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Erschienen in: Current Psychiatry Reports 4/2012

01.08.2012 | Geriatric Disorders (DC Steffens, Section Editor)

Depression and Cognitive Impairment in Older Adults

verfasst von: Sara L. Weisenbach, Laurie A. Boore, Helen C. Kales

Erschienen in: Current Psychiatry Reports | Ausgabe 4/2012

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Abstract

Late life depression (LLD) is a heterogeneous illness with high rates of treatment resistance. Cognitive impairment is common in the context of LLD, and LLD may be a prodromal symptom and/or potentially a risk factor for dementia. This manuscript reviews the most recent research into the cognitive deficits associated with LLD and risk of conversion to dementia in the context of LLD. We discuss potential moderators and mediators of cognitive deficits in LLD, including demographic and clinical variables, in addition to brain structure and function. Potential interventions for cognitive symptoms of LLD are reviewed. We conclude with a discussion of the broader implications of what is now known about LLD, and how this might be applied toward improved prognosis and models for effective treatment.
Literatur
1.
Zurück zum Zitat Hall JR, O’Bryant SE, Johnson LA, Barber RC, Depressive symptom clusters and neuropsychological performance in mild Alzheimer’s and cognitively normal elderly. Depress Res Treat. 2011;2011:396958.PubMed Hall JR, O’Bryant SE, Johnson LA, Barber RC, Depressive symptom clusters and neuropsychological performance in mild Alzheimer’s and cognitively normal elderly. Depress Res Treat. 2011;2011:396958.PubMed
2.
Zurück zum Zitat • Yeh YC, Tsang HY, Lin PY, et al. Subtypes of mild cognitive impairment among the elderly with major depressive disorder in remission. Am J Geriatr Psychiatry. 2011;19:923–931. Reduced performance on measures of information processing speed and memory were independently associated with remitted LLD. Those with aMCI were more likely to have late-onset depression and ventricular atrophy, while those with naMCI had a greater degree of vascular burden. PubMedCrossRef • Yeh YC, Tsang HY, Lin PY, et al. Subtypes of mild cognitive impairment among the elderly with major depressive disorder in remission. Am J Geriatr Psychiatry. 2011;19:923–931. Reduced performance on measures of information processing speed and memory were independently associated with remitted LLD. Those with aMCI were more likely to have late-onset depression and ventricular atrophy, while those with naMCI had a greater degree of vascular burden. PubMedCrossRef
3.
Zurück zum Zitat Alexopoulos GS, Meyers BS, Young RC. The course of geriatric depression with "reversible dementia": a controlled study. Am J Psychiatry. 1993;150:1693–9.PubMed Alexopoulos GS, Meyers BS, Young RC. The course of geriatric depression with "reversible dementia": a controlled study. Am J Psychiatry. 1993;150:1693–9.PubMed
4.
Zurück zum Zitat Baudic S, Tzortzis C, Barba GD, Traykov L. Executive deficits in elderly patients with major unipolar depression. J Geriatr Psychiatry Neurol. 2004:17:195–201.PubMedCrossRef Baudic S, Tzortzis C, Barba GD, Traykov L. Executive deficits in elderly patients with major unipolar depression. J Geriatr Psychiatry Neurol. 2004:17:195–201.PubMedCrossRef
5.
Zurück zum Zitat Butters MA, Whyte EM, Nebes RD et al.. The nature and determinants of neuropsychological functioning in late-life depression. Arch Gen Psychiatry. 2004;61:587–95.PubMedCrossRef Butters MA, Whyte EM, Nebes RD et al.. The nature and determinants of neuropsychological functioning in late-life depression. Arch Gen Psychiatry. 2004;61:587–95.PubMedCrossRef
6.
Zurück zum Zitat Elderkin-Thompson V, Mintz J, Haroon E, et al.. Executive dysfunction and memory in older patients with major and minor depression. Arch Clin Neuropsychol. 2007;22:261–70.PubMedCrossRef Elderkin-Thompson V, Mintz J, Haroon E, et al.. Executive dysfunction and memory in older patients with major and minor depression. Arch Clin Neuropsychol. 2007;22:261–70.PubMedCrossRef
7.
Zurück zum Zitat Bhalla RK, Butters MA, Mulsant BH, et al.. Persistence of neuropsychologic deficits in the remitted state of late-life depression. Am J Geriatr Psychiatry. 2006;14:419–427.PubMedCrossRef Bhalla RK, Butters MA, Mulsant BH, et al.. Persistence of neuropsychologic deficits in the remitted state of late-life depression. Am J Geriatr Psychiatry. 2006;14:419–427.PubMedCrossRef
8.
Zurück zum Zitat Wright SL, Persad C. Distinguishing between depression and dementia in older persons: neuropsychological and neuropathological correlates. J Geriatr Psychiatry Neurol. 2007;20:189–98.PubMedCrossRef Wright SL, Persad C. Distinguishing between depression and dementia in older persons: neuropsychological and neuropathological correlates. J Geriatr Psychiatry Neurol. 2007;20:189–98.PubMedCrossRef
9.
Zurück zum Zitat Dillon C, Machnicki G, Serrano CM et al.. Clinical manifestations of geriatric depression in a memory clinic: toward a proposed subtyping of geriatric depression. J Affect Disord. 2011;134:177–87.PubMedCrossRef Dillon C, Machnicki G, Serrano CM et al.. Clinical manifestations of geriatric depression in a memory clinic: toward a proposed subtyping of geriatric depression. J Affect Disord. 2011;134:177–87.PubMedCrossRef
10.
Zurück zum Zitat •• Elderkin-Thompson V, Moody T, Knowlton B, et al.. Explicit and implicit memory in late-life depression. Am J Geriatr Psychiatry. 2011;19:249–55. MDD patients had a poorer performance than controls on indices of executive function, attention, and processing speed, as well as on measures of verbal learning and verbal and nonverbal recall, but not on measures of memory recognition or retention, implicit learning, or language fluency. PubMedCrossRef •• Elderkin-Thompson V, Moody T, Knowlton B, et al.. Explicit and implicit memory in late-life depression. Am J Geriatr Psychiatry. 2011;19:249–55. MDD patients had a poorer performance than controls on indices of executive function, attention, and processing speed, as well as on measures of verbal learning and verbal and nonverbal recall, but not on measures of memory recognition or retention, implicit learning, or language fluency. PubMedCrossRef
11.
Zurück zum Zitat • Potter GG, McQuoid DR, Payne ME, et al.. Association of attentional shift and reversal learning to functional deficits in geriatric depression. Int J Geriatr Psychiatry. 2012;doi:10.1002/gps.3764. Attentional shifting in depressed older adults is associated with self-reported performance in instrumental activities of daily living. • Potter GG, McQuoid DR, Payne ME, et al.. Association of attentional shift and reversal learning to functional deficits in geriatric depression. Int J Geriatr Psychiatry. 2012;doi:10.​1002/​gps.​3764. Attentional shifting in depressed older adults is associated with self-reported performance in instrumental activities of daily living.
12.
Zurück zum Zitat • Yen YC, Rebok GW, Gallo JJ, et al.. Depressive symptoms impair everyday problem-solving ability through cognitive abilities in late life. Am J Geriatr Psychiatry. 2011:19:142–50. Depressive symptoms are associated with everyday problem-solving and are mediated by learning and memory as well as reasoning skills. PubMedCrossRef • Yen YC, Rebok GW, Gallo JJ, et al.. Depressive symptoms impair everyday problem-solving ability through cognitive abilities in late life. Am J Geriatr Psychiatry. 2011:19:142–50. Depressive symptoms are associated with everyday problem-solving and are mediated by learning and memory as well as reasoning skills. PubMedCrossRef
13.
Zurück zum Zitat Benitez A, Horner MD, Bachman D. Intact cognition in depressed elderly veterans providing adequate effort. Arch Clin Neuropsychol. 2011;26:184–93.PubMedCrossRef Benitez A, Horner MD, Bachman D. Intact cognition in depressed elderly veterans providing adequate effort. Arch Clin Neuropsychol. 2011;26:184–93.PubMedCrossRef
14.
Zurück zum Zitat Yesavage JA, Brink TL, Rose TL, et al.. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982;17:37–49.PubMedCrossRef Yesavage JA, Brink TL, Rose TL, et al.. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982;17:37–49.PubMedCrossRef
15.
Zurück zum Zitat Tombaugh TN. Test of memory malingering. North Tonawanda, New York; 1996. Tombaugh TN. Test of memory malingering. North Tonawanda, New York; 1996.
16.
Zurück zum Zitat Randolph C: Repeatable battery for the assessment of neuropsychological status. San Antonio, TX: Pearson; 1998. Randolph C: Repeatable battery for the assessment of neuropsychological status. San Antonio, TX: Pearson; 1998.
17.
Zurück zum Zitat Naismith SL, Rogers NL, Lewis SJ, et al. Sleep disturbance relates to neuropsychological functioning in late-life depression. J Affect Disord. 2011:132:139–45.PubMedCrossRef Naismith SL, Rogers NL, Lewis SJ, et al. Sleep disturbance relates to neuropsychological functioning in late-life depression. J Affect Disord. 2011:132:139–45.PubMedCrossRef
18.
Zurück zum Zitat •• Sanders JB, Bremmer MA, Comijs HC, et al. Cognitive functioning and the natural course of depressive symptoms in late life. Am J Geriatr Psychiatry. 2011:19:664–72. Processing speed is independently associated with a chronic course of depression, but not a remitting or fluctuating course of depression, after controlling for vascular risk factors. PubMedCrossRef •• Sanders JB, Bremmer MA, Comijs HC, et al. Cognitive functioning and the natural course of depressive symptoms in late life. Am J Geriatr Psychiatry. 2011:19:664–72. Processing speed is independently associated with a chronic course of depression, but not a remitting or fluctuating course of depression, after controlling for vascular risk factors. PubMedCrossRef
19.
Zurück zum Zitat • Morimoto SS, Gunning FM, Kanellopoulos D, et al. Semantic organizational strategy predicts verbal memory and remission rate of geriatric depression. Int J Geriatr Psychiatry. 2012;27:506–12. Performance on a measure of semantic fluency positively predicted remission of depressive symptoms over 12 weeks of treatment with escitalopram. PubMedCrossRef • Morimoto SS, Gunning FM, Kanellopoulos D, et al. Semantic organizational strategy predicts verbal memory and remission rate of geriatric depression. Int J Geriatr Psychiatry. 2012;27:506–12. Performance on a measure of semantic fluency positively predicted remission of depressive symptoms over 12 weeks of treatment with escitalopram. PubMedCrossRef
20.
Zurück zum Zitat Potter GG, Kittinger JD, Wagner HR, et al. Prefrontal neuropsychological predictors of treatment remission in late-life depression. Neuropsychopharmacology. 2004;29:2266–71.PubMedCrossRef Potter GG, Kittinger JD, Wagner HR, et al. Prefrontal neuropsychological predictors of treatment remission in late-life depression. Neuropsychopharmacology. 2004;29:2266–71.PubMedCrossRef
21.
Zurück zum Zitat Jorm AF. Is depression a risk factor for dementia or cognitive decline? Gerontology. 2000;46:219–27.PubMedCrossRef Jorm AF. Is depression a risk factor for dementia or cognitive decline? Gerontology. 2000;46:219–27.PubMedCrossRef
22.
Zurück zum Zitat •• Chan WC, Lam LC, Tam CW, et al. Neuropsychiatric symptoms are associated with increased risks of progression to dementia: a 2-year prospective study of 321 Chinese older persons with mild cognitive impairment. Age Ageing. 2011;40:30–5. Of all neuropsychiatric symptoms assessed at baseline, only depression was demonstrated to be a risk factor for progression to dementia over 2 years, with an odds ratio of 2.40. PubMedCrossRef •• Chan WC, Lam LC, Tam CW, et al. Neuropsychiatric symptoms are associated with increased risks of progression to dementia: a 2-year prospective study of 321 Chinese older persons with mild cognitive impairment. Age Ageing. 2011;40:30–5. Of all neuropsychiatric symptoms assessed at baseline, only depression was demonstrated to be a risk factor for progression to dementia over 2 years, with an odds ratio of 2.40. PubMedCrossRef
23.
Zurück zum Zitat •• Goveas JS, Hogan PE, Kotchen JM, et al. Depressive symptoms, antidepressant use, and future cognitive health in postmenopausal women: the Women’s Health Initiative Memory Study. Int Psychogeriatr. 2012;17:1–13. A study of 6,376 postmenopausal women without cognitive impairment at baseline that identified a nearly two-fold greater risk of MCI and incident dementia during approximately 5.5 year follow-up among women with a history of depressive symptoms after adjustment for potential confounds. •• Goveas JS, Hogan PE, Kotchen JM, et al. Depressive symptoms, antidepressant use, and future cognitive health in postmenopausal women: the Women’s Health Initiative Memory Study. Int Psychogeriatr. 2012;17:1–13. A study of 6,376 postmenopausal women without cognitive impairment at baseline that identified a nearly two-fold greater risk of MCI and incident dementia during approximately 5.5 year follow-up among women with a history of depressive symptoms after adjustment for potential confounds.
24.
Zurück zum Zitat Gunning-Dixon FM, Hoptman MJ, Lim KO, et al. Macromolecular white matter abnormalities in geriatric depression: a magnetization transfer imaging study. Am J Geriatr Psychiatry. 2008;16:255–62.PubMedCrossRef Gunning-Dixon FM, Hoptman MJ, Lim KO, et al. Macromolecular white matter abnormalities in geriatric depression: a magnetization transfer imaging study. Am J Geriatr Psychiatry. 2008;16:255–62.PubMedCrossRef
25.
Zurück zum Zitat Bae JN, MacFall JR, Krishnan KR, et al. Dorsolateral prefrontal cortex and anterior cingulate cortex white matter alterations in late-life depression. Biol Psychiatry. 2006;1356–63.PubMed Bae JN, MacFall JR, Krishnan KR, et al. Dorsolateral prefrontal cortex and anterior cingulate cortex white matter alterations in late-life depression. Biol Psychiatry. 2006;1356–63.PubMed
26.
Zurück zum Zitat Hanfelt JJ, Wuu J, Sollinger AB, et al. An exploration of subgroups of mild cognitive impairment based on cognitive, neuropsychiatric and functional features: analysis of data from the national Alzheimer’s coordinating center. Am J Geriatr Psychiatry. 2011;19:940–50.PubMedCrossRef Hanfelt JJ, Wuu J, Sollinger AB, et al. An exploration of subgroups of mild cognitive impairment based on cognitive, neuropsychiatric and functional features: analysis of data from the national Alzheimer’s coordinating center. Am J Geriatr Psychiatry. 2011;19:940–50.PubMedCrossRef
27.
Zurück zum Zitat • Hajjar I, Quach L, Yang F, et al. Hypertension, white matter hyperintensities, and concurrent impairments in mobility, cognition, and mood: the Cardiovascular Health Study. Circulation. 2011;123:858–65. Among 4,700 subjects, hypertension at baseline increased the risk of concurrent impairments in mobility, cognition, and mood, which in turn increased the risk of disability and mortality over 12 years. PubMedCrossRef • Hajjar I, Quach L, Yang F, et al. Hypertension, white matter hyperintensities, and concurrent impairments in mobility, cognition, and mood: the Cardiovascular Health Study. Circulation. 2011;123:858–65. Among 4,700 subjects, hypertension at baseline increased the risk of concurrent impairments in mobility, cognition, and mood, which in turn increased the risk of disability and mortality over 12 years. PubMedCrossRef
28.
Zurück zum Zitat • Schneider B, Ercoli L, Siddarth P, Lavretsky H. Vascular burden and cognitive functioning in depressed older adults. Am J Geriatr Psychiatry. 2011;doi:10.1097/JGP.0b013e31822ccd64. After controlling for depression severity, cardiovascular risk factors were associated with cognitive control and attention, but not memory or verbal fluency among 94 community-dwelling LLD patients. • Schneider B, Ercoli L, Siddarth P, Lavretsky H. Vascular burden and cognitive functioning in depressed older adults. Am J Geriatr Psychiatry. 2011;doi:10.​1097/​JGP.​0b013e31822ccd64​. After controlling for depression severity, cardiovascular risk factors were associated with cognitive control and attention, but not memory or verbal fluency among 94 community-dwelling LLD patients.
29.
Zurück zum Zitat • Sexton CE, McDermott L, Kalu UG, et al. Exploring the pattern and neural correlates of neuropsychological impairment in late-life depression. Psychol Med. 2012;42:1195–202. Among patients with LLD, slowed processing speed was related to reduced white matter integrity of the genu of the corpus callosum, while poor episodic memory was correlated with reduced white matter integrity of the anterior thalamic radiation, body and genu of the corpus callosum, and the fornix. PubMedCrossRef • Sexton CE, McDermott L, Kalu UG, et al. Exploring the pattern and neural correlates of neuropsychological impairment in late-life depression. Psychol Med. 2012;42:1195–202. Among patients with LLD, slowed processing speed was related to reduced white matter integrity of the genu of the corpus callosum, while poor episodic memory was correlated with reduced white matter integrity of the anterior thalamic radiation, body and genu of the corpus callosum, and the fornix. PubMedCrossRef
30.
Zurück zum Zitat Ballmaier M, Toga AW, Blanton RE, et al. Anterior cingulate, gyrus rectus, and orbitofrontal abnormalities in elderly depressed patients: an MRI-based parcellation of the prefrontal cortex. Am J Psychiatry. 2004;161:99–108.PubMedCrossRef Ballmaier M, Toga AW, Blanton RE, et al. Anterior cingulate, gyrus rectus, and orbitofrontal abnormalities in elderly depressed patients: an MRI-based parcellation of the prefrontal cortex. Am J Psychiatry. 2004;161:99–108.PubMedCrossRef
31.
Zurück zum Zitat Ballmaier M, Narr K, Toga A, et al. Hippocampal morphology and distinguishing late-onset from early-onset elderly depression. Am J Psychiatry. 2008;165:229–37.PubMedCrossRef Ballmaier M, Narr K, Toga A, et al. Hippocampal morphology and distinguishing late-onset from early-onset elderly depression. Am J Psychiatry. 2008;165:229–37.PubMedCrossRef
32.
Zurück zum Zitat Egger K, Schocke M, Weiss E, et al. Pattern of brain atrophy in elderly patients with depression revealed by voxel-based morphometry. Psychiatry Res. 2008;164:237–44.PubMedCrossRef Egger K, Schocke M, Weiss E, et al. Pattern of brain atrophy in elderly patients with depression revealed by voxel-based morphometry. Psychiatry Res. 2008;164:237–44.PubMedCrossRef
33.
Zurück zum Zitat Hwang JP, Lee TW, Tsai SJ, et al. Cortical and subcortical abnormalities in late-onset depression with history of suicide attempts investigated with MRI and voxel-based morphometry. J Geriatr Psychiatry. Neurol 2010;23:171–84.PubMedCrossRef Hwang JP, Lee TW, Tsai SJ, et al. Cortical and subcortical abnormalities in late-onset depression with history of suicide attempts investigated with MRI and voxel-based morphometry. J Geriatr Psychiatry. Neurol 2010;23:171–84.PubMedCrossRef
34.
Zurück zum Zitat Janssen J, Hulshoff Pol HE, de Leeuw FE, et al.: Hippocampal volume and subcortical white matter lesions in late life depression: comparison of early and late onset depression. J Neurol Neurosurg Psychiatry. 2007;78:638–40.PubMedCrossRef Janssen J, Hulshoff Pol HE, de Leeuw FE, et al.: Hippocampal volume and subcortical white matter lesions in late life depression: comparison of early and late onset depression. J Neurol Neurosurg Psychiatry. 2007;78:638–40.PubMedCrossRef
35.
Zurück zum Zitat •• Lim HK, Jung WS, Ahn KJ, et al. Regional cortical thickness and subcortical volume changes are associated with cognitive impairments in the drug-naive patients with late-onset depression. Neuropsychopharmacology. 2012;37:838–49. Patients with LLD had reduced cortical thickness in a number of frontal, temporal, and parietal regions relative to controls, as well as decreased hippocampal volume. Cortical thickness and hippocampal volume were related to performance on measures of memory and executive functioning. CrossRef •• Lim HK, Jung WS, Ahn KJ, et al. Regional cortical thickness and subcortical volume changes are associated with cognitive impairments in the drug-naive patients with late-onset depression. Neuropsychopharmacology. 2012;37:838–49. Patients with LLD had reduced cortical thickness in a number of frontal, temporal, and parietal regions relative to controls, as well as decreased hippocampal volume. Cortical thickness and hippocampal volume were related to performance on measures of memory and executive functioning. CrossRef
36.
Zurück zum Zitat Hutton C, Draganski B, Ashburner J, Weiskopf N. A comparison between voxel-based cortical thickness and voxel-based morphometry in normal aging. Neuroimage. 2009;48:371–80.PubMedCrossRef Hutton C, Draganski B, Ashburner J, Weiskopf N. A comparison between voxel-based cortical thickness and voxel-based morphometry in normal aging. Neuroimage. 2009;48:371–80.PubMedCrossRef
37.
Zurück zum Zitat • Steffens DC, McQuoid DR, Payne ME, Potter GG: Change in hippocampal volume on magnetic resonance imaging and cognitive decline among older depressed and nondepressed subjects in the neurocognitive outcomes of depression in the elderly study. Am J Geriatr Psychiatry. 2011;19:4–12. In patients with LLD there was a greater decrease in left hippocampal volume over 2 years, relative to controls. Reduction in hippocampal volume bilaterally during the 2-year period among LLD patients was associated with a subsequent decline in performance on the MMSE, with no significant associations demonstrated for controls. PubMedCrossRef • Steffens DC, McQuoid DR, Payne ME, Potter GG: Change in hippocampal volume on magnetic resonance imaging and cognitive decline among older depressed and nondepressed subjects in the neurocognitive outcomes of depression in the elderly study. Am J Geriatr Psychiatry. 2011;19:4–12. In patients with LLD there was a greater decrease in left hippocampal volume over 2 years, relative to controls. Reduction in hippocampal volume bilaterally during the 2-year period among LLD patients was associated with a subsequent decline in performance on the MMSE, with no significant associations demonstrated for controls. PubMedCrossRef
38.
Zurück zum Zitat • Hou Z, Yuan Y, Zhang Z, et al. Longitudinal changes in hippocampal volumes and cognition in remitted geriatric depressive disorder. Behav Brain Res. 2012;227:30–5. Remitted LLD patients had smaller bilateral hippocampal volume at baseline relative to controls, although right volume increased over the 21-month follow-up, and this was related to improved performance on a brief measure of executive functioning, processing speed, and attention. Decrease in the left hippocampal volume was related to a decline in MMSE score. PubMedCrossRef • Hou Z, Yuan Y, Zhang Z, et al. Longitudinal changes in hippocampal volumes and cognition in remitted geriatric depressive disorder. Behav Brain Res. 2012;227:30–5. Remitted LLD patients had smaller bilateral hippocampal volume at baseline relative to controls, although right volume increased over the 21-month follow-up, and this was related to improved performance on a brief measure of executive functioning, processing speed, and attention. Decrease in the left hippocampal volume was related to a decline in MMSE score. PubMedCrossRef
39.
Zurück zum Zitat Erickson KI, Miller DL, Roecklein KA. The aging hippocampus: interactions between exercise, depression, and BDNF. Neuroscientist. 2012;18:82–97.PubMedCrossRef Erickson KI, Miller DL, Roecklein KA. The aging hippocampus: interactions between exercise, depression, and BDNF. Neuroscientist. 2012;18:82–97.PubMedCrossRef
40.
Zurück zum Zitat Apostolova LG, Dutton RA, Dinov ID, et al.. Conversion of mild cognitive impairment to Alzheimer disease predicted by hippocampal atrophy maps. Arch Neurol. 2006;63:693–699.PubMedCrossRef Apostolova LG, Dutton RA, Dinov ID, et al.. Conversion of mild cognitive impairment to Alzheimer disease predicted by hippocampal atrophy maps. Arch Neurol. 2006;63:693–699.PubMedCrossRef
41.
Zurück zum Zitat Aizenstein HJ, Butters MA, Figurski JL, et al. Prefrontal and striatal activation during sequence learning in geriatric depression. Biol Psychiatry. 2005;58:290–6.PubMedCrossRef Aizenstein HJ, Butters MA, Figurski JL, et al. Prefrontal and striatal activation during sequence learning in geriatric depression. Biol Psychiatry. 2005;58:290–6.PubMedCrossRef
42.
Zurück zum Zitat Aizenstein HJ, Butters MA, Wu M, et al. Altered functioning of the executive control circuit in late-life depression: episodic and persistent phenomena. Am J Geriatr Psychiatry. 2009:17:30–42.PubMedCrossRef Aizenstein HJ, Butters MA, Wu M, et al. Altered functioning of the executive control circuit in late-life depression: episodic and persistent phenomena. Am J Geriatr Psychiatry. 2009:17:30–42.PubMedCrossRef
43.
Zurück zum Zitat Brassen S, Kalisch R, Weber-Fahr W, et al. Ventromedial prefrontal cortex processing during emotional evaluation in late-life depression: a longitudinal functional magnetic resonance imaging study. Biol Psychiatry. 2008;64:349–55.PubMedCrossRef Brassen S, Kalisch R, Weber-Fahr W, et al. Ventromedial prefrontal cortex processing during emotional evaluation in late-life depression: a longitudinal functional magnetic resonance imaging study. Biol Psychiatry. 2008;64:349–55.PubMedCrossRef
44.
Zurück zum Zitat •• Wang L, Potter GG, Krishnan RK, et al. Neural correlates associated with cognitive decline in late-life depression. Am J Geriatr Psychiatry. 2011;doi:10.1097/JGP.0b013e31823e2cc7. In LLD patients, decreased activation during target detection in the anterior cingulate cortex, hippocampus, inferior frontal cortex, and insula was associated with persistent cognitive impairment at 2-year follow-up. •• Wang L, Potter GG, Krishnan RK, et al. Neural correlates associated with cognitive decline in late-life depression. Am J Geriatr Psychiatry. 2011;doi:10.​1097/​JGP.​0b013e31823e2cc7​. In LLD patients, decreased activation during target detection in the anterior cingulate cortex, hippocampus, inferior frontal cortex, and insula was associated with persistent cognitive impairment at 2-year follow-up.
45.
Zurück zum Zitat •• Aizenstein HJ, Andreescu C, Edelman KL, et al. fMRI correlates of white matter hyperintensities in late-life depression. Am J Psychiatry. 2011;168:1075–82. White matter hyperintensity burden in LLD patients (but not controls) predicted greater BOLD response in the rostral anterior cingulate during face emotion processing. PubMedCrossRef •• Aizenstein HJ, Andreescu C, Edelman KL, et al. fMRI correlates of white matter hyperintensities in late-life depression. Am J Psychiatry. 2011;168:1075–82. White matter hyperintensity burden in LLD patients (but not controls) predicted greater BOLD response in the rostral anterior cingulate during face emotion processing. PubMedCrossRef
46.
Zurück zum Zitat Biswal B, Yetkin FZ, Haughton VM, Hyde JS. Functional connectivity in the motor cortex of resting human brain using echo-planar MRI. Magn Reson Med. 1995;34:537–41.PubMedCrossRef Biswal B, Yetkin FZ, Haughton VM, Hyde JS. Functional connectivity in the motor cortex of resting human brain using echo-planar MRI. Magn Reson Med. 1995;34:537–41.PubMedCrossRef
47.
Zurück zum Zitat Cordes D, Haughton VM, Arfanakis K, et al. Mapping functionally related regions of brain with functional connectivity MR imaging. AJNR Am J Neuroradiol. 2000;21:1636–44.PubMed Cordes D, Haughton VM, Arfanakis K, et al. Mapping functionally related regions of brain with functional connectivity MR imaging. AJNR Am J Neuroradiol. 2000;21:1636–44.PubMed
48.
Zurück zum Zitat Lowe MJ, Mock BJ, Sorenson JA. Functional connectivity in single and multislice echoplanar imaging using resting-state fluctuations. Neuroimage. 1998;7:119–32.PubMedCrossRef Lowe MJ, Mock BJ, Sorenson JA. Functional connectivity in single and multislice echoplanar imaging using resting-state fluctuations. Neuroimage. 1998;7:119–32.PubMedCrossRef
49.
Zurück zum Zitat Wang L, Krishnan KR, Steffens DC, et al. Depressive state- and disease-related alterations in neural responses to affective and executive challenges in geriatric depression. Am J Psychiatry. 2008;165:863–871.PubMedCrossRef Wang L, Krishnan KR, Steffens DC, et al. Depressive state- and disease-related alterations in neural responses to affective and executive challenges in geriatric depression. Am J Psychiatry. 2008;165:863–871.PubMedCrossRef
50.
Zurück zum Zitat Yuan Y, Zhang Z, Bai F, et al. Abnormal neural activity in the patients with remitted geriatric depression: a resting-state functional magnetic resonance imaging study. J Affect Disord. 2008;111:145–52.PubMedCrossRef Yuan Y, Zhang Z, Bai F, et al. Abnormal neural activity in the patients with remitted geriatric depression: a resting-state functional magnetic resonance imaging study. J Affect Disord. 2008;111:145–52.PubMedCrossRef
51.
52.
Zurück zum Zitat Derogatis LR. Brief symptom inventory. San Antonio, TX: Pearson; 1993. Derogatis LR. Brief symptom inventory. San Antonio, TX: Pearson; 1993.
53.
Zurück zum Zitat Raichle ME, MacLeod AM, Snyder AZ, et al. A default mode of brain function. Proc Natl Acad Sci USA. 2001;98:676–82.PubMedCrossRef Raichle ME, MacLeod AM, Snyder AZ, et al. A default mode of brain function. Proc Natl Acad Sci USA. 2001;98:676–82.PubMedCrossRef
54.
Zurück zum Zitat • Andreescu C, Wu M, Butters MA, et al. The default mode network in late-life anxious depression. Am J Geriatr Psychiatry. 2011;19:980–3. Highly anxious LLD patients demonstrated greater functional connectivity between posterior cingulate and posterior regions of the default mode network compared with mildly anxious LLD patients. PubMedCrossRef • Andreescu C, Wu M, Butters MA, et al. The default mode network in late-life anxious depression. Am J Geriatr Psychiatry. 2011;19:980–3. Highly anxious LLD patients demonstrated greater functional connectivity between posterior cingulate and posterior regions of the default mode network compared with mildly anxious LLD patients. PubMedCrossRef
56.
Zurück zum Zitat •• Alalade E, Denny K, Potter G, et al. Altered cerebellar-cerebral functional connectivity in geriatric depression. PLoS One 2011;6:e20035. LLD patients had altered connectivity among executive, default mode, affective-limbic, and motor cerebellar networks and cerebral regions important to these functions. •• Alalade E, Denny K, Potter G, et al. Altered cerebellar-cerebral functional connectivity in geriatric depression. PLoS One 2011;6:e20035. LLD patients had altered connectivity among executive, default mode, affective-limbic, and motor cerebellar networks and cerebral regions important to these functions.
57.
Zurück zum Zitat •• Goveas J, Xie C, Wu Z, et al. Neural correlates of the interactive relationship between memory deficits and depressive symptoms in nondemented elderly: resting fMRI study. Behav Brain Res. 2011;219:205–12. Poorer memory performance was associated with decreased hippocampal functional networks, while negative relationships were found between depression severity and connectivity of the hippocampus with positively correlated hippocampal networks. There was additionally an interaction between depression symptom severity and memory performance in connectivity between hippocampus and specific frontal, temporal, and parietal regions. PubMedCrossRef •• Goveas J, Xie C, Wu Z, et al. Neural correlates of the interactive relationship between memory deficits and depressive symptoms in nondemented elderly: resting fMRI study. Behav Brain Res. 2011;219:205–12. Poorer memory performance was associated with decreased hippocampal functional networks, while negative relationships were found between depression severity and connectivity of the hippocampus with positively correlated hippocampal networks. There was additionally an interaction between depression symptom severity and memory performance in connectivity between hippocampus and specific frontal, temporal, and parietal regions. PubMedCrossRef
58.
Zurück zum Zitat •• Xie C, Goveas J, Wu Z, et al.. Neural basis of the association between depressive symptoms and memory deficits in nondemented subjects: resting-state fMRI study. Hum Brain Mapp. 2012;33:1352–63. A study of functional connectivity of the amygdala with other cortical regions, suggesting that there might be independent networks associated with emotion and memory, in addition to the interactive effects of depressive symptoms and memory functions on functional connectivity. PubMedCrossRef •• Xie C, Goveas J, Wu Z, et al.. Neural basis of the association between depressive symptoms and memory deficits in nondemented subjects: resting-state fMRI study. Hum Brain Mapp. 2012;33:1352–63. A study of functional connectivity of the amygdala with other cortical regions, suggesting that there might be independent networks associated with emotion and memory, in addition to the interactive effects of depressive symptoms and memory functions on functional connectivity. PubMedCrossRef
59.
Zurück zum Zitat Delrieu J, Piau A, Caillaud C, et al. Managing cognitive dysfunction through the continuum of Alzheimer’s disease: role of pharmacotherapy. CNS Drugs. 2011;25:213–26.PubMedCrossRef Delrieu J, Piau A, Caillaud C, et al. Managing cognitive dysfunction through the continuum of Alzheimer’s disease: role of pharmacotherapy. CNS Drugs. 2011;25:213–26.PubMedCrossRef
60.
Zurück zum Zitat • Naismith SL, Diamond K, Carter PE, et al. Enhancing memory in late-life depression: the effects of a combined psychoeducation and cognitive training program. Am J Geriatr Psychiatry. 2011;19:240–8. Patients with a lifetime history of depression assigned to 10 weeks of psychoeducation and computerized cognitive training displayed improved performance following treatment on tests of visual memory and verbal memory retention, but not executive functioning, relative to wait-list controls. PubMedCrossRef • Naismith SL, Diamond K, Carter PE, et al. Enhancing memory in late-life depression: the effects of a combined psychoeducation and cognitive training program. Am J Geriatr Psychiatry. 2011;19:240–8. Patients with a lifetime history of depression assigned to 10 weeks of psychoeducation and computerized cognitive training displayed improved performance following treatment on tests of visual memory and verbal memory retention, but not executive functioning, relative to wait-list controls. PubMedCrossRef
61.
Zurück zum Zitat • Kessing LV, Forman JL, Andersen PK. Do continued antidepressants protect against dementia in patients with severe depressive disorder? Int Clin Psychopharmacol. 2011;26:316–22. Among depressed patients following discharge from psychiatric hospital, there was a decreased rate of dementia and Alzheimer’s disease during periods of two or more prescriptions of older antidepressants, compared with a period of one prescription of older antidepressants. During periods of continued use of SSRIs or newer non-SSRIs, the rate of dementia did not decrease. PubMedCrossRef • Kessing LV, Forman JL, Andersen PK. Do continued antidepressants protect against dementia in patients with severe depressive disorder? Int Clin Psychopharmacol. 2011;26:316–22. Among depressed patients following discharge from psychiatric hospital, there was a decreased rate of dementia and Alzheimer’s disease during periods of two or more prescriptions of older antidepressants, compared with a period of one prescription of older antidepressants. During periods of continued use of SSRIs or newer non-SSRIs, the rate of dementia did not decrease. PubMedCrossRef
62.
Zurück zum Zitat Alexopoulos GS, Raue PJ, Kanellopoulos D, et al. Problem solving therapy for the depression-executive dysfunction syndrome of late life. Int J Geriatr Psychiatry. 2008;23:782–8.PubMedCrossRef Alexopoulos GS, Raue PJ, Kanellopoulos D, et al. Problem solving therapy for the depression-executive dysfunction syndrome of late life. Int J Geriatr Psychiatry. 2008;23:782–8.PubMedCrossRef
63.
Zurück zum Zitat Alexopoulos GS, Raue P, Arean P. Problem-solving therapy versus supportive therapy in geriatric major depression with executive dysfunction. Am J Geriatr Psychiatry. 2003;11:46–52.PubMed Alexopoulos GS, Raue P, Arean P. Problem-solving therapy versus supportive therapy in geriatric major depression with executive dysfunction. Am J Geriatr Psychiatry. 2003;11:46–52.PubMed
64.
Zurück zum Zitat Arean P, Hegel M, Vannoy S, et al. Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT project. Gerontologist. 2008;48:311–23.PubMedCrossRef Arean P, Hegel M, Vannoy S, et al. Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT project. Gerontologist. 2008;48:311–23.PubMedCrossRef
65.
Zurück zum Zitat Gellis ZD, McGinty J, Horowitz A, et al. Problem-solving therapy for late-life depression in home care: a randomized field trial. Am J Geriatr Psychiatry. 2007;15:968–78.PubMedCrossRef Gellis ZD, McGinty J, Horowitz A, et al. Problem-solving therapy for late-life depression in home care: a randomized field trial. Am J Geriatr Psychiatry. 2007;15:968–78.PubMedCrossRef
66.
Zurück zum Zitat Devanand DP, Adorno E, Cheng J, et al. Late onset dysthymic disorder and major depression differ from early onset dysthymic disorder and major depression in elderly outpatients. J Affect Disord. 2004;78:259–67.PubMedCrossRef Devanand DP, Adorno E, Cheng J, et al. Late onset dysthymic disorder and major depression differ from early onset dysthymic disorder and major depression in elderly outpatients. J Affect Disord. 2004;78:259–67.PubMedCrossRef
67.
Zurück zum Zitat • Drachmann Bukh J, Bock C, Vinberg M, et al. Differences between early and late onset adult depression. Clin Pract Epidemiol Ment Health. 2011;7:140–7. Patients with early onset of depression had a higher prevalence of co-morbid personality disorders, higher levels of neuroticism, and a lower prevalence of stressful life events preceding onset relative to those with a late onset of depression. CrossRef • Drachmann Bukh J, Bock C, Vinberg M, et al. Differences between early and late onset adult depression. Clin Pract Epidemiol Ment Health. 2011;7:140–7. Patients with early onset of depression had a higher prevalence of co-morbid personality disorders, higher levels of neuroticism, and a lower prevalence of stressful life events preceding onset relative to those with a late onset of depression. CrossRef
Metadaten
Titel
Depression and Cognitive Impairment in Older Adults
verfasst von
Sara L. Weisenbach
Laurie A. Boore
Helen C. Kales
Publikationsdatum
01.08.2012
Verlag
Current Science Inc.
Erschienen in
Current Psychiatry Reports / Ausgabe 4/2012
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-012-0278-7

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