Regular Research ArticlesDepressive Symptoms Impair Everyday Problem-Solving Ability Through Cognitive Abilities in Late Life
Section snippets
Subjects
Recruitment of participants for the ACTIVE trial was conducted from March 1998 to October 1999. Details of the subject sample and the recruitment procedures have been published elsewhere.33, 34, 35 Self-reported data include age, years of education, gender, ethnicity, and the sum of reported health conditions, ranging from 0 to 8. Depressive symptoms, cognitive abilities, and everyday problem-solving ability of the participants were measured as described later. For this study, we used only the
RESULTS
Depressive symptoms, cognitive abilities, and everyday problem-solving ability for all participants are listed in Table 1. Seventy-six percent of participants were women and 72% were white, with a mean age of 73.6 years (standard deviation [SD]: 5.9) and a mean education of 13.5 years (SD: 2.7). SEM was used to operationalize the conceptual model of the mediation of cognitive process in the relationship of depressive symptoms and everyday problem-solving ability. Standardized parameter
DISCUSSION
Previous work has shown that depression affects the cognitive abilities of memory,53, 54, 55 executive reasoning,32,56, 57, 58 and speed of processing31,32,59, 60, 61 and that depression impairs daily function.62 Results of this analysis support the direct relationship of depression with both cognitive abilities and everyday problem-solving ability. The results move beyond what has been reported previously by showing that depression also affects everyday problem-solving ability through its
References (72)
- et al.
Cognitive status, depressive symptoms, and health status as predictors of functional disability among elderly persons with low-to-moderate education: the Faenza Community Aging Study
Am J Geriatr Psychiatry
(2005) Depression and disability in late life
Am J Geriatr Psychiatry
(2001)- et al.
Cognitive function in late life depression: relationships to depression severity, cerebrovascular risk factors and processing speed
Biol Psychiatry
(2006) - et al.
ACTIVE: A cognitive intervention trial to promote independence in older adults
Control Clin Trials
(2001) - et al.
Recall and recognition memory deficits in depression
J Affect Disord
(1992) - et al.
Relationship of neuropsychological performance to functional status in nursing home residents and community-dwelling older adults
Am J Geriatr Psychiatry
(2005) - et al.
The differentiation of DSM-III-R psychotic depression in later life from nonpsychotic depression: comparisons of brain changes measured by multispectral analysis of magnetic resonance brain images, neuropsychological findings, and clinical features
Biol Psychiatry
(1999) - et al.
IADL functions, cognitive deficits, and severity of depression
Am J Geriatr Psychiatry
(2005) Brief interventions to prevent depression in older subjects: a systematic review of feasibility and effectiveness
Am J Geriatr Psychiatry
(2008)- et al.
A epidemiological approach to depression prevention in old age
Am J Geriatr Psychiatry
(2008)
Autonomous neurobiological pathways to late-life major depressive disorder: clinical and pathophysiological implications
Neuropsychopharmacology
APOE4 allele is associated with late-life depression: a population-based study
Am J Geriatr Psychiatry
The epidemiology of common late-life mental disorders in the community: themes for the new century
Psych Services
The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability From Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020
National health expenditures, 2002
Health Care Financ Rev
Medicare: Home Health Utilization Expands While Program Controls Deteriorate
An Overview of Nursing Homes and Their Current Residents: Data From the 1995 National Nursing Home Survey. Advance Data From Vital and Health Statistics, Number 280
Functional impairment in psychiatric outpatients
Br J Psychiatry
Prevalence and correlates of depression in a population of nonagenarians
Br J Psychiatry
Association of age, sex, cognitive dysfunction, and disability with major depressive symptoms in an elderly sample
Am J Psychiatry
The emergence of depressive symptoms in late life: the importance of declining health and increasing disability
J Community Health
Depressive symptoms, medical illness, and functional status in depressed psychiatric inpatients
Am J Psychiatry
The effect of major depression on functional status in patients with coronary artery disease
J Am Geriatr Soc
Predictors of recovery in activities of daily living among disabled older Mexican Americans
Aging Clin Exp Res
Depression, disability days, and days lost from work in a prospective epidemiologic survey
JAMA
The impact of depressive symptomatology on physical disability: MacArthur Studies of Successful Aging
Am J Public Health
Depression without sadness: functional outcomes of non-dysphoric depression in later life
J Am Geriatr Soc
Linking depressive symptoms and functional disability in late life
Aging Mental Health
Depressive symptoms as relative and attributable risk factors for first-onset major depression
Arch Gen Psychiatry
Cognitive impairment, depressive symptoms, and functional decline in older people
J Am Geriatr Soc
The effects of pain and depression on physical functioning in elderly residents of a continuing care retirement community
Pain Medicine
Depressive symptoms and physical decline in community-dwelling older persons
JAMA
Depression is an independent predictor of poor long-term functional outcome post-stroke
Eur J Neurol
Poor mental and physical health differentially contributes to disability in hospitalized geriatric patients of different ages
Int J Geriatr Psychiatry
Depressive symptoms and cognitive decline in non-demented elderly: a prospective study
Arch Gen Psychiatry
Depressed mood and the incidence of Alzheimer's disease in the elderly living in the community
Arch Gen Psychiatry
Cited by (59)
Psychiatric rehabilitation and cognitive deficit for treatment-resistant depression
2023, Progress in Brain ResearchCritical thinking disposition of undergraduate students in relation to emotional intelligence: Gender as a moderator
2020, HeliyonCitation Excerpt :Researchers revealed 42.5% of the undergraduate first-year students faced adjustment problem (Ababu et al., 2018). In India about 65% of the first-year undergraduate students had moderate to low level of adjustability issues (Jain, 2017) while the undergraduate students showed a high level of anxiety (86.5%), depression (59.3%) and stress (52.8%) (Singh et al., 2017) which intervene their thinking process (Cartreine, 2016), problems solving (Yen et al., 2011) and decision making (Leykin et al., 2011) and henceforth effecting the overall academic achievement (Aafreen et al., 2018; Muhammed et al., 2018). The possible reasons may be being away from their parents and other family members, sometimes leading to difficulties in socializing, adjusting with others or making friends or sometimes living in Institutional housing which is quite different from home environment.
Rumination in major depressive and bipolar disorder – a meta-analysis
2020, Journal of Affective DisordersCitation Excerpt :Furthermore, the dimensional approach of mood disorders, as suggested for instance by the Research Domain Criteria, is more likely to yield a better understanding of their etiology than the categorical view (Frank, 2011). In the same vein, MDD and BD patients exhibit numerous features in common, such as impairments in cognitive performance (Baune and Malhi, 2015; Yen et al., 2011), elevated use of negative cognitive biases (Rowland et al., 2013; Rude et al., 2003), as well as the extensive use of rumination (Green et al., 2011), which together may indicate impaired inhibitory executive function both in BD and MDD (Joormann and Gotlib, 2010). However, currently there is a lack of consensus whether BD and MDD share the same cognitive-emotional features with quantitative differences or they rather represent distinct nosological categories with qualitatively diverse neuropsychological background (Samamé et al., 2017).
Association of renal function and depressive symptoms: Evidence from the China health and retirement longitudinal study
2020, Journal of Psychosomatic ResearchPredictors of mortality in people with late-life depression: A retrospective cohort study
2020, Journal of Affective DisordersBiomarkers of cognitive impairment in late-life depression
2020, Handbook of Mental Health and Aging
This work was supported by a series of grants awarded from the National Institute on Aging to the six field sites and the coordinating center, including the Hebrew Rehabilitation Center for the Aged (U01NR04507), the Indiana University School of Medicine (U01 NR04508), The Johns Hopkins University (U01 AG14260), the New England Research Institutes (U01 AG 14282), The Pennsylvania State University (U01 AG 14263), the University Alabama at Birmingham (R91 AG14289), and Wayne State University (U01 AG014276). Dr. Rebok is an investigator with Compact Disc Incorporated for the development of an electronic version of the ACTIVE memory intervention.