Relationship between Depression and Cognitive Impairment among Elderly: A Cross-sectional Study.
Relationship between Depression and Cognitive Impairment among Elderly: A Cross-sectional Study.
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DOI：
10.34172/jcs.2020.022
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发表时间：
2020-08-01
影响因子：
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通讯作者：
Borhaninejad, Vahidreza
中科院分区：
文献类型：
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作者：
Aajami, Zahra;Kazazi, Leila;Borhaninejad, Vahidreza
简介：抑郁症和认知障碍是老年人常见的心理健康问题，尽管很少有研究探讨它们在老龄化人口中的共存情况。因此，本研究的目的是确定老年人抑郁与认知障碍之间的关系。方法：这项基于人群的横断面研究针对伊朗德黑兰市卫生中心的 506 名老年人进行。使用社会人口统计学问卷、简易精神状态检查（MMSE）和老年抑郁量表（GDS）收集数据。使用SPSS-17进行相关分析和逻辑回归分析数据。结果：参与者的平均年龄为 65.71 岁。老年人（>75 岁）认知功能障碍的两倍风险（95% CI：1.01-4.90）更高。 MMSE 和 GDS 之间存在显着相关性。受过大学教育的老年人认知功能障碍的风险较低（85%（95% CI：0.1-0.5）），而就业老年人的认知功能障碍风险较低（56%（95% CI：0.04-0.74））。患有严重抑郁症的老年人出现认知功能障碍的风险是其两倍（95% CI：1.41-4.8）。结论：研究结果表明老年人抑郁与认知障碍之间存在关联。这些发现强调评估老年人老年评估中的认知障碍和抑郁症。
Introduction: Depression and cognitive impairment are common mental health problems among elderly, although few studies have examined their co-occurrence in aging population. So the aim of this study was to determine the relationship between depression and cognitive impairment in older adults. Methods: This cross-sectional population-based study was conducted on 506 older adults were presented to the health centers of the municipality of Tehran, Iran. Data were collected using the sociodemographic questionnaire, Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS). Data were analyzed by using SPSS-17 with correlation analysis and logistic regression. Results: The mean age of the participants was 65.71 years. Older people (>75 years) had more twice risk (95% CI: 1.01-4.90) for cognitive dysfunction. There was a significant correlation between MMSE and GDS. Elderly with collegiate education had 85% (95% CI: 0.1-0.5) and employed elderly had 56% (95% CI: 0.04-0.74) lower risk for cognitive dysfunction. Elderly with severe depression had twice risk (95% CI: 1.41-4.8) for cognitive dysfunction. Conclusion: Findings suggest there is a relationship between depression and cognitive impairment among the elderly. These findings emphasis on assessing cognitive impairment and depression in geriatric assessment in elderly.