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GERİATRİK DEPRESYONDA BELLEK YAKINMALARI VE GÜNLÜK YAŞAM AKTİVİTELERİ: ERKEN VE GEÇ BAŞLANGIÇLI DEPRESYON ARASINDA FARK VAR MIDIR?

Yıl 2021, Cilt 11, Sayı 4, 483 - 488, 31.07.2021

Öz

Amaç: Bu çalışmada geriatrik depresyon hastalarının kognitif belirtileri ve işlevsellik düzeyleri araştırılacaktır. Geriatrik depresyon hastaları erken ve geç başlangıçlı depresyon alt gruplarına ayrılarak gruplar arasında karşılaştırmalar yapılacaktır. Gereç ve Yöntem: Çalışmaya toplam 94 geriatrik depresyon hastası (33 geç başlangıçlı depresyon, 61 erken başlangıçlı depresyon) ve kontrol grubu olarak da 39 kişi dahil edilmiştir. Katılımcıların hepsi için sosyodemografik veri formu, Saat Çizme Testi, Katz Günlük Yaşam Aktiviteleri Ölçeği ve Öznel Bellek Yakınmaları Anketi doldurulmuştur. Geriatrik depresyon hastalarının depresyon şiddetinin ölçülmesinde Geriatrik Depresyon Ölçeği-15 kullanılmıştır. Bulgular: Saat Çizme Testinde geç başlangıçlı depresyon hastaları kontrol grubuna göre daha kötü bir performans sergilemiştir. Erken başlangıçlı ve geç başlangıçlı depresyon hastalarında kontrol grubuna göre daha fazla öznel bellek yakınmalarının olduğu tespit edilmiştir. Geriatrik depresyon hastalarında depresyon şiddeti ile günlük yaşam aktiviteleri arasında negatif yönde bir ilişki bulunmuştur. Sonuç: Geriatrik depresyon; başlangıç yaşına göre kognitif işlevler açısından farklılıklar gösterebilmektedir.

Kaynakça

  • 1. Available from: http://www.tuik.gov.tr/Start.do.
  • 2. Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol 2009;5:363-89.
  • 3. E Ağırman, Gençer M. Huzurevinde, Evde Ailesiyle ve Yalnız Yaşayan Yaşlı Bireylerde Depresyon, Yalnızlık Hissi Düzeylerinin Karşılaştırılması. J Contemp Med 2017;7(3):234-40.
  • 4. Ismail Z, Fischer C, McCall WV. What characterizes late-life depression? The Psychiatric clinics of North America 2013;36(4):483-96.
  • 5. Hegeman JM, Kok RM, van der Mast RC, Giltay EJ. Phenomenology of depression in older compared with younger adults: meta-analysis. The British journal of psychiatry : the journal of mental science 2012;200(4):275-81.
  • 6. Janssen J, Beekman AT, Comijs HC, Deeg DJ, Heeren TJ. Late-life depression: the differences between early- and late-onset illness in a community-based sample. International journal of geriatric psychiatry 2006;21(1):86-93.
  • 7. Duman B, Özel Kızıl ET, Baran Z, Kırıcı S, Turan E. [Discrepancy Between Subjective Memory Complaints and Objective Memory Deficits in Elderly Patients with Depression Compared to Mild Cognitive Impairment]. Turk Psikiyatri Derg 2016;27(1):1-7.
  • 8. Riedel-Heller SG, Matschinger H, Schork A, Angermeyer MC. Do memory complaints indicate the presence of cognitive impairment? Results of a field study. European archives of psychiatry and clinical neuroscience 1999;249(4):197-204.
  • 9. Pentzek M, Leve V, Leucht V. Subjective memory impairment in general practice : Short overview and design of a mixed methods study. Zeitschrift fur Gerontologie und Geriatrie 2017;50(Suppl 2):48-54.
  • 10. Balash Y, Mordechovich M, Shabtai H, Giladi N, Gurevich T, Korczyn AD. Subjective memory complaints in elders: depression, anxiety, or cognitive decline? Acta neurologica Scandinavica 2013;127(5):344-50.
  • 11. Vogel A. [Subjective memory complaints in older people. Is it a symptom of dementia?]. Ugeskrift for laeger 2008;170(20):1728-33.
  • 12. Steffens DC, Potter GG. Geriatric depression and cognitive impairment. Psychological medicine 2008;38(2):163-75.
  • 13. Klein L, Saur R, Müller S, Leyhe T. Comparison of Clock Test Deficits Between Elderly Patients With Early and Late Onset Depression. Journal of geriatric psychiatry and neurology 2015;28(4):231-8.
  • 14. American Psychiatric Association. Neurocognitive Disorders. 5th ed. Washington, DC2013.
  • 15. Weng C-F, Lin K-P, Lu F-P, Chen J-H, Wen C-J, Peng J-H, et al. Effects of depression, dementia and delirium on activities of daily living in elderly patients after discharge. BMC geriatrics 2019;19(1):261.
  • 16. Unsar S, Dindar I, Kurt S. Activities of daily living, quality of life, social support and depression levels of elderly individuals in Turkish society. JPMA The Journal of the Pakistan Medical Association 2015;65(6):642-6.
  • 17. Luo YN, Wang ZJ, Zheng XY. [Association between the change of daily living activities and symptoms of depression in Chinese middle-aged and elderly people]. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi 2017;38(8):1055-9.
  • 18. Cahn DA, Malloy PF, Salloway S, Rogg J, Gillard E, Kohn R, et al. Subcortical hyperintensities on MRI and activities of daily living in geriatric depression. The Journal of neuropsychiatry and clinical neurosciences 1996;8(4):404-11.
  • 19. Shindel C, Holland JM, Gallagher-Thompson D. The Link between Activities of Daily Living and Cortisol in Late-Life Depression. Clin Gerontol 2020;43(4):430-40.
  • 20. Güngen C, Ertan T, Eker E, Yaşar R, F E. Standardize Mini Mental Test’in Türk Toplumunda Hafif Demans Tan›s›nda Geçerlik ve Güvenilirliği Türk Psikiyatri Dergisi 2002;13(4):273-81.
  • 21. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research 1975;12(3):189-98.
  • 22. Burke WJ, Roccaforte WH, Wengel SP. The short form of the Geriatric Depression Scale: a comparison with the 30-item form. Journal of geriatric psychiatry and neurology 1991;4(3):173-8.
  • 23. Durmaz B, Soysal P, Ellidokuz H, Isik AT. Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb 2018;5(3):216-20.
  • 24. Shulman KI. Clock-drawing: is it the ideal cognitive screening test? International journal of geriatric psychiatry 2000;15(6):548-61.
  • 25. Emek Savaş DD, Yerlikaya D, Yener GG. Validity, Reliability and Turkish Norm Values of the Clock Drawing Test for Two Different Scoring Systems. Turk J Neurol 2018;24(2):143-52.
  • 26. Arik G, Varan HD, Yavuz BB, Karabulut E, Kara O, Kilic MK, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Archives of gerontology and geriatrics 2015;61(3):344-50.
  • 27. Youn JC, Kim KW, Lee DY, Jhoo JH, Lee SB, Park JH, et al. Development of the Subjective Memory Complaints Questionnaire. Dementia and geriatric cognitive disorders 2009;27(4):310-7.
  • 28. Reid LM, Maclullich AM. Subjective memory complaints and cognitive impairment in older people. Dementia and geriatric cognitive disorders 2006;22(5-6):471-85.
  • 29. Özel Kızıl ET, Duman B, Altıntaş Ö, Kırıcı S, Baştuğ G, Baran Z, et al. Öznel bellek yakınmaları anketi türkçe formunun psikometrik özelliklerinin değerlendirilmesi. Turkish Journal of Geriatrics 2013;16 (2):150-4.
  • 30. Novaretti T, Radanovic M, Nitrini R. Screening for cognitive impairment in late onset depression in a Brazilian sample using the BBRC-Edu. Dementia & neuropsychologia 2012;6(2):85-90.
  • 31. Tam CW, Lam LC. Cognitive function, functional performance and severity of depression in Chinese older persons with late-onset depression. East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan 2012;22(1):12-7.
  • 32. Wong MM, Chan CF, Li SW, Lau YM. Six-month Follow-up of Cognitive Impairment and Depressive Symptoms in Late-onset Depression. East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan 2015;25(4):146-9.
  • 33. Şenel B, Özel-Kızıl ET, Sorgun MH, Tezcan-Aydemir S, Kırıcı S. Transcranial sonography imaging of brainstem raphe, substantia nigra and cerebral ventricles in patients with geriatric depression. International journal of geriatric psychiatry 2020;35(7):702-11.
  • 34. Alexopoulos GS. Mechanisms and treatment of late-life depression. Transl Psychiatry 2019;9(1):188-.
  • 35. Chu CS, Sun IW, Begum A, Liu SI, Chang CJ, Chiu WC, et al. The association between subjective memory complaint and objective cognitive function in older people with previous major depression. PloS one 2017;12(3):e0173027.
  • 36. Zandi T. Relationship between subjective memory complaints, objective memory performance, and depression among older adults. American journal of Alzheimer's disease and other dementias 2004;19(6):353-60.
  • 37. Lavretsky H, Laird KT, Krause-Sorio B, Heimberg BF, Yeargin J, Grzenda A, et al. A Randomized Double-Blind Placebo-Controlled Trial of Combined Escitalopram and Memantine for Older Adults With Major Depression and Subjective Memory Complaints. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2020;28(2):178-90.
  • 38. Stewart R, Russ C, Richards M, Brayne C, Lovestone S, Mann A. Depression, APOE genotype and subjective memory impairment: a cross-sectional study in an African-Caribbean population. Psychological medicine 2001;31(3):431-40.
  • 39. Drageset J, Eide GE, Ranhoff AH. Depression is associated with poor functioning in activities of daily living among nursing home residents without cognitive impairment. Journal of clinical nursing 2011;20(21-22):3111-8.
  • 40. Steffens DC, Pieper CF, Bosworth HB, MacFall JR, Provenzale JM, Payne ME, et al. Biological and social predictors of long-term geriatric depression outcome. International psychogeriatrics 2005;17(1):41-56.
  • 41. Zhao D, Hu C, Chen J, Dong B, Ren Q, Yu D, et al. Risk factors of geriatric depression in rural China based on a generalized estimating equation. International psychogeriatrics 2018;30(10):1489-97.
  • 42. Richard-Devantoy S, Deguigne F, Annweiler C, Letourneau G, Beauchet O. Influence of gender and age on cognitive inhibition in late-onset depression: a case-control study. International journal of geriatric psychiatry 2013;28(11):1125-30.

MEMORY COMPLAINTS AND ACTIVITIES OF DAILY LIVING IN GERIATRIC DEPRESSION: IS THERE A DIFFERENCE BETWEEN EARLY- AND LATE-ONSET DEPRESSION?

Yıl 2021, Cilt 11, Sayı 4, 483 - 488, 31.07.2021

Öz

Aim: To investigate the cognitive complaints and activities of daily living in patients with geriatric depression. Inter-group comparisons were performed by dividing geriatric depression patients into early- and late-onset subgroups. Materials and Methods: Ninety-four patients with geriatric depression and 39 individuals as a control group were included. Thirty-three of the geriatric depression patients had late-onset depression, and 61 had early-onset depression. All participants completed sociodemographic data, the Mini Mental Test, the Clock-Drawing Test, the Katz Activities of Daily Living Scale, and the Subjective Memory Complaints Questionnaire. Geriatric Depression Scale-15 was used to measure the severity of patients’ depression. Results: Late-onset depression patients exhibited significantly poorer performance on the Clock Drawing Test than the control group. Significantly greater subjective memory complaints were determined in patients with early- and late-onset depression than in the control group. A negative relationship was found between the severity of depression and activities of daily living in patients with geriatric depression. Conclusion: Geriatric depression may differ in terms of cognitive functions according to the age of onset.

Kaynakça

  • 1. Available from: http://www.tuik.gov.tr/Start.do.
  • 2. Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol 2009;5:363-89.
  • 3. E Ağırman, Gençer M. Huzurevinde, Evde Ailesiyle ve Yalnız Yaşayan Yaşlı Bireylerde Depresyon, Yalnızlık Hissi Düzeylerinin Karşılaştırılması. J Contemp Med 2017;7(3):234-40.
  • 4. Ismail Z, Fischer C, McCall WV. What characterizes late-life depression? The Psychiatric clinics of North America 2013;36(4):483-96.
  • 5. Hegeman JM, Kok RM, van der Mast RC, Giltay EJ. Phenomenology of depression in older compared with younger adults: meta-analysis. The British journal of psychiatry : the journal of mental science 2012;200(4):275-81.
  • 6. Janssen J, Beekman AT, Comijs HC, Deeg DJ, Heeren TJ. Late-life depression: the differences between early- and late-onset illness in a community-based sample. International journal of geriatric psychiatry 2006;21(1):86-93.
  • 7. Duman B, Özel Kızıl ET, Baran Z, Kırıcı S, Turan E. [Discrepancy Between Subjective Memory Complaints and Objective Memory Deficits in Elderly Patients with Depression Compared to Mild Cognitive Impairment]. Turk Psikiyatri Derg 2016;27(1):1-7.
  • 8. Riedel-Heller SG, Matschinger H, Schork A, Angermeyer MC. Do memory complaints indicate the presence of cognitive impairment? Results of a field study. European archives of psychiatry and clinical neuroscience 1999;249(4):197-204.
  • 9. Pentzek M, Leve V, Leucht V. Subjective memory impairment in general practice : Short overview and design of a mixed methods study. Zeitschrift fur Gerontologie und Geriatrie 2017;50(Suppl 2):48-54.
  • 10. Balash Y, Mordechovich M, Shabtai H, Giladi N, Gurevich T, Korczyn AD. Subjective memory complaints in elders: depression, anxiety, or cognitive decline? Acta neurologica Scandinavica 2013;127(5):344-50.
  • 11. Vogel A. [Subjective memory complaints in older people. Is it a symptom of dementia?]. Ugeskrift for laeger 2008;170(20):1728-33.
  • 12. Steffens DC, Potter GG. Geriatric depression and cognitive impairment. Psychological medicine 2008;38(2):163-75.
  • 13. Klein L, Saur R, Müller S, Leyhe T. Comparison of Clock Test Deficits Between Elderly Patients With Early and Late Onset Depression. Journal of geriatric psychiatry and neurology 2015;28(4):231-8.
  • 14. American Psychiatric Association. Neurocognitive Disorders. 5th ed. Washington, DC2013.
  • 15. Weng C-F, Lin K-P, Lu F-P, Chen J-H, Wen C-J, Peng J-H, et al. Effects of depression, dementia and delirium on activities of daily living in elderly patients after discharge. BMC geriatrics 2019;19(1):261.
  • 16. Unsar S, Dindar I, Kurt S. Activities of daily living, quality of life, social support and depression levels of elderly individuals in Turkish society. JPMA The Journal of the Pakistan Medical Association 2015;65(6):642-6.
  • 17. Luo YN, Wang ZJ, Zheng XY. [Association between the change of daily living activities and symptoms of depression in Chinese middle-aged and elderly people]. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi 2017;38(8):1055-9.
  • 18. Cahn DA, Malloy PF, Salloway S, Rogg J, Gillard E, Kohn R, et al. Subcortical hyperintensities on MRI and activities of daily living in geriatric depression. The Journal of neuropsychiatry and clinical neurosciences 1996;8(4):404-11.
  • 19. Shindel C, Holland JM, Gallagher-Thompson D. The Link between Activities of Daily Living and Cortisol in Late-Life Depression. Clin Gerontol 2020;43(4):430-40.
  • 20. Güngen C, Ertan T, Eker E, Yaşar R, F E. Standardize Mini Mental Test’in Türk Toplumunda Hafif Demans Tan›s›nda Geçerlik ve Güvenilirliği Türk Psikiyatri Dergisi 2002;13(4):273-81.
  • 21. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research 1975;12(3):189-98.
  • 22. Burke WJ, Roccaforte WH, Wengel SP. The short form of the Geriatric Depression Scale: a comparison with the 30-item form. Journal of geriatric psychiatry and neurology 1991;4(3):173-8.
  • 23. Durmaz B, Soysal P, Ellidokuz H, Isik AT. Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb 2018;5(3):216-20.
  • 24. Shulman KI. Clock-drawing: is it the ideal cognitive screening test? International journal of geriatric psychiatry 2000;15(6):548-61.
  • 25. Emek Savaş DD, Yerlikaya D, Yener GG. Validity, Reliability and Turkish Norm Values of the Clock Drawing Test for Two Different Scoring Systems. Turk J Neurol 2018;24(2):143-52.
  • 26. Arik G, Varan HD, Yavuz BB, Karabulut E, Kara O, Kilic MK, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Archives of gerontology and geriatrics 2015;61(3):344-50.
  • 27. Youn JC, Kim KW, Lee DY, Jhoo JH, Lee SB, Park JH, et al. Development of the Subjective Memory Complaints Questionnaire. Dementia and geriatric cognitive disorders 2009;27(4):310-7.
  • 28. Reid LM, Maclullich AM. Subjective memory complaints and cognitive impairment in older people. Dementia and geriatric cognitive disorders 2006;22(5-6):471-85.
  • 29. Özel Kızıl ET, Duman B, Altıntaş Ö, Kırıcı S, Baştuğ G, Baran Z, et al. Öznel bellek yakınmaları anketi türkçe formunun psikometrik özelliklerinin değerlendirilmesi. Turkish Journal of Geriatrics 2013;16 (2):150-4.
  • 30. Novaretti T, Radanovic M, Nitrini R. Screening for cognitive impairment in late onset depression in a Brazilian sample using the BBRC-Edu. Dementia & neuropsychologia 2012;6(2):85-90.
  • 31. Tam CW, Lam LC. Cognitive function, functional performance and severity of depression in Chinese older persons with late-onset depression. East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan 2012;22(1):12-7.
  • 32. Wong MM, Chan CF, Li SW, Lau YM. Six-month Follow-up of Cognitive Impairment and Depressive Symptoms in Late-onset Depression. East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan 2015;25(4):146-9.
  • 33. Şenel B, Özel-Kızıl ET, Sorgun MH, Tezcan-Aydemir S, Kırıcı S. Transcranial sonography imaging of brainstem raphe, substantia nigra and cerebral ventricles in patients with geriatric depression. International journal of geriatric psychiatry 2020;35(7):702-11.
  • 34. Alexopoulos GS. Mechanisms and treatment of late-life depression. Transl Psychiatry 2019;9(1):188-.
  • 35. Chu CS, Sun IW, Begum A, Liu SI, Chang CJ, Chiu WC, et al. The association between subjective memory complaint and objective cognitive function in older people with previous major depression. PloS one 2017;12(3):e0173027.
  • 36. Zandi T. Relationship between subjective memory complaints, objective memory performance, and depression among older adults. American journal of Alzheimer's disease and other dementias 2004;19(6):353-60.
  • 37. Lavretsky H, Laird KT, Krause-Sorio B, Heimberg BF, Yeargin J, Grzenda A, et al. A Randomized Double-Blind Placebo-Controlled Trial of Combined Escitalopram and Memantine for Older Adults With Major Depression and Subjective Memory Complaints. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2020;28(2):178-90.
  • 38. Stewart R, Russ C, Richards M, Brayne C, Lovestone S, Mann A. Depression, APOE genotype and subjective memory impairment: a cross-sectional study in an African-Caribbean population. Psychological medicine 2001;31(3):431-40.
  • 39. Drageset J, Eide GE, Ranhoff AH. Depression is associated with poor functioning in activities of daily living among nursing home residents without cognitive impairment. Journal of clinical nursing 2011;20(21-22):3111-8.
  • 40. Steffens DC, Pieper CF, Bosworth HB, MacFall JR, Provenzale JM, Payne ME, et al. Biological and social predictors of long-term geriatric depression outcome. International psychogeriatrics 2005;17(1):41-56.
  • 41. Zhao D, Hu C, Chen J, Dong B, Ren Q, Yu D, et al. Risk factors of geriatric depression in rural China based on a generalized estimating equation. International psychogeriatrics 2018;30(10):1489-97.
  • 42. Richard-Devantoy S, Deguigne F, Annweiler C, Letourneau G, Beauchet O. Influence of gender and age on cognitive inhibition in late-onset depression: a case-control study. International journal of geriatric psychiatry 2013;28(11):1125-30.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Selçuk ÖZDİN (Sorumlu Yazar)
ONDOKUZ MAYIS ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0003-1127-1132
Türkiye


Hasan Dilhan BİNGÖL Bu kişi benim
ONDOKUZ MAYIS ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0001-6252-5724
Türkiye

Destekleyen Kurum -
Proje Numarası -
Teşekkür -
Yayımlanma Tarihi 31 Temmuz 2021
Kabul Tarihi 7 Nisan 2021
Yayınlandığı Sayı Yıl 2021, Cilt 11, Sayı 4

Kaynak Göster

AMA Özdin S. , Bingöl H. D. MEMORY COMPLAINTS AND ACTIVITIES OF DAILY LIVING IN GERIATRIC DEPRESSION: IS THERE A DIFFERENCE BETWEEN EARLY- AND LATE-ONSET DEPRESSION?. J Contemp Med. 2021; 11(4): 483-488.