Depression plays a moderating role in the cognitive decline associated with changes of brain white matter hyperintensities

Joon Hyuk Park, Seok Bum Lee, Jung Jae Lee, Jong Chul Yoon, Ji Won Han, Tae Hui Kim, Hyun-Ghang Jeong, Paul A. Newhouse, Warren D. Taylor, Jae Hyoung Kim, Jong Inn Woo, Ki Woong Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: In the elderly, depression and white matter hyperintensities (WMH) are common and associated with cognitive impairment. This study investigated the possible interactions between depression and WMH in their influences on cognition of the elderly. Methods: Using multiple neuropsychological tests, we evaluated the cognitive function of 122 community-dwelling elders with depression at baseline between November 2008 and February 2009. Major depressive disorder, dysthymic disorder, and minor depressive disorder were diagnosed according to DSM-IV criteria. Subsyndromal depressive disorder was operationally defined using a modification of DSM-IV criteria. We visually rated WMH severity according to the modified Fazekas scale and calculated WMH volume using an automated method. We defined WMH (+) as having a score of 2 or higher on the modified Fazekas scale. In the 3-year follow-up study, baseline participants were reassessed between November 2011 and February 2013 with the same methodology. Results: Baseline depression was associated with a decline over 3 years in the Categorical Verbal Fluency Test (VFT) (P = .001), Word List Memory Test (WLMT) (P = .019), Trail Making Test A (TMT-A) (P = .018), and Mini-Mental State Examination (MMSE) (P = .017), while baseline WMH (+) was associated with a decline in WLMT (P = .039) only. An increase of WMH volume over 3 years was associated with a decline in the performances of VFT (P = .044), WLMT (P = .044), Word List Recall Test (P = .040), Word List Recognition Test (P = .036), and TMT-A (P = .001) over the same period only in the subjects with depression at baseline. Conclusions: Depressive disorder and WMH are interactively associated with the poor performance of multiple cognitive functions. Depressive disorder may moderate the cognitive decline associated with the changes of brain WMH.

Original languageEnglish
Article number17m11763
JournalJournal of Clinical Psychiatry
Volume79
Issue number5
DOIs
Publication statusPublished - 2018 Sep 1

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Depression
Brain
Depressive Disorder
Cognition
Trail Making Test
Diagnostic and Statistical Manual of Mental Disorders
Dysthymic Disorder
Independent Living
Cognitive Dysfunction
White Matter
Neuropsychological Tests
Major Depressive Disorder

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Depression plays a moderating role in the cognitive decline associated with changes of brain white matter hyperintensities. / Park, Joon Hyuk; Lee, Seok Bum; Lee, Jung Jae; Yoon, Jong Chul; Han, Ji Won; Kim, Tae Hui; Jeong, Hyun-Ghang; Newhouse, Paul A.; Taylor, Warren D.; Kim, Jae Hyoung; Woo, Jong Inn; Kim, Ki Woong.

In: Journal of Clinical Psychiatry, Vol. 79, No. 5, 17m11763, 01.09.2018.

Research output: Contribution to journalArticle

Park, JH, Lee, SB, Lee, JJ, Yoon, JC, Han, JW, Kim, TH, Jeong, H-G, Newhouse, PA, Taylor, WD, Kim, JH, Woo, JI & Kim, KW 2018, 'Depression plays a moderating role in the cognitive decline associated with changes of brain white matter hyperintensities', Journal of Clinical Psychiatry, vol. 79, no. 5, 17m11763. https://doi.org/10.4088/JCP.17m11763
Park, Joon Hyuk ; Lee, Seok Bum ; Lee, Jung Jae ; Yoon, Jong Chul ; Han, Ji Won ; Kim, Tae Hui ; Jeong, Hyun-Ghang ; Newhouse, Paul A. ; Taylor, Warren D. ; Kim, Jae Hyoung ; Woo, Jong Inn ; Kim, Ki Woong. / Depression plays a moderating role in the cognitive decline associated with changes of brain white matter hyperintensities. In: Journal of Clinical Psychiatry. 2018 ; Vol. 79, No. 5.
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abstract = "Objective: In the elderly, depression and white matter hyperintensities (WMH) are common and associated with cognitive impairment. This study investigated the possible interactions between depression and WMH in their influences on cognition of the elderly. Methods: Using multiple neuropsychological tests, we evaluated the cognitive function of 122 community-dwelling elders with depression at baseline between November 2008 and February 2009. Major depressive disorder, dysthymic disorder, and minor depressive disorder were diagnosed according to DSM-IV criteria. Subsyndromal depressive disorder was operationally defined using a modification of DSM-IV criteria. We visually rated WMH severity according to the modified Fazekas scale and calculated WMH volume using an automated method. We defined WMH (+) as having a score of 2 or higher on the modified Fazekas scale. In the 3-year follow-up study, baseline participants were reassessed between November 2011 and February 2013 with the same methodology. Results: Baseline depression was associated with a decline over 3 years in the Categorical Verbal Fluency Test (VFT) (P = .001), Word List Memory Test (WLMT) (P = .019), Trail Making Test A (TMT-A) (P = .018), and Mini-Mental State Examination (MMSE) (P = .017), while baseline WMH (+) was associated with a decline in WLMT (P = .039) only. An increase of WMH volume over 3 years was associated with a decline in the performances of VFT (P = .044), WLMT (P = .044), Word List Recall Test (P = .040), Word List Recognition Test (P = .036), and TMT-A (P = .001) over the same period only in the subjects with depression at baseline. Conclusions: Depressive disorder and WMH are interactively associated with the poor performance of multiple cognitive functions. Depressive disorder may moderate the cognitive decline associated with the changes of brain WMH.",
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AU - Lee, Seok Bum

AU - Lee, Jung Jae

AU - Yoon, Jong Chul

AU - Han, Ji Won

AU - Kim, Tae Hui

AU - Jeong, Hyun-Ghang

AU - Newhouse, Paul A.

AU - Taylor, Warren D.

AU - Kim, Jae Hyoung

AU - Woo, Jong Inn

AU - Kim, Ki Woong

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N2 - Objective: In the elderly, depression and white matter hyperintensities (WMH) are common and associated with cognitive impairment. This study investigated the possible interactions between depression and WMH in their influences on cognition of the elderly. Methods: Using multiple neuropsychological tests, we evaluated the cognitive function of 122 community-dwelling elders with depression at baseline between November 2008 and February 2009. Major depressive disorder, dysthymic disorder, and minor depressive disorder were diagnosed according to DSM-IV criteria. Subsyndromal depressive disorder was operationally defined using a modification of DSM-IV criteria. We visually rated WMH severity according to the modified Fazekas scale and calculated WMH volume using an automated method. We defined WMH (+) as having a score of 2 or higher on the modified Fazekas scale. In the 3-year follow-up study, baseline participants were reassessed between November 2011 and February 2013 with the same methodology. Results: Baseline depression was associated with a decline over 3 years in the Categorical Verbal Fluency Test (VFT) (P = .001), Word List Memory Test (WLMT) (P = .019), Trail Making Test A (TMT-A) (P = .018), and Mini-Mental State Examination (MMSE) (P = .017), while baseline WMH (+) was associated with a decline in WLMT (P = .039) only. An increase of WMH volume over 3 years was associated with a decline in the performances of VFT (P = .044), WLMT (P = .044), Word List Recall Test (P = .040), Word List Recognition Test (P = .036), and TMT-A (P = .001) over the same period only in the subjects with depression at baseline. Conclusions: Depressive disorder and WMH are interactively associated with the poor performance of multiple cognitive functions. Depressive disorder may moderate the cognitive decline associated with the changes of brain WMH.

AB - Objective: In the elderly, depression and white matter hyperintensities (WMH) are common and associated with cognitive impairment. This study investigated the possible interactions between depression and WMH in their influences on cognition of the elderly. Methods: Using multiple neuropsychological tests, we evaluated the cognitive function of 122 community-dwelling elders with depression at baseline between November 2008 and February 2009. Major depressive disorder, dysthymic disorder, and minor depressive disorder were diagnosed according to DSM-IV criteria. Subsyndromal depressive disorder was operationally defined using a modification of DSM-IV criteria. We visually rated WMH severity according to the modified Fazekas scale and calculated WMH volume using an automated method. We defined WMH (+) as having a score of 2 or higher on the modified Fazekas scale. In the 3-year follow-up study, baseline participants were reassessed between November 2011 and February 2013 with the same methodology. Results: Baseline depression was associated with a decline over 3 years in the Categorical Verbal Fluency Test (VFT) (P = .001), Word List Memory Test (WLMT) (P = .019), Trail Making Test A (TMT-A) (P = .018), and Mini-Mental State Examination (MMSE) (P = .017), while baseline WMH (+) was associated with a decline in WLMT (P = .039) only. An increase of WMH volume over 3 years was associated with a decline in the performances of VFT (P = .044), WLMT (P = .044), Word List Recall Test (P = .040), Word List Recognition Test (P = .036), and TMT-A (P = .001) over the same period only in the subjects with depression at baseline. Conclusions: Depressive disorder and WMH are interactively associated with the poor performance of multiple cognitive functions. Depressive disorder may moderate the cognitive decline associated with the changes of brain WMH.

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