI), but not non‐amnestic MCI, had more depressive symptoms and were more likely to meet the cut‐off for clinically significant depressive symptoms, relative to CN participants. Participants with MCI reported more mood‐related symptoms than CN participants, while there were no differences between groups on motivation‐related symptoms. Conclusion:  Individuals with MCI, especially aMCI, endorse more depressive symptoms when compared with cognitively intact individuals. These findings highlight the importance of assessing and treating depressive symptoms in MCI.
doi_str_mv 10.1111/acps.12008
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Exploratory factor analysis was performed on the GDS and K10 to derive ‘mood’ and ‘motivation’ subscales. Results:  A total of 290 participants were classified as having MCI and 468 as cognitively normal (CN). Participants with MCI reported more depressive symptoms, and more MCI participants met the cut‐off for clinically significant symptoms, relative to CN participants. Those with amnestic MCI (aMCI), but not non‐amnestic MCI, had more depressive symptoms and were more likely to meet the cut‐off for clinically significant depressive symptoms, relative to CN participants. Participants with MCI reported more mood‐related symptoms than CN participants, while there were no differences between groups on motivation‐related symptoms. Conclusion:  Individuals with MCI, especially aMCI, endorse more depressive symptoms when compared with cognitively intact individuals. 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D.</creatorcontrib><creatorcontrib>Draper, B.</creatorcontrib><creatorcontrib>Trollor, J. N.</creatorcontrib><creatorcontrib>Sachdev, P. S.</creatorcontrib><title>Prevalence and characteristics of depression in mild cognitive impairment: the Sydney Memory and Ageing Study</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><description>Shahnawaz Z, Reppermund S, Brodaty H, Crawford JD, Draper B, Trollor JN, Sachdev PS. Prevalence and characteristics of depression in mild cognitive impairment: the Sydney memory and ageing study. Objective:  Depression might be a risk factor for dementia. However, little is known about the prevalence of depressive symptoms in mild cognitive impairment (MCI) and whether mood or motivation‐related symptoms are predominant. Method:  A total of 767 non‐demented community‐dwelling adults aged 70–90 years completed a comprehensive assessment, including neuropsychological testing, and a past psychiatric/medical history interview. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS) and Kessler Psychological Distress Scale (K10). Exploratory factor analysis was performed on the GDS and K10 to derive ‘mood’ and ‘motivation’ subscales. Results:  A total of 290 participants were classified as having MCI and 468 as cognitively normal (CN). Participants with MCI reported more depressive symptoms, and more MCI participants met the cut‐off for clinically significant symptoms, relative to CN participants. Those with amnestic MCI (aMCI), but not non‐amnestic MCI, had more depressive symptoms and were more likely to meet the cut‐off for clinically significant depressive symptoms, relative to CN participants. Participants with MCI reported more mood‐related symptoms than CN participants, while there were no differences between groups on motivation‐related symptoms. Conclusion:  Individuals with MCI, especially aMCI, endorse more depressive symptoms when compared with cognitively intact individuals. 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S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and characteristics of depression in mild cognitive impairment: the Sydney Memory and Ageing Study</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2013-05</date><risdate>2013</risdate><volume>127</volume><issue>5</issue><spage>394</spage><epage>402</epage><pages>394-402</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><coden>APYSA9</coden><abstract>Shahnawaz Z, Reppermund S, Brodaty H, Crawford JD, Draper B, Trollor JN, Sachdev PS. Prevalence and characteristics of depression in mild cognitive impairment: the Sydney memory and ageing study. Objective:  Depression might be a risk factor for dementia. However, little is known about the prevalence of depressive symptoms in mild cognitive impairment (MCI) and whether mood or motivation‐related symptoms are predominant. Method:  A total of 767 non‐demented community‐dwelling adults aged 70–90 years completed a comprehensive assessment, including neuropsychological testing, and a past psychiatric/medical history interview. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS) and Kessler Psychological Distress Scale (K10). Exploratory factor analysis was performed on the GDS and K10 to derive ‘mood’ and ‘motivation’ subscales. Results:  A total of 290 participants were classified as having MCI and 468 as cognitively normal (CN). Participants with MCI reported more depressive symptoms, and more MCI participants met the cut‐off for clinically significant symptoms, relative to CN participants. Those with amnestic MCI (aMCI), but not non‐amnestic MCI, had more depressive symptoms and were more likely to meet the cut‐off for clinically significant depressive symptoms, relative to CN participants. Participants with MCI reported more mood‐related symptoms than CN participants, while there were no differences between groups on motivation‐related symptoms. Conclusion:  Individuals with MCI, especially aMCI, endorse more depressive symptoms when compared with cognitively intact individuals. These findings highlight the importance of assessing and treating depressive symptoms in MCI.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22943523</pmid><doi>10.1111/acps.12008</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult and adolescent clinical studies
Aged
Aged, 80 and over
Biological and medical sciences
Cognitive Dysfunction - complications
Cognitive Dysfunction - epidemiology
Cognitive Dysfunction - psychology
Cross-Sectional Studies
Dementia
Depression
Depression - complications
Depression - epidemiology
Depression - psychology
depression, mild cognitive impairment
depressive symptoms
Factor Analysis, Statistical
Female
Geriatric Assessment
Geriatric Depression Scale
Geriatrics
Humans
Kessler Psychological Distress Scale
Male
Medical sciences
Mental depression
mild cognitive impairment
Miscellaneous
Mood disorders
Neuropsychological Tests
Neuropsychology
New South Wales - epidemiology
Older people
Prevalence
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
title Prevalence and characteristics of depression in mild cognitive impairment: the Sydney Memory and Ageing Study
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