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Chu CS, Sun IW, Begum A, Liu SI, Chang CJ, Chiu WC, Chen CH, Tang HS, Yang CL, Lin YC, Chiu CC, Stewart R. The association between subjective memory complaint and objective cognitive function in older people with previous major depression. PLoS One 2017; 12:e0173027. [PMID: 28267772 PMCID: PMC5340362 DOI: 10.1371/journal.pone.0173027] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Accepted: 02/14/2017] [Indexed: 12/05/2022] Open
Abstract
The goal of this study is to investigate associations between subjective memory complaint and objective cognitive performance in older people with previous major depression–a high-risk sample for cognitive impairment and later dementia. A cross-sectional study was carried out in people aged 60 or over with previous major depression but not fulfilling current major depression criteria according to DSM-IV-TR. People with dementia or Mini-Mental State Examination score less than 17 were excluded. Subjective memory complaint was defined on the basis of a score ≧4 on the subscale of Geriatric Mental State schedule, a maximum score of 8. Older people aged equal or over 60 without any psychiatric diagnosis were enrolled as healthy controls. Cognitive function was evaluated using a series of cognitive tests assessing verbal memory, attention/speed, visuospatial function, verbal fluency, and cognitive flexibility in all participants. One hundred and thirteen older people with previous major depression and forty-six healthy controls were enrolled. Subjective memory complaint was present in more than half of the participants with depression history (55.8%). Among those with major depression history, subjective memory complaint was associated with lower total immediate recall and delayed verbal recall scores after adjustment. The associations between subjective memory complaint and worse memory performance were stronger in participants with lower depressive symptoms (Hamilton Depression Rating Scale score<7). The results suggest subjective memory complaint may be a valid appraisal of memory performance in older people with previous major depression and consideration should be given to more proactive assessment and follow-up in these clinical samples.
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Affiliation(s)
- Chung-Shiang Chu
- Department of Psychiatry, Cardinal Tien Hospital, New Taipei City, Taiwan
| | - I-Wen Sun
- Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan
| | - Aysha Begum
- King’s College London (Institute of Psychiatry), Department of Psychological Medicine, London, United Kindom
| | - Shen-Ing Liu
- Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan
| | - Ching-Jui Chang
- Department of Psychiatry, Cathay General Hospital, Taipei, Taiwan
| | - Wei-Che Chiu
- Department of Psychiatry, Cathay General Hospital, Taipei, Taiwan
- School of Medicine, Fu Jen Catholic University, Taipei, Taiwan
| | - Chin-Hsin Chen
- Department of Psychiatry, School of Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Psychiatry, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan
| | - Hwang-Shen Tang
- Department of Psychiatry, Taipei City Hospital, Songde Branch, Taipei, Taiwan
| | - Chia-Li Yang
- Department of Family Medicine, Taipei City Hospital, Zhongxing Branch, Taipei, Taiwan
| | - Ying-Chin Lin
- Department of Family Medicine, Shuang-Ho Hospital, Taipei Medical University, New Taipei, Taiwan
- Department of Family Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Chih-Chiang Chiu
- Department of Psychiatry, School of Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Psychiatry, Taipei City Hospital, Songde Branch, Taipei, Taiwan
- * E-mail:
| | - Robert Stewart
- King’s College London (Institute of Psychiatry), Department of Psychological Medicine, London, United Kindom
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