Baune Bernhard T, Suslow Thomas, Engelien Almut, Arolt Volker, Berger Klaus
Department of Psychiatry, James Cook University, Townsville, Queensland, Australia.
Dement Geriatr Cogn Disord. 2006;22(2):142-9. doi: 10.1159/000093745. Epub 2006 Jun 1.
The aim of this study was to analyse the influence of the severity of depressive symptoms on different domains of cognitive function in the elderly. In a population-based cross-sectional study, 385 participants aged 65-83 years were interviewed with the Center for Epidemiologic Studies Depression Scale (CES-D) and performed a standardized neuropsychological test assessing attention, memory, cognitive speed and motor function. Multivariate linear regression analyses revealed a significant effect of depressive symptoms on a single test (Stroop test 1) and two summary scores (memory and motor function). After full adjustment for education and Mini Mental State Examination, the memory score was partly attenuated. Stratified analysis showed that an increase in CES-D scores led to a larger decline of cognitive test results in participants with mild to moderate depressive symptoms, compared to those with a high degree of depressive symptoms. Our results suggest that depressive mood in older adults is primarily associated with decreased processing speed and motor functioning, but not executive control functions. According to our results depressive mood is not necessarily associated with memory deficits in older adults. Changes in depressive symptoms in milder forms of depressive mood are associated with a larger decline in cognitive function than in severer forms of depressive mood.
本研究旨在分析抑郁症状严重程度对老年人认知功能不同领域的影响。在一项基于人群的横断面研究中,对385名年龄在65 - 83岁的参与者进行了流行病学研究中心抑郁量表(CES - D)访谈,并进行了一项标准化神经心理学测试,以评估注意力、记忆力、认知速度和运动功能。多变量线性回归分析显示,抑郁症状对一项单项测试(斯特鲁普测试1)和两项综合得分(记忆力和运动功能)有显著影响。在对教育程度和简易精神状态检查表进行充分调整后,记忆力得分部分减弱。分层分析表明,与抑郁症状程度较高的参与者相比,CES - D得分增加导致轻度至中度抑郁症状参与者的认知测试结果下降幅度更大。我们的研究结果表明,老年人的抑郁情绪主要与处理速度和运动功能下降有关,而与执行控制功能无关。根据我们的研究结果,抑郁情绪不一定与老年人的记忆缺陷有关。较轻度抑郁情绪中抑郁症状的变化与认知功能下降幅度的关联比严重抑郁情绪中更大。