Cognitive performance of community-dwelling oldest-old individuals with major depression: the pietà study

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dc.creatorFilipi Leles da Costa Dias
dc.creatorAntônio Lúcio Teixeira
dc.creatorHenrique Cerqueira Guimarães
dc.creatorMaira Tonidandel Barbosa
dc.creatorElisa de Paula França Resende
dc.creatorRogério Gomes Beato
dc.creatorKaroline Carvalho Carmona
dc.creatorPaulo Caramelli
dc.date.accessioned2023-07-13T20:09:14Z
dc.date.accessioned2025-09-08T23:15:28Z
dc.date.available2023-07-13T20:09:14Z
dc.date.issued2017-06-01
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1017/S1041610217000850
dc.identifier.issn10416102
dc.identifier.urihttps://hdl.handle.net/1843/56199
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Psychogeriatrics
dc.rightsAcesso Restrito
dc.subjectDepressao
dc.subjectTranstornos Cognitivos
dc.subjectIdoso de 80 Anos ou mais
dc.subject.otherGeriatric depression
dc.subject.otherLate-life depression
dc.subject.otherCognition
dc.subject.otherOldest-old
dc.titleCognitive performance of community-dwelling oldest-old individuals with major depression: the pietà study
dc.typeArtigo de periódico
local.citation.epage7
local.citation.spage1
local.description.resumoBackground: Individuals with late-life depression (LLD) may present cognitive symptoms. We sought to determine whether a brief cognitive battery (BCB) could identify cognitive and functional deficits in oldest old individuals with LLD and a low level of education. Methods: We evaluated 639 community-dwelling individuals aged 75+ years in Caeté (MG), Brazil. We used the MINI and GDS-15 to diagnose major depression and evaluate its severity, respectively. The cognitive evaluation comprised the Mini-Mental State Examination (MMSE), BCB, clock-drawing test, category fluency test (animals) and Pfeffer’s Functional Activities Questionnaire (FAQ). Results: Fifty-four (11.6%) of the included individuals were diagnosed with LLD; on average, these participants were aged 81.0 ± 4.8 years and had 3.9 ± 3.4 years of schooling, and 77.8% of the subjects with LLD were female. Depressed individuals scored lower than subjects without dementia/depression on the MMSE overall (p < 0.001) and on several of the MMSE subscales, namely, time (p < 0.001) and spatial orientation (p = 0.021), attention/calculation (p = 0.019), and language (p = 0.004). Individuals with LLD performed worse on the incidental and (p = 0.011) immediate memory (p = 0.046) and learning tasks (p = 0.039) of the BCB. Individuals with LLD also performed worse on the category fluency test (p =0.006), clock-drawing test (p = 0.011) and FAQ (p < 0.001). Depression severity was negatively correlated with incidental memory (ρ = −0.412; p = 0.003) and positively correlated with FAQ score (ρ = 0.308; p = 0.035). In the multiple regression analysis, only temporal orientation and FAQ score remained independently associated with LLD. Conclusion: Individuals with depression and a low level of education presented several cognitive and functional deficits. Depression severity was negatively correlated with incidental memory and functionality. Our findings serve as a description of the presence of cognitive dysfunction in individuals with LLD and suggest that these deficits may be identified based on the results of a BCB.
local.identifier.orcidhttps://orcid.org/0000-0002-6775-8022
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://www.cambridge.org/core/journals/international-psychogeriatrics/article/abs/cognitive-performance-of-communitydwelling-oldestold-individuals-with-major-depression-the-pieta-study/1D47593BBDDE78FA4549C86121F81B43#access-block

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