McGill University, Department of Psychiatry and Douglas Mental Health University Institute McGill Group for Suicide Studies, Montréal, QC, Canada; Laboratoire de Psychologie des Pays de la Loire, UPRES EA 4638, Université d'Angers, Angers, France.
Int J Geriatr Psychiatry. 2013 Nov;28(11):1125-30. doi: 10.1002/gps.3929. Epub 2013 Jan 10.
To compare cognitive inhibition performance between people with early-onset (EOD) or late-onset depression (LOD) and controls, and between women and men with LOD.
On the basis of a case-control design, global executive performance (Frontal Assessment Battery); verbal (Hayling), attention (Stroop), and motor (Go/No-Go) components of cognitive inhibition; mental shifting (Trail Making Test parts A and B); and updating in working memory (Wechsler Adult Intelligence Scale) were assessed in 40 participants (10 depressed women with LOD (i.e., ≥60 years old), 10 depressed women with EOD (i.e., <60 years old), 10 healthy women and 10 depressed men with LOD (i.e., ≥60 years old)).
Older depressed women, irrespective of age of depression onset, had greater cognitive inhibition impairments (attention and verbal component) compared with healthy women. LOD was significantly associated with the attention component of cognitive inhibition impairment, unlike EOD (p = 0.026). No executive differences were found regarding age of first-onset depression in older depressed women, and between women and men with LOD.
Cognitive inhibition impairment, and more specifically its attention component, was the main characteristic of depression in the studied sample of older adults, independently of gender and age of depression onset. It is essential to perform similar studies in both genders in view of future tailor-made therapeutic modalities.
比较早发性(EOD)或晚发性抑郁(LOD)患者与对照组以及晚发性抑郁女性与男性之间的认知抑制表现。
基于病例对照设计,评估了全局执行功能(额叶评估测验);认知抑制的言语(Hayling)、注意力(Stroop)和运动(Go/No-Go)成分;心理转换(连线测验 A 和 B);以及工作记忆更新(韦氏成人智力量表)。共纳入 40 名参与者(10 名晚发性抑郁女性(即≥60 岁)、10 名早发性抑郁女性(即<60 岁)、10 名健康女性和 10 名晚发性抑郁男性(即≥60 岁))。
无论抑郁发作年龄如何,老年抑郁女性的认知抑制损伤(注意力和言语成分)均较健康女性更为严重。与 EOD 相比(p=0.026),LOD 与认知抑制损伤的注意力成分显著相关,而与 EOD 无关。在老年抑郁女性中,抑郁首发年龄与执行功能无差异,且晚发性抑郁女性与男性之间也无差异。
在本研究的老年人群样本中,认知抑制损伤,特别是其注意力成分,是抑郁的主要特征,与性别和抑郁首发年龄无关。鉴于未来需要针对不同性别制定个体化的治疗方法,因此有必要在两性中开展类似的研究。