Depressive symptoms and longitudinal changes in cognition: Women's Health Initiative Study of Cognitive Aging
Identifieur interne : 003478 ( Main/Exploration ); précédent : 003477; suivant : 003479Depressive symptoms and longitudinal changes in cognition: Women's Health Initiative Study of Cognitive Aging
Auteurs : Joseph S. Goveas [États-Unis] ; Mark A. Espeland [États-Unis] ; Patricia E. Hogan [États-Unis] ; Hilary A. Tindle [États-Unis] ; Regina A. Shih [États-Unis] ; Jane M. Kotchen [États-Unis] ; Jennifer G. Robinson [États-Unis] ; Deborah E. Barnes ; Susan M. Resnick [États-Unis]Source :
- Journal of geriatric psychiatry and neurology [ 0891-9887 ] ; 2014.
Abstract
Elevated Depressive symptoms (DS) are associated with incident mild cognitive impairment and probable dementia in postmenopausal women. We examined the association of elevated DS with domain-specific cognitive changes, and the moderating role of cardiovascular risk factor (CVRF) severity and cardiovascular disease (CVD). 2221 elderly women who participated in the Women's Health Initiative Study of Cognitive Aging were separated into those with (N = 204) and without (N = 2017) elevated DS. DS and multi-domain cognitive outcomes were measured annually for an average follow-up of 5.04 years. Women with elevated DS showed baseline multi-domain cognitive deficits, but longitudinal declines in global cognition only. Persistent DS was related to greater global cognition, and verbal knowledge and fluency, and memory declines. Significant DS-CVD interactions were observed cross-sectionally (but not longitudinally) for figural memory and fine motor speed. Future studies should investigate the role of nonvascular mechanisms linking DS and cognitive decline.
Url:
DOI: 10.1177/0891988714522697
PubMed: 24584465
PubMed Central: 4433445
Affiliations:
- États-Unis
- Caroline du Nord, Iowa, Maryland, Pennsylvanie, Virginie, Wisconsin
- Iowa City, Pittsburgh
- Université de Pittsburgh, Université de l'Iowa
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p id="P1">Elevated Depressive symptoms (DS) are associated with incident mild cognitive impairment and probable dementia in postmenopausal women. We examined the association of elevated DS with domain-specific cognitive changes, and the moderating role of cardiovascular risk factor (CVRF) severity and cardiovascular disease (CVD). 2221 elderly women who participated in the Women's Health Initiative Study of Cognitive Aging were separated into those with (N = 204) and without (N = 2017) elevated DS. DS and multi-domain cognitive outcomes were measured annually for an average follow-up of 5.04 years. Women with elevated DS showed baseline multi-domain cognitive deficits, but longitudinal declines in global cognition only. Persistent DS was related to greater global cognition, and verbal knowledge and fluency, and memory declines. Significant DS-CVD interactions were observed cross-sectionally (but not longitudinally) for figural memory and fine motor speed. Future studies should investigate the role of nonvascular mechanisms linking DS and cognitive decline.</p>
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