主观和客观认知衰退与社区生活中老年人的抑郁症状之间的关联
Tadashi Kanamori1, Yoshiyuki Kaneko1, Hiroki Inagaki2
1Department of Psychiatry, Nihon University School of Medicine, Tokyo, Japan.
概括
老年人的主观认知衰退 (SCD) 与经历抑郁症状的更高可能性密切相关. 在SCD患者中,早期发现抑郁症至关重要,考虑到他们的双向关系.
科学领域:
- 老年医学 老年医学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 关于认知衰退作为老年人抑郁症风险因素,存在不一致的发现.
- 本研究涉及主观和客观认知衰退与社区老年人的抑郁症状之间的关联.
研究的目的:
- 澄清主观认知衰退 (SCD) 和客观认知功能与老年人抑郁症状之间的关系.
- 调查与整体抑郁症状和特定子尺度的关联:"不快乐"",冷漠和焦虑"和"绝望".
主要方法:
- 对1935名Takashimadaira研究参与者的数据分析 (平均年龄为77.9岁).
- 使用修改的老年抑郁量表 (mGDS-15) 评估的抑郁症状.
- 通过自我管理的痴呆症检查清单测量主观认知衰退 (SCD);通过迷你精神状态检查 (MMSE) 测量客观认知功能.
- 多变量逻辑回归用于检查关联.
主要成果:
- 14.9%的参与者有显著的抑郁症状.
- 主观认知衰退 (SCD) 与抑郁症状有着显著的独立关联 (OR:5.10,95% CI:3.45-7.53,p < 0.001).
- SCD与所有抑郁症状子尺度都有积极的关联. MMSE得分与整体抑郁症状没有显著的关联,但与"冷漠和焦虑"有关.
结论:
- 主观认知衰退 (SCD) 与老年人的广泛抑郁症状有关,包括情绪和动机方面.
- 意识到潜在的潜在抑郁症状对于早期发现SCD的老年人至关重要.
- SCD和抑郁症状之间的双向关系需要考虑.
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