Department of Geriatrics, West China Hospital, Sichuan University, Sichuan, China.
Am J Geriatr Psychiatry. 2010 Apr;18(4):297-304. doi: 10.1097/JGP.0b013e3181d143bc.
In this study, we explored the association between cognitive impairment and depression in the very elderly using a sample aged 90-108 years.
A cross-sectional study.
The sample included 682 unrelated Chinese nonagenarians/centenarians (67.25% women, mean age of 93.49 years). The mean depression score (measured with the brief 23-item Geriatrics Depression Scale-Chinese Edition was 8.45 (standard deviation [SD] = 3.30). The mean of cognitive function scores (measured with the 30-item Mini-Mental State Examination) was 15.54 (SD = 5.38). There was no significant difference in cognitive function scores between subjects with and without depression, and there was also no significant difference in depression scores between subjects with and without cognitive impairment. There was also no significant difference in the frequency of depression between subjects with and without cognitive impairment or in the frequency of cognitive impairment between subjects with and without depression. Both the odds ratio (OR) of depression (as a function of increased cognitive impairment) and the OR of cognitive impairment (as a function of increased depression) were found to be insignificant. Pearson Correlation also showed no significant correlation between depression scores and cognitive function scores.
In summary, we found that depression was not directly correlated with cognitive impairment in Chinese nonagenarians and centenarians.
本研究使用 90-108 岁年龄组的样本,探讨高龄老年人认知障碍与抑郁之间的关系。
这是一项横断面研究。
该样本包括 682 名无血缘关系的中国 90 岁以上高龄老人(女性占 67.25%,平均年龄 93.49 岁)。使用简短的 23 项老年抑郁量表-中文版(brief 23-item Geriatrics Depression Scale-Chinese Edition)测量的平均抑郁得分(mean depression score)为 8.45(标准差 [SD] = 3.30)。使用 30 项简易精神状态检查(Mini-Mental State Examination)测量的平均认知功能得分(mean cognitive function score)为 15.54(SD = 5.38)。有抑郁和无抑郁的受试者之间认知功能评分(cognitive function scores)没有显著差异,有认知障碍和无认知障碍的受试者之间抑郁评分(depression scores)也没有显著差异。有认知障碍和无认知障碍的受试者之间抑郁的发生率(frequency of depression)或有抑郁和无抑郁的受试者之间认知障碍的发生率(frequency of cognitive impairment)也没有显著差异。抑郁(作为认知障碍增加的函数)的优势比(odds ratio,OR)和认知障碍(作为抑郁增加的函数)的 OR 都没有显著意义。Pearson 相关也显示抑郁评分与认知功能评分之间无显著相关性。
综上所述,我们发现中国高龄老年人的抑郁与认知障碍之间没有直接相关性。