Depression Symptoms Moderate Associations between Daily Functioning and Neuropsychological Performance in Mexican American Adults.

IF 2.1 4区 心理学 Q2 PSYCHOLOGY
Lisa V Graves, Jennifer Lozano, Lorraine Vergonia, Paola Ortega
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引用次数: 0

Abstract

Objective: The influence of depression on the relationship between cognition and daily living in aging Mexican American adults requires further investigation, given projected trends in general growth as well as prevalence of depression and Alzheimer's disease and related dementias (ADRD) in this population.

Method: In the present study, we examined the extent to which depression (assessed using the Geriatric Depression Scale - 15 item version) moderated the association between reported daily functioning (assessed using the Functional Activities Questionnaire [FAQ]) and objective neuropsychological performance in aging Mexican American adults in the National Alzheimer's Coordinating Center cohort.

Results: Worse reported daily functioning (higher FAQ scores) was associated with worse memory and language performance among participants without elevated depression symptoms (ps < .05), but no associations were observed among those with elevated symptoms (ps > .05). Moreover, depression did not moderate associations of reported daily functioning with performance in attention and working memory or executive functioning and processing speed (ps > .05).

Conclusions: Aging Mexican American adults with elevated depression symptoms may have subjective informant reports of daily functioning that are discrepant from their objective performance on formal tests of memory and language. Within the context of neuropsychological evaluations for ADRD, failure to adequately assess mood to inform the nature of cognitive and/or functional changes could result in misdiagnosis and lead to delayed, premature, and/or improper intervention with this population.

抑郁症状缓和了墨西哥裔美国成年人的日常功能与神经心理学表现之间的关联。
目的:鉴于墨西哥裔美国成年人的总体增长趋势以及抑郁症和阿尔茨海默病及相关痴呆症(ADRD)在这一人群中的患病率,需要进一步研究抑郁症对他们的认知和日常生活之间关系的影响:在本研究中,我们研究了抑郁(使用老年抑郁量表--15 个条目版进行评估)在多大程度上调节了国家阿尔茨海默氏症协调中心队列中墨西哥裔美国成年人所报告的日常功能(使用功能活动问卷 [FAQ] 进行评估)与客观神经心理学表现之间的关联:在没有抑郁症状升高的参与者中,较差的日常功能(FAQ 分数较高)与较差的记忆力和语言能力相关(Ps .05)。此外,抑郁症并不影响报告的日常功能与注意力和工作记忆或执行功能和处理速度的相关性(ps > .05):结论:抑郁症状加重的墨西哥裔美国成年人对日常功能的主观报告可能与他们在记忆和语言正式测试中的客观表现不一致。在进行 ADRD 神经心理评估时,如果不能充分评估情绪以了解认知和/或功能变化的性质,可能会造成误诊,并导致对这一人群的干预延迟、过早和/或不当。
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来源期刊
CiteScore
4.60
自引率
7.70%
发文量
358
审稿时长
6-12 weeks
期刊介绍: The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.
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