TY - JOUR
T1 - Relationship Between Cognitive Impairment and Depression Among Middle Aged and Older Adults in Primary Care
AU - Federman, Alex D.
AU - Becker, Jacqueline
AU - Carnavali, Fernando
AU - Rivera Mindt, Monica
AU - Cho, Dayeon
AU - Pandey, Gaurav
AU - Chan, Lili
AU - Curtis, Laura
AU - Wolf, Michael S.
AU - Wisnivesky, Juan P.
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Objectives: To determine rates of previously undetected cognitive impairment among patients with depression in primary care. Methods: Patients ages 55 and older with no documented history of dementia or mild cognitive impairment were recruited from primary care practices in New York City, NY and Chicago, IL (n = 855). Cognitive function was assessed with the Montreal Cognitive Assessment (MoCA) and depression with the Patient Health Questionnaire-8. Results: The mean age was 66.8 (8.0) years, 45.3% were male, 32.7% Black, and 29.2% Latinx. Cognitive impairment increased with severity of depression: 22.9% in persons with mild depression, 27.4% in moderate depression and 41.8% in severe depression (p =.0002). Severe depression was significantly associated with cognitive impairment in multivariable analysis (standardized β = −.11, SE = 0.33, p <.0001). Discussion: Depression was strongly associated with previously undetected cognitive impairment. Primary care clinicians should consider screening, or expand their screening, for both conditions.
AB - Objectives: To determine rates of previously undetected cognitive impairment among patients with depression in primary care. Methods: Patients ages 55 and older with no documented history of dementia or mild cognitive impairment were recruited from primary care practices in New York City, NY and Chicago, IL (n = 855). Cognitive function was assessed with the Montreal Cognitive Assessment (MoCA) and depression with the Patient Health Questionnaire-8. Results: The mean age was 66.8 (8.0) years, 45.3% were male, 32.7% Black, and 29.2% Latinx. Cognitive impairment increased with severity of depression: 22.9% in persons with mild depression, 27.4% in moderate depression and 41.8% in severe depression (p =.0002). Severe depression was significantly associated with cognitive impairment in multivariable analysis (standardized β = −.11, SE = 0.33, p <.0001). Discussion: Depression was strongly associated with previously undetected cognitive impairment. Primary care clinicians should consider screening, or expand their screening, for both conditions.
KW - Montreal Cognitive Assessment
KW - cognition
KW - mental health
UR - http://www.scopus.com/inward/record.url?scp=85187147311&partnerID=8YFLogxK
U2 - 10.1177/23337214231214217
DO - 10.1177/23337214231214217
M3 - Article
AN - SCOPUS:85187147311
SN - 2333-7214
VL - 10
JO - Gerontology and Geriatric Medicine
JF - Gerontology and Geriatric Medicine
ER -