Analysis of Factors that Affect Depression and Cognitive Status in Elderly Individuals
DOI:
https://doi.org/10.15225/PNN.2022.11.1.3Keywords
cognitive status, depression, elderly individualsAbstract
Introduction. A significant portion of cognitive deficits are explained by Late-Life Depression (LLD) in geriatrics. Nevertheless, it seems to be quite difficult to distinguish between cognitive problems accompanied by depressive symptoms resulting from neurodegenerative diseases and late-life depression. In longitudinal studies, we encounter depression as a significant risk factor for dementia.
Aim. It was aimed in the study to analyze the factors affecting depression and cognitive status in elderly individuals.
Material and Methods. The study, which was conducted in a nursing home located in central Turkey, was designed as a descriptive research. In the selection of study sample, purposive sampling method was used.
Results. The study was seen that 79.59% of the participants had depression loads above 14, and 65.31% had cognitive deficit scores above 25 and was determined that there was a statistically significant relationship in elderly individuals older than 85 years and above between having a neurological and psychiatric disorder, having a chronic disease, experiencing a sleep disorder and cognitive deficit and depression load.
Conclusions. Advancement of age, additional presence of a neurological or psychiatric disorder, additional presence of a chronic disease, and presence of sleep disorders increase both the rate of cognitive deficit and depression in a geriatric individual. (JNNN 2022;11(1):14–21)
References
Hashem A.H., Nasreldin M., Gomaa M.A., Khalaf O.O. Late versus Early Onset Depression in Elderly Patients: Vascular Risk and Cognitive Impairment. Curr Aging Sci. 2017;10(3):211–216.
Almeida O.P., Hankey G.J., Yeap B.B., Golledge J., Flicker L. Depression as a modifiable factor to decrease the risk of dementia. Transl Psychiatry. 2017;7(5):e1117.
Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Association, 2013. Retrieved February 7, 2022, from https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
World Health Organization. International Classification of Diseases (ICD). Retrieved February 15, 2022, from https://www.who.int/standards/classifications/classification-of-diseases
Kang H., Zhao F., You L. et al. Pseudo-dementia: A neuropsychological review. Ann Indian Acad Neurol. 2014;17(2):147–154.
Hall J.R., O’Bryant S.E., Johnson L.A., Barber R.C. Depressive symptom clusters and neuropsychological performance in mild Alzheimer’s and cognitively normal elderly. Depress Res Treat. 2011;2011:396958.
Yeh Y.C., Tsang H.Y., Lin P.Y. et al. Subtypes of mild cognitive impairment among the elderly with major depressive disorder in remission. Am J Geriatr Psychiatry. 2011;19(11):923–931.
Alexopoulos G.S., Meyers B.S., Young R.C., Mattis S., Kakuma T. The course of geriatric depression with “reversible dementia”: a controlled study. Am J Psychiatry. 1993;150(11):1693–1699.
Baudic S., Tzortzis C., Barba G.D., Traykov L. Executive deficits in elderly patients with major unipolar depression. J Geriatr Psychiatry Neurol. 2004;17(4):195–201.
Butters M.A., Whyte E.M., Nebes R.D. et al. The nature and determinants of neuropsychological functioning in late-life depression. Arch Gen Psychiatry. 2004;61(6):587–595.
Elderkin-Thompson V., Mintz J., Haroon E., Lavretsky H., Kumar A. Executive dysfunction and memory in older patients with major and minor depression. Arch Clin Neuropsychol. 2007;22(2):261–270.
Bhalla R.K., Butters M.A., Mulsant B.H. et al. Persistence of neuropsychologic deficits in the remitted state of late-life depression. Am J Geriatr Psychiatry. 2006;14(5):419–427.
Wright S.L., Persad C. Distinguishing between depression and dementia in older persons: neuropsychological and neuropathological correlates. J Geriatr Psychiatry Neurol. 2007;20(4):189–198.
Acar B. Depresyon. Adeda Yayıncılık, İstanbul 2013.
Altıntaş H., Adıgüzel M.O., Yılmaz S., Özbek E., Esen F.B. Ankara’da bir huzurevinde kalan yaşlılar ile bir sağlık ocağına gelen yaşlıların mini mental test ile değerlendirilmesi. Akademik Geriatri Dergisi. 2011;3:138–149.
Kapucu S., Özdemir L., Akyar İ., Akdemir N. Yaşlıda Pasif İntihar: Olgu Sunumu. Akademik Geriatri Dergisi. 2010;2(3):192–195.
Akdur R. Sağlık Hizmetleri ve Politikaları. In Piyal B. (Ed.), Halk Sağlığı. Ankara Üniversitesi Uzaktan Eğitim Yayınları, Ankara 2011;363–390.
Erden-Aki Ö. Yaşlı bireylerde demans ve depresyonun ayırıcı tanısı. Türk Geriatri Dergisi. 2010;13(Özel Sayı 3):37–42.
Altıntaş H., Attila S., Sevencan F. ve ark. Ankara’da bir yaşlı bakımevinde yaşayan yaşlılarda depresyon belirtilerinin taranması. TSK Koruyucu Hekimlik Bülteni. 2006;5(5):332–342.
American Academy of Family Physicians. Guideline for Diagnosis and Treatment of Dementia/Demans tanı ve tedavisi. Edirne T., Ersoy F. (Çev.). 2001;3–21.
Amerikan Psikiyatri Birliği. DSM-5. Tanı ölçütleri başvuru elkitabı. Köroğlu E. (Çev.), Hekimler Yayın Birliği, Ankara 2013.
Folstein M.F., Folstein S.E., McHugh P.R. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189–198.
Güngen C., Ertan T., Eker E., Yaşar R., Engin F. Standardize Mini Mental Test’in Türk Toplumunda Hafif Demans Tanısında Geçerlik ve Güvenilirliği. Türk Psikiyatri Dergisi. 2002;13(4):273–281.
Kheirkhah F., Hosseini S.R., Fallah R., Bijani A. Prevalence of Cognitive Disorders in Elderly People of Amirkola (2011–2012). Iranian Journal of Psychiatry and Clinical Psychology. 2014;19(4):247–254.
Sengupta P., Benjamin A.I., Singh Y., Grover A. Prevalence and correlates of cognitive impairment in a north Indian elderly population. WHO South East Asia J Public Health. 2014;3(2):135–143.
Paúl C., Ribeiro O., Santos P. Cognitive impairment in old people living in the community. Arch Gerontol Geriatr. 2010;51(2):121–124.
Rodríguez-Sánchez E., Mora-Simón S., Patino-Alonso M.C. et al. Prevalence of cognitive impairment in individuals aged over 65 in an urban area: DERIVA study. BMC Neurol. 2011;11:147.
Kim M.D., Park J.H., Lee C.I. et al. Prevalence of dementia and its correlates among participants in the National Early Dementia Detection Program during 2006–2009. Psychiatry Investig. 2012;9(2):134–142.
Azadi A., Taghinezhad H., Bastami M., Bastami A.R., Pashaei sabet F. The study amount of Anxiety and Depression among elderly Diabetic patients referred To Shahid Mostafa Khomeini in Ilam and shohada Ashayer Hospitals in khoramabad 2015. Iranian Journal of Nursing Research. 2016;11(3):1–9.
Kazazi L., Foroughan M., Nejati V., Shati M. Association between age associated cognitive decline and health related quality of life among Iranian older individuals. Electron Physician. 2018;10(4):6663–6671.
Davoodi F., Etemad K., Tanjani P.T., Khodakarim S. The relationship between depression and cognitive impairment with falls leading to fractures in elderly. Safety Promot Inj Prev (Tehran). 2016;4(2):75–82.
Aajami Z., Kazazi L., Toroski M., Bahrami M., Borhaninejad V. Relationship between Depression and Cognitive Impairment among Elderly: A Cross-sectional Study. J Caring Sci. 2020;9(3):148–153.
Rashid A.K., Azizah A.M., Rohana S. Cognitive impairment among the elderly Malays living in rural Malaysia. Med J Malaysia. 2012;67(2):186–189.
Zou C., Chen S., Shen J. et al. Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital. Clin Interv Aging. 2018;13:1755–1762.
Huang W., Zhu W., Chen H. et al. Longitudinal association between depressive symptoms and cognitive decline among middle-aged and elderly population. J Affect Disord. 2022;303:18–23.
Uçku R., Küey L. Yaşlılarda depresyon epidemiyolojisi — Yarı-Kentsel bir bölgede 65 yaş üzeri yaşlılarda kesitsel bir alan araştırması —. Nöropsikiyatri Arşivi. 1992;29(1):15–20.
Dişçigil G., Gemalmaz A., Başak O., Gürel F.S., Tekin N. Birinci basamakta geriatrik yaş grubunda depresyon. Türk Geriatri Dergisi. 2005;8(3):129–133.
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