Depressive Symptoms Are Associated with Cognitive Function in the Elderly with Type 2 Diabetes

Elizabeth Guerrero-Berroa, Ramit Ravona-Springer, James Schmeidler, Anthony Heymann, Laili Soleimani, Mary Sano, Derek Leroith, Rachel Preiss, Ruth Zukran, Jeremy M. Silverman, Michal Schnaider Beeri

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Background: Type 2 diabetes (T2D) is a metabolic condition associated with poor clinical and cognitive outcomes including vascular disease, depressive symptoms, cognitive impairment, and dementia. In the general elderly population, depression has been consistently identified as a risk factor for cognitive impairment/decline. However, the association between depression and cognitive function in T2D has been understudied. Objective: We investigated the association between depression and cognitive function in a large sample of cognitively normal elderly with T2D. Methods: In this cross-sectional study, we examined 738 participants, aged 65–88 years old, enrolled in the Israel Diabetes and Cognitive Decline study. For each cognitive domain (Episodic Memory, Executive Function, Attention/Working Memory, Language/Semantic Categorization) and Overall Cognition, multiple linear regressions assessed its association with depression (score greater than 5 on the 15-item version of the Geriatric Depression Scale [GDS]), adjusting for age, sex, and education. Results: Depression (n = 66, 8.9%) was associated with worse performance on tasks of Executive Function (p = 0.004), Language/Semantic Categorization (p < 0.001), and Overall Cognition (p < 0.002), but not Episodic Memory (p = 0.643) or Attention/Working Memory (p = 0.488). Secondary analyses using GDS as a continuous variable did not substantially change the results. Adjusting also for a history of antidepressant medication use slightly weakened the findings. Conclusion: Significant associations of depression with several cognitive domains and Overall Cognition even in cognitively normal elderly with T2D, suggest that depression may have a role in impaired cognitive function in T2D, which may be attenuated by antidepressants.

Original languageEnglish
Pages (from-to)683-692
Number of pages10
JournalJournal of Alzheimer's Disease
Volume65
Issue number2
DOIs
StatePublished - 21 Aug 2018

Keywords

  • Cognitive domains
  • cognitive function
  • depressive symptoms
  • diabetes

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