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Association between Changes in Depressive State and Cognitive Function

Author

Listed:
  • Jae Han Kim

    (Premedical Courses, Yonsei University College of Medicine, Seoul 03722, Korea
    Equal contributors.)

  • Youngjoo Kim

    (Premedical Courses, Yonsei University College of Medicine, Seoul 03722, Korea
    Equal contributors.)

  • Junhyun Kwon

    (Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea
    Institute of Health Services Research, Yonsei University, Seoul 03722, Korea)

  • Eun-Cheol Park

    (Institute of Health Services Research, Yonsei University, Seoul 03722, Korea
    Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea)

Abstract

Dementia is defined as a severe form of cognitive impairment. Research concerning the two-way relationship between depression and cognitive impairment has been conducted; however, there has been little analysis of cognitive function following changes in depressive status. This study describes the association between changes in depressive state and cognitive function in a Korean geriatric population sample. Using the Korean Longitudinal Study of Aging (KLoSA) database, Mini-Mental State Examination (MMSE) scores and Center for Epidemiologic Studies Depression Scale (CESD-10) indexes were used for measuring cognitive function and depression, respectively. The survey population was divided into four case categories by change in depressive status: normal to normal (Group A), normal to depressive (Group B), depressive to normal (Group C), and depressive to depressive (Group D). Analysis of variance, multiple regression analysis, and subgroup analysis were used for statistical examination. In the multiple regression analysis between MMSE values and depressive status change groups, with Group A as the reference, β in all other groups was negative, and its absolute value was large in the order of D, B, and C in both men (B: −0.717, C: −0.416, D: −1.539) and women (B: −0.629, C: −0.430, D: −1.143). There were also significant results in the subgroup analysis in terms of age, working status, participation in social activities, regular physical activities, and number of chronic medical conditions. In conclusion, both cases—those suffering from depression and those having suffered from it before—experience cognitive impairment. The degree of cognitive function being impaired is greater in the case of depression-onset than that of depression-remission. Age, stimulating activities, and chronic conditions are also strongly relevant to cognitive decline accompanied by changes in depressive state.

Suggested Citation

  • Jae Han Kim & Youngjoo Kim & Junhyun Kwon & Eun-Cheol Park, 2019. "Association between Changes in Depressive State and Cognitive Function," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:4944-:d:294808
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    Cited by:

    1. Zi Zhou & Lun Cai & Jian Fu & Yaofeng Han & Ya Fang, 2020. "Hypothetical Interventions on Risk Factors for Cognitive Impairment among Chinese Older Adults: An Application of the Parametric G-Formula," IJERPH, MDPI, vol. 17(3), pages 1-11, February.

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