Depressive symptoms and longitudinal changes in cognition: Women's Health Initiative Study of Cognitive Aging
Identifieur interne : 001669 ( Pmc/Curation ); précédent : 001668; suivant : 001670Depressive 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
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Deborah E. Barnes<affiliation><nlm:aff id="A7">Departments of Psychiatry and Epidemiology & Biostatistics, University of California-San Francisco, and San Francisco VA Medical Center, San Francisco, CA. 94121</nlm:aff>
<wicri:noCountry code="subfield">CA. 94121</wicri:noCountry>
</affiliation>
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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>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8805645</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1360</journal-id>
<journal-id journal-id-type="nlm-ta">J Geriatr Psychiatry Neurol</journal-id>
<journal-id journal-id-type="iso-abbrev">J Geriatr Psychiatry Neurol</journal-id>
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<title-group><article-title>Depressive symptoms and longitudinal changes in cognition: Women's Health Initiative Study of Cognitive Aging</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Goveas</surname>
<given-names>Joseph S.</given-names>
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<degrees>Ph.D.</degrees>
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<contrib contrib-type="author"><name><surname>Hogan</surname>
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<contrib contrib-type="author"><name><surname>Tindle</surname>
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<contrib contrib-type="author"><name><surname>Shih</surname>
<given-names>Regina A.</given-names>
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<degrees>Ph.D.</degrees>
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<contrib contrib-type="author"><name><surname>Kotchen</surname>
<given-names>Jane M.</given-names>
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<degrees>M.D., MPH</degrees>
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<given-names>Jennifer G.</given-names>
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<contrib contrib-type="author"><name><surname>Barnes</surname>
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<given-names>Susan M.</given-names>
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<degrees>Ph.D.</degrees>
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<aff id="A1"><label>1</label>
Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, USA</aff>
<aff id="A2"><label>2</label>
Department of Biostatistical Sciences, Wake Forest University Health Sciences, Winston-Salem, NC, USA</aff>
<aff id="A3"><label>3</label>
Department of Medicine, University of Pittsburgh, 230 McKee Pl, Suite 600, Pittsburgh, PA 15213, USA.</aff>
<aff id="A4"><label>4</label>
RAND Corporation, Arlington, VA, USA.</aff>
<aff id="A5"><label>5</label>
Department of Medicine and the Clinical and Translational Science Institute, Medical College of Wisconsin, Milwaukee, WI, USA</aff>
<aff id="A6"><label>6</label>
Department of Epidemiology, University of Iowa, Iowa City, IA, USA.</aff>
<aff id="A7"><label>7</label>
Departments of Psychiatry and Epidemiology & Biostatistics, University of California-San Francisco, and San Francisco VA Medical Center, San Francisco, CA. 94121</aff>
<aff id="A8"><label>8</label>
Laboratory of Behavioral Neuroscience, Intramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, MD, USA</aff>
<author-notes><corresp id="CR1"><label>+</label>
<bold>Corresponding Author and Request for Reprints:</bold>
Joseph S. Goveas, M.D. Associate Professor, Department of Psychiatry Medical College of Wisconsin 8701 Watertown Plank Road, Milwaukee, WI 53226 Tel: 414-955-8983 Fax: 414-955-6299 <email>jgoveas@mcw.edu</email>
</corresp>
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<pub-date pub-type="nihms-submitted"><day>2</day>
<month>5</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>2</month>
<year>2014</year>
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<pub-date pub-type="ppub"><month>6</month>
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<volume>27</volume>
<issue>2</issue>
<fpage>94</fpage>
<lpage>102</lpage>
<pmc-comment>elocation-id from pubmed: 10.1177/0891988714522697</pmc-comment>
<abstract><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>
</abstract>
<kwd-group><kwd>Depression</kwd>
<kwd>Cognitive decline</kwd>
<kwd>Vascular risk factors</kwd>
<kwd>Cardiovascular disease</kwd>
<kwd>Women</kwd>
<kwd>Dementia</kwd>
<kwd>Depressive symptoms</kwd>
<kwd>Elderly</kwd>
<kwd>Cognitive decline</kwd>
</kwd-group>
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