Do severity and duration of depressive symptoms predict cognitive decline in older persons? Results of the Longitudinal Aging Study Amsterdam
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Background and aims Some prospective studies show that depression is a risk factor for cognitive decline. So far, the explanation for the background of this association has remained unclear. The present study investigated 1) whether depression is etiologically linked to cognitive decline; 2) whether depression and cognitive decline may be the consequence of the same underlying subcortical pathology, or 3) whether depression is a reaction to global cognitive deterioration.Methods A cohort of 133 depressed and 144 non-depressed older persons was followed at eight successive observations over 3 years. All subjects were participants in the Longitudinal Aging Study Amsterdam (LASA). Depression symptoms were measured by means of the CES-D at eight successive waves. Cognitive function (memory function, information processing speed, global cognitive functioning) was assessed at baseline and at the last CES-D measurement.Results The severity and duration of depressive symptoms were not associated with subsequent decline in memory functioning or global cognitive decline. There was an association between both chronic mild depression and chronic depression, and decline in speed of information processing.Conclusions These results support the hypothesis that, in older persons, chronic depression as well as cognitive decline may be the consequence of the same underlying subcortical pathology.
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Depression is difficult to differentiate clinically from dementia and early cognitive decline.
“Second, depression occurs more frequently in people with diabetes [73] and is difficult to differentiate clinically from dementia and early cognitive decline [74 -77].”
From Cognitive decline and dementia in diabetes—systematic overview of prospective observational studies (2005) · cites this paper as [75]
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- Authors
- Comijs, H. C., van Tilburg, T., Geerlings, S. W., Jonker, C., Deeg, D. J. H., van Tilburg, W., & Beekman, A. T. F.
- Affiliations
- Amsterdam Public Health (NL)
- Corresponding author
- Comijs, Hannie C.
- Venue
- Aging Clinical and Experimental Research
- Published
- 2004-06
- Volume
- 16
- Issue
- 3
- Pages
- 226-232
- ISSN
- 1594-0667 (ISSN-L)
- 1720-8319
- OpenAlex
- W2151950270
- Cited by
- 37
- References
- 30
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 3 · 2015: 2 · 2014: 3 · 2012: 2
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- green
- research.vu.nl
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Aging Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- VU Research Portal (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- depression, cognitive decline, older adults, depression severity, chronic depression, processing speed, memory, Longitudinal Aging Study Amsterdam
- MeSH terms
- Aged, Aged, 80 and over, Chronic Disease, Cognition Disorders, Depression, Female, Humans, Longitudinal Studies, Male, Middle Aged, Netherlands, Predictive Value of Tests, Severity of Illness Index
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