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老年人抑郁症与执行功能和视觉空间记忆的关系。

Relationship of Depression With Executive Functions and Visuospatial Memory in Elderly.

作者信息

Klojčnik Monika, Kavcic Voyko, Bakracevic Vukman Karin

机构信息

1 Department of Psychology, Faculty of Arts, University of Maribor, Slovenia.

2 Institute of Gerontology, Wayne State University, Detroit, MI, USA.

出版信息

Int J Aging Hum Dev. 2017 Dec;85(4):490-503. doi: 10.1177/0091415017712186. Epub 2017 Jun 7.

Abstract

Cognitive deficits are a potential part of the clinical picture of depression, especially when it comes to late-life depression. The present study was carried out to establish whether distinctive cognitive deficiencies can be linked with depression in the late-life period, especially in executive functioning, working memory, and visuospatial memory. Our sample consisted of 71 seniors in the age range between 69 and 85 years. A battery of neurocognitive tests was used, including tests of executive functioning (Trail Making Test [TMT], part B, Stroop color word test, semantic word fluency test, and partially Rey-Osterrieth Complex Figure test [ROCF]), tests of attention and working memory (TMT, part A and digit span), and test of visuospatil ability and memory (ROCF). Results demonstrated that depression scores were significantly negatively correlated with scores on Verbal Fluency test, Stroop test, and ROCF immediate copy and recall. Depression was also linked to slower functioning on Trail Making A and Trail Making B subtest. In general, higher depression scores were correlated with lower performance on neuropsychological tests. However, digit span showed no significant correlation with depression. In addition, results of regression analyses revealed that the strongest predictors of depression were performance on the Rey-Osterrieth test-immediate recall and Stroop test. Thus, we could ascertain that difficulties in executive functioning and visuospatial memory are the best predictors of depression in elderly.

摘要

认知缺陷是抑郁症临床症状的潜在组成部分,尤其是在老年抑郁症方面。本研究旨在确定在老年期,特别是在执行功能、工作记忆和视觉空间记忆方面,独特的认知缺陷是否与抑郁症有关。我们的样本包括71名年龄在69岁至85岁之间的老年人。使用了一系列神经认知测试,包括执行功能测试(连线测验 [TMT],B部分,斯特鲁普色词测验,语义词语流畅性测验,以及部分雷伊 - 奥斯特里赫复杂图形测验 [ROCF])、注意力和工作记忆测试(TMT,A部分和数字广度)以及视觉空间能力和记忆测试(ROCF)。结果表明,抑郁评分与言语流畅性测试、斯特鲁普测试以及ROCF即时临摹和回忆的得分显著负相关。抑郁还与连线测验A和连线测验B子测试中较慢的表现有关。总体而言,较高的抑郁评分与神经心理学测试中的较低表现相关。然而,数字广度与抑郁没有显著相关性。此外,回归分析结果显示,抑郁的最强预测因素是雷伊 - 奥斯特里赫测试即时回忆和斯特鲁普测试的表现。因此,我们可以确定执行功能和视觉空间记忆方面的困难是老年人抑郁的最佳预测因素。

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