Title | Executive dysfunction and disability in elderly patients with major depression. |
Publication Type | Journal Article |
Year of Publication | 2001 |
Authors | Kiosses DN, Klimstra S, Murphy C, Alexopoulos GS |
Journal | Am J Geriatr Psychiatry |
Volume | 9 |
Issue | 3 |
Pagination | 269-74 |
Date Published | 2001 Summer |
ISSN | 1064-7481 |
Keywords | Activities of Daily Living, Aged, Aged, 80 and over, Alzheimer Disease, Cognition Disorders, Depressive Disorder, Major, Disability Evaluation, Female, Humans, Male, Neuropsychological Tests, Severity of Illness Index |
Abstract | The authors studied 126 elderly patients without dementia and with unipolar major depression. Impairment in instrumental activities of daily living (IADLs) was significantly associated with age (P<0.0001), gender (P<0.001), medical burden (P=0.013), severity of depression (P=0.01), initiation/perseveration (IP; P=0.035), and IP x depression (P=0.029). Depression was associated with IADL impairment mainly in patients with impaired IP. Among the cognitive impairments, IP-only contributed significantly to IADL impairment, whereas attention, construction, conceptualization, and memory did not. Attention to executive function and disability may guide clinical management and lead to development of innovative pharmacological and behavioral interventions. |
Alternate Journal | Am J Geriatr Psychiatry |
PubMed ID | 11481135 |
Grant List | P30 MH49762 / MH / NIMH NIH HHS / United States R01 MH42819 / MH / NIMH NIH HHS / United States R01 MH51842 / MH / NIMH NIH HHS / United States R01 MH59366 / MH / NIMH NIH HHS / United States T32 MH19132 / MH / NIMH NIH HHS / United States |