Depressive symptoms among cognitively normal versus cognitively impaired elderly subjects

Objectives The present cross‐sectional study analyzed the prevalence and severity of depressive symptoms among patients with Alzheimer's disease (DAT), vascular dementia (VAD), and among the cognitively normal elderly. Putative risk factors contributing to depression were likewise evaluated. Me...

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Veröffentlicht in:International journal of geriatric psychiatry 2001-05, Vol.16 (5), p.455-461
Hauptverfasser: Li, Yan-sheng, Meyer, John S., Thornby, John
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container_title International journal of geriatric psychiatry
container_volume 16
creator Li, Yan-sheng
Meyer, John S.
Thornby, John
description Objectives The present cross‐sectional study analyzed the prevalence and severity of depressive symptoms among patients with Alzheimer's disease (DAT), vascular dementia (VAD), and among the cognitively normal elderly. Putative risk factors contributing to depression were likewise evaluated. Methods Seventy‐six DAT patients, 51 VAD patients, and 121 cognitively normal subjects were admitted to the study. Questionnaires concerning demography and their vascular and familial risk factors together with results of neuropsychological testing by combined Mini‐Mental Status Examinations (MMSE), Cognitive Capacity Screening Examinations (CCSE), and Hamilton Depression Rating Scales (HDRS) were obtained so that resulting data would be statistically analyzed. Results Prevalence of depressive symptoms among VAD, DAT, and cognitively normal elderly were 31.4%, 19.9%, and 13.2%, respectively. 25.5% of VAD and 13.2% of DAT patients had depression of mild to moderate degrees. Regression analysis revealed that diagnosis of VAD and DAT, heart disease, and past history of depression was significantly associated with high HDRS scores. There was no correlation between degree of depression and severity of cognitive impairments. Conclusion Mild to moderate depression is a common comorbidity with organic dementia, especially VAD, but associated depression is independent of severity of cognitive impairments. Copyright © 2001 John Wiley & Sons, Ltd
doi_str_mv 10.1002/gps.360
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Putative risk factors contributing to depression were likewise evaluated. Methods Seventy‐six DAT patients, 51 VAD patients, and 121 cognitively normal subjects were admitted to the study. Questionnaires concerning demography and their vascular and familial risk factors together with results of neuropsychological testing by combined Mini‐Mental Status Examinations (MMSE), Cognitive Capacity Screening Examinations (CCSE), and Hamilton Depression Rating Scales (HDRS) were obtained so that resulting data would be statistically analyzed. Results Prevalence of depressive symptoms among VAD, DAT, and cognitively normal elderly were 31.4%, 19.9%, and 13.2%, respectively. 25.5% of VAD and 13.2% of DAT patients had depression of mild to moderate degrees. Regression analysis revealed that diagnosis of VAD and DAT, heart disease, and past history of depression was significantly associated with high HDRS scores. There was no correlation between degree of depression and severity of cognitive impairments. Conclusion Mild to moderate depression is a common comorbidity with organic dementia, especially VAD, but associated depression is independent of severity of cognitive impairments. Copyright © 2001 John Wiley &amp; Sons, Ltd</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.360</identifier><identifier>PMID: 11376460</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Alzheimer Disease - psychology ; Biological and medical sciences ; Cognition ; Cognition Disorders - etiology ; Cognition Disorders - psychology ; Comorbidity ; Cross-Sectional Studies ; dementia ; Dementia, Vascular - psychology ; Depression ; Depression - epidemiology ; Depression - etiology ; depressive symptoms ; Female ; Geriatrics ; Humans ; Male ; Medical sciences ; Mood disorders ; Prevalence ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Severity of Illness Index ; Texas - epidemiology</subject><ispartof>International journal of geriatric psychiatry, 2001-05, Vol.16 (5), p.455-461</ispartof><rights>Copyright © 2001 John Wiley &amp; Sons, Ltd.</rights><rights>2001 INIST-CNRS</rights><rights>Copyright 2001 John Wiley &amp; Sons, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4100-38dcf936e60b549723a8df89023cd1055782f7ce5b1be281aa37c4f13d02bbb23</citedby><cites>FETCH-LOGICAL-c4100-38dcf936e60b549723a8df89023cd1055782f7ce5b1be281aa37c4f13d02bbb23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fgps.360$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fgps.360$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=993289$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11376460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Yan-sheng</creatorcontrib><creatorcontrib>Meyer, John S.</creatorcontrib><creatorcontrib>Thornby, John</creatorcontrib><title>Depressive symptoms among cognitively normal versus cognitively impaired elderly subjects</title><title>International journal of geriatric psychiatry</title><addtitle>Int. J. Geriat. Psychiatry</addtitle><description>Objectives The present cross‐sectional study analyzed the prevalence and severity of depressive symptoms among patients with Alzheimer's disease (DAT), vascular dementia (VAD), and among the cognitively normal elderly. Putative risk factors contributing to depression were likewise evaluated. Methods Seventy‐six DAT patients, 51 VAD patients, and 121 cognitively normal subjects were admitted to the study. Questionnaires concerning demography and their vascular and familial risk factors together with results of neuropsychological testing by combined Mini‐Mental Status Examinations (MMSE), Cognitive Capacity Screening Examinations (CCSE), and Hamilton Depression Rating Scales (HDRS) were obtained so that resulting data would be statistically analyzed. Results Prevalence of depressive symptoms among VAD, DAT, and cognitively normal elderly were 31.4%, 19.9%, and 13.2%, respectively. 25.5% of VAD and 13.2% of DAT patients had depression of mild to moderate degrees. Regression analysis revealed that diagnosis of VAD and DAT, heart disease, and past history of depression was significantly associated with high HDRS scores. There was no correlation between degree of depression and severity of cognitive impairments. Conclusion Mild to moderate depression is a common comorbidity with organic dementia, especially VAD, but associated depression is independent of severity of cognitive impairments. Copyright © 2001 John Wiley &amp; Sons, Ltd</description><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - psychology</subject><subject>Biological and medical sciences</subject><subject>Cognition</subject><subject>Cognition Disorders - etiology</subject><subject>Cognition Disorders - psychology</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>dementia</subject><subject>Dementia, Vascular - psychology</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>depressive symptoms</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mood disorders</subject><subject>Prevalence</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Texas - epidemiology</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0NtqFTEUBuAgFrttxTeQAUEvZNocZnK4LFV3W4pWVMSrkMms2aTOyayZ6n77psympRfiVWCtj3-Fn5CXjB4xSvnxZsQjIekTsmLUmJwxKZ-SFdW6zCUXdJ88R7ymNO2Yfkb2GRNKFpKuyM_3MEZADDeQ4bYbp6HDzHVDv8n8sOnDlBbtNuuH2Lk2u4GIMz7ahG50IUKdQVtDTAOcq2vwEx6Svca1CC927wH5_vHDt9Oz_PLz-vz05DL3Rfp6LnTtGyMkSFqVhVFcOF032lAufM1oWSrNG-WhrFgFXDPnhPJFw0RNeVVVXByQN0vuGIffM-Bku4Ae2tb1MMxoFdXKFKb4L-Qs1UL5XeLbBfo4IEZo7BhD5-LWMmrv6rapbpvqTvLVLnKuOqgf3K7fBF7vgEPv2ia63ge8d8YIrk1S7xb1J7Sw_dc1u776uhzNFx1wgr_32sVfViqhSvvj09pemS-F5ObMXohb3GClcQ</recordid><startdate>200105</startdate><enddate>200105</enddate><creator>Li, Yan-sheng</creator><creator>Meyer, John S.</creator><creator>Thornby, John</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200105</creationdate><title>Depressive symptoms among cognitively normal versus cognitively impaired elderly subjects</title><author>Li, Yan-sheng ; Meyer, John S. ; Thornby, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4100-38dcf936e60b549723a8df89023cd1055782f7ce5b1be281aa37c4f13d02bbb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer Disease - psychology</topic><topic>Biological and medical sciences</topic><topic>Cognition</topic><topic>Cognition Disorders - etiology</topic><topic>Cognition Disorders - psychology</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>dementia</topic><topic>Dementia, Vascular - psychology</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>depressive symptoms</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mood disorders</topic><topic>Prevalence</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Texas - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Yan-sheng</creatorcontrib><creatorcontrib>Meyer, John S.</creatorcontrib><creatorcontrib>Thornby, John</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Yan-sheng</au><au>Meyer, John S.</au><au>Thornby, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depressive symptoms among cognitively normal versus cognitively impaired elderly subjects</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int. J. Geriat. Psychiatry</addtitle><date>2001-05</date><risdate>2001</risdate><volume>16</volume><issue>5</issue><spage>455</spage><epage>461</epage><pages>455-461</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><abstract>Objectives The present cross‐sectional study analyzed the prevalence and severity of depressive symptoms among patients with Alzheimer's disease (DAT), vascular dementia (VAD), and among the cognitively normal elderly. Putative risk factors contributing to depression were likewise evaluated. Methods Seventy‐six DAT patients, 51 VAD patients, and 121 cognitively normal subjects were admitted to the study. Questionnaires concerning demography and their vascular and familial risk factors together with results of neuropsychological testing by combined Mini‐Mental Status Examinations (MMSE), Cognitive Capacity Screening Examinations (CCSE), and Hamilton Depression Rating Scales (HDRS) were obtained so that resulting data would be statistically analyzed. Results Prevalence of depressive symptoms among VAD, DAT, and cognitively normal elderly were 31.4%, 19.9%, and 13.2%, respectively. 25.5% of VAD and 13.2% of DAT patients had depression of mild to moderate degrees. Regression analysis revealed that diagnosis of VAD and DAT, heart disease, and past history of depression was significantly associated with high HDRS scores. There was no correlation between degree of depression and severity of cognitive impairments. Conclusion Mild to moderate depression is a common comorbidity with organic dementia, especially VAD, but associated depression is independent of severity of cognitive impairments. Copyright © 2001 John Wiley &amp; Sons, Ltd</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>11376460</pmid><doi>10.1002/gps.360</doi><tpages>7</tpages></addata></record>
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subjects Adult and adolescent clinical studies
Aged
Aged, 80 and over
Alzheimer Disease - psychology
Biological and medical sciences
Cognition
Cognition Disorders - etiology
Cognition Disorders - psychology
Comorbidity
Cross-Sectional Studies
dementia
Dementia, Vascular - psychology
Depression
Depression - epidemiology
Depression - etiology
depressive symptoms
Female
Geriatrics
Humans
Male
Medical sciences
Mood disorders
Prevalence
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Severity of Illness Index
Texas - epidemiology
title Depressive symptoms among cognitively normal versus cognitively impaired elderly subjects
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