Late- versus early-onset geriatric depression in a memory research center

Carol Dillon1, Ricardo F Allegri2, Cecilia M Serrano1, Mónica Iturry1, Pablo Salgado1, Frank B Glaser1, Fernando E Taragano21Memory Research Center, Department of Neurology, Hospital General Abel Zubizarreta, GCBA Buenos Aires, Argentina; 2Department of Neuropsychology (S...

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Autores principales: Carol Dillon, Ricardo F Allegri, Cecilia M Serrano, et al
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Publicado: Dove Medical Press 2009
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spelling oai:doaj.org-article:57fbeeb033ba49b6a571ba6ea3cc60d52021-12-02T04:24:40ZLate- versus early-onset geriatric depression in a memory research center1176-63281178-2021https://doaj.org/article/57fbeeb033ba49b6a571ba6ea3cc60d52009-10-01T00:00:00Zhttp://www.dovepress.com/late--versus-early-onset-geriatric-depression-in-a-memory-research-cen-a3615https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Carol Dillon1, Ricardo F Allegri2, Cecilia M Serrano1, Mónica Iturry1, Pablo Salgado1, Frank B Glaser1, Fernando E Taragano21Memory Research Center, Department of Neurology, Hospital General Abel Zubizarreta, GCBA Buenos Aires, Argentina; 2Department of Neuropsychology (SIREN), CEMIC University, Buenos Aires, ArgentinaObjective: To contrast early-onset (<60 years) and late-onset (>60 years) depression in geriatric patients by evaluating differences in cognition, vascular comorbidity and sociological risk factors. Both patient groups were compared with normal subjects.Materials and methods: We recruited 76 patients with depressive symptoms (37 late onset and 39 early onset) and 17 normal controls matched by age and educational level. All subjects were assessed using a semistructured neuropsychiatric interview and an extensive neuropsychological battery. Vascular and sociological risk factors were also evaluated.Results: We found a significant variation in performance between depressive patients and normal controls in most cognitive functions, especially memory (P < 0.0001), semantic fluency (P < 0.0001), verbal fluency, and digit-symbol (P < 0.0001). Late-onset depression patients scored lower and exhibited more severe impairment in memory domains than early-onset depression patients (P < 0.05). Cholesterol levels and marital status were significantly (P < 0.05) different between the depressive groups. Both depressed groups (early- and lateonset) were more inactive than controls (P < 0.05; odds ratio: 6.02).Conclusion: Geriatric depression may be a manifestation of brain degeneration, and the initial symptom of a dementia. It is important to consider this in the treatment of patients that exhibit late-onset depressive symptoms.Keywords: early- and late-onset depression, geriatrics, cognition Carol DillonRicardo F AllegriCecilia M Serranoet alDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2009, Iss default, Pp 517-526 (2009)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Carol Dillon
Ricardo F Allegri
Cecilia M Serrano
et al
Late- versus early-onset geriatric depression in a memory research center
description Carol Dillon1, Ricardo F Allegri2, Cecilia M Serrano1, Mónica Iturry1, Pablo Salgado1, Frank B Glaser1, Fernando E Taragano21Memory Research Center, Department of Neurology, Hospital General Abel Zubizarreta, GCBA Buenos Aires, Argentina; 2Department of Neuropsychology (SIREN), CEMIC University, Buenos Aires, ArgentinaObjective: To contrast early-onset (<60 years) and late-onset (>60 years) depression in geriatric patients by evaluating differences in cognition, vascular comorbidity and sociological risk factors. Both patient groups were compared with normal subjects.Materials and methods: We recruited 76 patients with depressive symptoms (37 late onset and 39 early onset) and 17 normal controls matched by age and educational level. All subjects were assessed using a semistructured neuropsychiatric interview and an extensive neuropsychological battery. Vascular and sociological risk factors were also evaluated.Results: We found a significant variation in performance between depressive patients and normal controls in most cognitive functions, especially memory (P < 0.0001), semantic fluency (P < 0.0001), verbal fluency, and digit-symbol (P < 0.0001). Late-onset depression patients scored lower and exhibited more severe impairment in memory domains than early-onset depression patients (P < 0.05). Cholesterol levels and marital status were significantly (P < 0.05) different between the depressive groups. Both depressed groups (early- and lateonset) were more inactive than controls (P < 0.05; odds ratio: 6.02).Conclusion: Geriatric depression may be a manifestation of brain degeneration, and the initial symptom of a dementia. It is important to consider this in the treatment of patients that exhibit late-onset depressive symptoms.Keywords: early- and late-onset depression, geriatrics, cognition
format article
author Carol Dillon
Ricardo F Allegri
Cecilia M Serrano
et al
author_facet Carol Dillon
Ricardo F Allegri
Cecilia M Serrano
et al
author_sort Carol Dillon
title Late- versus early-onset geriatric depression in a memory research center
title_short Late- versus early-onset geriatric depression in a memory research center
title_full Late- versus early-onset geriatric depression in a memory research center
title_fullStr Late- versus early-onset geriatric depression in a memory research center
title_full_unstemmed Late- versus early-onset geriatric depression in a memory research center
title_sort late- versus early-onset geriatric depression in a memory research center
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/57fbeeb033ba49b6a571ba6ea3cc60d5
work_keys_str_mv AT caroldillon lateversusearlyonsetgeriatricdepressioninamemoryresearchcenter
AT ricardofallegri lateversusearlyonsetgeriatricdepressioninamemoryresearchcenter
AT ceciliamserrano lateversusearlyonsetgeriatricdepressioninamemoryresearchcenter
AT etal lateversusearlyonsetgeriatricdepressioninamemoryresearchcenter
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