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Objective: The current study was designed to examine associations between depressive symptoms and longitudinal declines in category and letter fluency performance in a gender-stratified sample of older adults.

Method: Participants were community-residing older adults (females: n = 289; males: n = 233) followed annually (2011-2018) as part of a cohort study conducted at Albert Einstein College of Medicine in New York. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS). Standard forms assessed category and letter fluency performance. Participants were dementia-free during study enrollment.

Results: The presence of baseline depressive symptoms suggestive of subclinical depression was associated with a worse longitudinal decline in category fluency performance in female but not male participants. These associations remained significant when excluding participants with prevalent and incident mild cognitive impairment and incident dementia. Irrespective of gender, letter fluency performance did not decline over time and was not influenced by the presence of depressive symptoms.

Discussion: The present study's results can aid in identification of older adults who may be at greater risk for cognitive decline, and add to the limited literature examining the influence of gender on longitudinal associations between depressive symptoms and verbal fluency performance.

Titel:	Depressive Symptoms are Associated with Decline Over Time in Verbal Fluency Performance in Female but Not Male Community-Dwelling Older Adults.
Autor/in / Beteiligte Person:	Wasserman, JS ; Holtzer, R
Zeitschrift:	Experimental aging research, Jg. 50 (2024-05-01), Heft 3, S. 360-375
Veröffentlichung:	<2005->: New York : Routledge ; <i>Original Publication</i>: Bar Harbor, Me., EAR, inc., 2024
Medientyp:	academicJournal
ISSN:	1096-4657 (electronic)
DOI:	10.1080/0361073X.2023.2195295
Schlagwort:	Male Humans Female Aged Cohort Studies Longitudinal Studies Independent Living Aging psychology Depression epidemiology Cognitive Dysfunction epidemiology Cognitive Dysfunction psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Exp Aging Res] 2024 May-Jun; Vol. 50 (3), pp. 360-375. <i>Date of Electronic Publication: </i>2023 Mar 29. MeSH Terms: Depression* / epidemiology ; Cognitive Dysfunction* / epidemiology ; Cognitive Dysfunction* / psychology ; Male ; Humans ; Female ; Aged ; Cohort Studies ; Longitudinal Studies ; Independent Living ; Aging / psychology References: Arch Gerontol Geriatr. 2020 Mar - Apr;87:104002. (PMID: 31881393) ; Appl Neuropsychol Adult. 2023;30(5):521-527. (PMID: 34362278) ; PLoS One. 2016 Nov 30;11(11):e0166238. (PMID: 27902709) ; Soc Psychiatry Psychiatr Epidemiol. 2015 Jan;50(1):133-41. (PMID: 24912401) ; Arch Clin Neuropsychol. 2008 Sep;23(5):531-41. (PMID: 18572380) ; J Gerontol B Psychol Sci Soc Sci. 2006 Jan;61(1):P33-45. (PMID: 16399940) ; Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2012;19(4):515-29. (PMID: 22221146) ; Compr Psychiatry. 2017 May;75:22-26. (PMID: 28285181) ; J Int Neuropsychol Soc. 2006 Jul;12(4):570-4. (PMID: 16981610) ; Am J Geriatr Psychiatry. 2008 Apr;16(4):318-30. (PMID: 18378557) ; Psychol Rev. 1996 Jul;103(3):403-28. (PMID: 8759042) ; Acta Neuropsychiatr. 2006 Dec;18(6):271-2. (PMID: 27397239) ; Neuropsychology. 2006 Mar;20(2):215-23. (PMID: 16594782) ; Psychol Methods. 2018 Sep;23(3):389-411. (PMID: 29172609) ; Psychol Aging. 2009 Jun;24(2):507-12. (PMID: 19485667) ; Geriatrics (Basel). 2017 Nov 15;2(4):. (PMID: 31011045) ; Am J Psychiatry. 2006 Sep;163(9):1611-21. (PMID: 16946188) ; Soc Sci Med. 1999 Feb;48(4):445-69. (PMID: 10075171) ; Appl Neuropsychol Adult. 2023 Jan-Feb;30(1):110-119. (PMID: 33969762) ; Trials. 2012 Nov 20;13:217. (PMID: 23171483) ; Am J Geriatr Psychiatry. 2014 Apr;22(4):370-80. (PMID: 23567427) ; Brain Lang. 1989 Oct;37(3):500-13. (PMID: 2529947) ; J Women Aging. 2011;23(4):305-20. (PMID: 22014220) ; Appl Neuropsychol. 2004;11(1):37-46. (PMID: 15471745) ; Int J Geriatr Psychiatry. 2007 Jun;22(6):557-62. (PMID: 17136706) ; J Anxiety Disord. 2013 Aug;27(6):567-75. (PMID: 23298889) ; Am J Geriatr Psychiatry. 2007 Jun;15(6):497-505. (PMID: 17545450) ; Asian J Psychiatr. 2017 Apr;26:124-128. (PMID: 28483073) ; Biomedicines. 2020 Oct 28;8(11):. (PMID: 33126696) ; Arch Neurol. 1992 Dec;49(12):1253-8. (PMID: 1449404) ; Neuropsychologia. 2004;42(9):1212-22. (PMID: 15178173) ; Aging Ment Health. 2013;17(6):773-83. (PMID: 23557213) ; J Clin Exp Neuropsychol. 2006 May;28(4):495-508. (PMID: 16624780) ; J Affect Disord. 2010 Dec;127(1-3):185-90. (PMID: 20573404) ; J Psychiatr Res. 2012 Dec;46(12):1662-6. (PMID: 23017811) ; Am J Geriatr Psychiatry. 2020 Jan;28(1):64-71. (PMID: 31186157) ; J Psychiatr Res. 1982-1983;17(1):37-49. (PMID: 7183759) ; Gerontologist. 2006 Feb;46(1):23-32. (PMID: 16452281) ; Clin Geriatr Med. 2013 Nov;29(4):737-52. (PMID: 24094294) ; JAMA. 2008 Aug 20;300(7):823-30. (PMID: 18714062) ; Am J Public Health. 1994 Apr;84(4):565-70. (PMID: 8154557) ; Clin Neuropsychol. 2003 May;17(2):195-202. (PMID: 13680426) ; Arch Clin Neuropsychol. 2005 Jul;20(5):561-73. (PMID: 15939182) ; Am J Alzheimers Dis Other Demen. 2009 Dec-2010 Jan;24(6):461-8. (PMID: 19759254) ; Gerontologist. 2008 Oct;48(5):593-602. (PMID: 18981276) ; Psychiatry Clin Neurosci. 2005 Oct;59(5):563-9. (PMID: 16194259) ; J Affect Disord. 1993 Oct-Nov;29(2-3):85-96. (PMID: 8300981) ; Age (Dordr). 2014 Feb;36(1):373-81. (PMID: 23943111) ; BMC Public Health. 2022 Feb 11;22(1):283. (PMID: 35148744) ; Arch Gen Psychiatry. 2006 May;63(5):530-8. (PMID: 16651510) ; Brain Lang. 1983 May;19(1):124-41. (PMID: 6860932) ; Lancet Psychiatry. 2016 Jul;3(7):628-35. (PMID: 27138970) ; Curr Dir Psychol Sci. 2004;13(1):21-24. (PMID: 18414600) ; Neurology. 2004 Feb 24;62(4):556-62. (PMID: 14981170) ; Int J Geriatr Psychiatry. 2013 Dec;28(12):1280-7. (PMID: 23553681) ; J Epidemiol Community Health. 2018 Aug;72(8):685-694. (PMID: 29691286) ; N Engl J Med. 2014 Sep 25;371(13):1228-36. (PMID: 25251617) ; Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2012 Nov;19(6):759-68. (PMID: 22670852) ; Am J Geriatr Psychiatry. 2010 Jun;18(6):531-43. (PMID: 20220602) ; Psychol Aging. 2016 Mar;31(2):166-75. (PMID: 26796792) ; BMJ. 2012 Jan 05;344:d7622. (PMID: 22223828) Grant Information: R01 AG036921 United States AG NIA NIH HHS; R01 AG044007 United States AG NIA NIH HHS Entry Date(s): Date Created: 20230329 Date Completed: 20240401 Latest Revision: 20240401 Update Code: 20240401 PubMed Central ID: PMC10539484

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Depressive Symptoms are Associated with Decline Over Time in Verbal Fluency Performance in Female but Not Male Community-Dwelling Older Adults.