Relationship Between Cognitive Impairment and Depression Among Middle Aged and Older Adults in Primary Care

被引：2

作者：

Federman, Alex D. ^{[1
,4
]}

Becker, Jacqueline ^{[1
]}

Carnavali, Fernando ^{[1
]}

Mindt, Monica Rivera ^{[1
,2
]}

Cho, Dayeon ^{[1
]}

Pandey, Gaurav ^{[1
]}

Chan, Lili ^{[1
]}

Curtis, Laura ^{[3
]}

Wolf, Michael S. ^{[3
]}

Wisnivesky, Juan P. ^{[1
]}

机构：

[1] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

[2] Fordham Univ, New York, NY USA

[3] Northwestern Univ, New York, NY USA

[4] Icahn Sch Med Mt Sinai, Dept Med, Div Gen Internal Med, 1 Gustave L Levy Pl,Box 1087, New York, NY 10029 USA

来源：

GERONTOLOGY AND GERIATRIC MEDICINE | 2024年 / 10卷

基金：

美国国家卫生研究院;

关键词：

Montreal Cognitive Assessment; cognition; mental health; DEMENTIA; PREVALENCE; RISK; INDIVIDUALS; MANAGEMENT; DIAGNOSIS; VALIDITY; HEALTH; PHQ-9; MOCA;

D O I：

10.1177/23337214231214217

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objectives: To determine rates of previously undetected cognitive impairment among patients with depression in primary care. Methods: Patients ages 55 and older with no documented history of dementia or mild cognitive impairment were recruited from primary care practices in New York City, NY and Chicago, IL (n = 855). Cognitive function was assessed with the Montreal Cognitive Assessment (MoCA) and depression with the Patient Health Questionnaire-8. Results: The mean age was 66.8 (8.0) years, 45.3% were male, 32.7% Black, and 29.2% Latinx. Cognitive impairment increased with severity of depression: 22.9% in persons with mild depression, 27.4% in moderate depression and 41.8% in severe depression (p = .0002). Severe depression was significantly associated with cognitive impairment in multivariable analysis (standardized beta = -.11, SE = 0.33, p < .0001). Discussion: Depression was strongly associated with previously undetected cognitive impairment. Primary care clinicians should consider screening, or expand their screening, for both conditions.

引用

页数：9

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