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 language | English |
|---|---|
| Article number | 17m11763 |
| Journal | Journal of Clinical Psychiatry |
| Volume | 79 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2018 Sep 1 |
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ASJC Scopus subject areas
- Psychiatry and Mental health
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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 journal › Article
}
TY - JOUR
T1 - Depression plays a moderating role in the cognitive decline associated with changes of brain white matter hyperintensities
AU - Park, Joon Hyuk
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
PY - 2018/9/1
Y1 - 2018/9/1
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.
UR - http://www.scopus.com/inward/record.url?scp=85055886241&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055886241&partnerID=8YFLogxK
U2 - 10.4088/JCP.17m11763
DO - 10.4088/JCP.17m11763
M3 - Article
C2 - 30192448
AN - SCOPUS:85055886241
VL - 79
JO - Journal of Clinical Psychiatry
JF - Journal of Clinical Psychiatry
SN - 0160-6689
IS - 5
M1 - 17m11763
ER -