Relationship Between Cognitive Impairment and Depression Among Middle Aged and Older Adults in Primary Care.
Gerontol Geriatr Med
; 10: 23337214231214217, 2024.
Article
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| MEDLINE
| ID: mdl-38476882
ABSTRACT
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 ß = -.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.
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Banco de datos:
MEDLINE
Idioma:
En
Revista:
Gerontol Geriatr Med
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos