McLaren Molly E, Szymkowicz Sarah M, Kirton Joshua W, Dotson Vonetta M
Department of Clinical & Health Psychology, University of Florida, Gainesville, FL, USA.
Department of Clinical & Health Psychology, University of Florida, Gainesville, FL, USA Department of Neuroscience, University of Florida, Gainesville, FL, USA
Arch Clin Neuropsychol. 2015 Aug;30(5):387-93. doi: 10.1093/arclin/acv038. Epub 2015 Jun 23.
Elevated depressive symptoms are associated with cognitive deficits, while higher education protects against cognitive decline. This study was conducted to test if education level moderates the relationship between depressive symptoms and cognitive function. Seventy-three healthy, dementia-free adults aged 18-81 completed neuropsychological tests, as well as depression and anxiety questionnaires. Controlling for age, sex, and state anxiety, we found a significant interaction of depressive symptoms and education for immediate and delayed verbal memory, such that those with a higher education level performed well regardless of depressive symptomatology, whereas those with lower education and high depressive symptoms had worse performance. No effects were found for executive functioning or processing speed. Results suggest that education protects against verbal memory deficits in individuals with elevated depressive symptoms. Further research on cognitive reserve in depression-related cognitive deficits and decline is needed to understand the mechanisms behind this phenomenon.
抑郁症状加重与认知缺陷相关,而高等教育可预防认知衰退。本研究旨在检验教育水平是否会调节抑郁症状与认知功能之间的关系。73名年龄在18至81岁之间、无痴呆症的健康成年人完成了神经心理学测试以及抑郁和焦虑问卷。在控制年龄、性别和状态焦虑后,我们发现抑郁症状与教育水平在即时和延迟言语记忆方面存在显著交互作用,即无论抑郁症状如何,教育水平较高者表现良好,而教育水平较低且抑郁症状严重者表现较差。在执行功能或处理速度方面未发现影响。结果表明,教育可预防抑郁症状加重个体的言语记忆缺陷。需要对抑郁相关认知缺陷和衰退中的认知储备进行进一步研究,以了解这一现象背后的机制。