A cross-cultural comparison of the phenotype of depression as measured by the Cornell Scale and the MADRS in two elderly outpatient populations

Knapskog, Anne-Brita; Portugal, Maria da Glória; Barca, Maria Lage; Coutinho, Evandro Silva Freire; Laks, Jérson; Engedal, Knut

doi:10.1016/j.jad.2012.06.003

Cited by 8 publications

(3 citation statements)

References 36 publications

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“…However, this information is important for politicians and health care planners in these countries as they plan for providing adequate care for older adults in need of in-home care. The Cornell Scale for Depression in Dementia (CSDD) [14], which is validated for use in people with and without dementia [14–17] and is widely used in clinical settings and research [18–20], is a useful tool to assess depressive symptoms among older adults receiving in-home care.…”

Section: Introductionmentioning

confidence: 99%

The course of depressive symptoms with decline in cognitive function - a longitudinal study of older adults receiving in-home care at baseline

et al. 2019

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Background Depressive symptoms in old age are common, but the prevalence, persistence, and incidence of depressive symptoms in older adults with and without dementia receiving in-home care is less well studied, and descriptions of the relationship between severity of cognitive decline and depressive symptoms over time is, to our knowledge, lacking. The aim of the present study was to describe the prevalence, incidence and persistence of depressive symptoms over a 36-month follow-up period among older adults receiving in-home care at baseline, and to explore the association between cognitive function and the course of depressive symptoms over time. Methods In all, 1001 older people (≥ 70 years) receiving in-home care were included in a longitudinal study with three assessments over 36 months. Depressive symptoms were assessed using the Cornell Scale for Depression in Dementia. Clinical Dementia Rating Scale, diagnosis of dementia and mild cognitive impairment, general medical health, personal and instrumental activities of daily living, neuropsychiatric symptoms and the use of psychotropic medication were evaluated during the three assessments. Baseline demographic characteristics and information on nursing home residency at follow-up were recorded. Linear mixed models were estimated. Results The baseline prevalence and cumulative incidence of single depressive symptoms were higher in those with dementia at baseline than in those without dementia. The persistence of depressive symptoms did not differ between those with or without dementia at baseline. The severity of cognitive impairment and mean depressive symptom score assessed simultaneously were positively associated, but the strength of the association changed over time and was not significant at the last assessment. Furthermore, being younger, female, in very poor physical health, with neuropsychiatric symptoms and not becoming a nursing home resident were associated with more depressive symptoms when assessed simultaneously. Conclusion The baseline prevalence and cumulative incidence of depressive symptoms in those with and without dementia at baseline, as well as the relationship we found between the degree of cognitive decline and depressive symptoms over time show that depression and dementia are interconnected. Nurses and clinicians should pay attention to cognitive status when observing or evaluating depression among older adults receiving in-home care.

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Section: Introductionmentioning

confidence: 99%

The course of depressive symptoms with decline in cognitive function - a longitudinal study of older adults receiving in-home care at baseline

et al. 2019

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“…Symptoms include mood-related signs, behavioral disturbance, physical signs, cyclic functions, and ideational disturbance. 36 The scale has been shown to have cross-cultural variability, 37 and we used the country-specific cut-off of 5/6 points, established in a memory clinic population, was used to categorize patients as having depressive symptoms or not. 38…”

Section: Depressive Symptomsmentioning

confidence: 99%

Mobility and Depressive Symptoms in Persons With Mild Cognitive Impairment and Alzheimer Dementia

Flugon

Jøranson

Tangen

2021

Journal of Neurologic Physical Therapy

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Background and Purpose: Persons with mild cognitive impairment (MCI) and Alzheimer dementia (AD) often experience gait and balance disturbances and depressive symptoms alongside their cognitive impairment. The aim of this study was to explore the relationship between mobility and depressive symptoms in community-dwelling persons with MCI and mild to moderate AD. Methods: Ninety-nine participants with MCI and AD from the memory clinic at Oslo University Hospital, Ullevål, Norway, were included. The Balance Evaluation Systems Test (BESTest), 10-m walk test regular (gait speed), and dual task (naming animals, dual-task cost in percent) were used to assess mobility. The Cornell Scale for Depression in Dementia, with validated cut-off 5/6 points, was used to assess presence of depressive symptoms. Multiple regression analysis was used to explore the relationship between mobility (3 separate models) and depressive symptoms, controlled for demographic factors, comorbidity, and Mini-Mental State Examination. Results: One-third of the participants had depressive symptoms, mean (SD) gait speed was 1.09 (0.3) m/s, and median (interquartile range) BESTest percent score was 81.5 (17.6). No statistically significant associations were found between depression and BESTest, gait speed or dual-task cost, neither in the simple models (P = 0.15-0.85), nor in the 3 multivariate models (P = 0.57-0.69). Discussion and Conclusions: In this study, we found no associations between mobility and depressive symptoms in persons with MCI and AD recruited at a memory clinic. Few participants had major symptoms of depression, which may have influenced the results. Longitudinal studies are needed to explore the long-time associations between mobility and depression.

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“…The authors further classified the factors in mood ("mood") and non-mood factors ("physical," "cyclic," "retardation" and "behavioral") (Barca, Engedal, Laks, et al, 2010). Knapskog et al reported cultural variations between how caregivers in Norway and Brazil rate the CSDD items (Knapskog, Portugal Mda, et al, 2013). Additionally, various longitudinal studies on the effect on medications in patients with dementia have used the CSDD to assess depression (Banerjee et al, 2011;Bergh, Selbaek, & Engedal, 2012;Weintraub et al, 2010).…”

Section: The Cornell Scale For Depression In Dementia -Csddmentioning

confidence: 99%

The validity of the Montgomery–Aasberg depression rating scale as a screening tool for depression in later life

Engedal¹,

Kvaal²,

Korsnes³

et al. 2012

Journal of Affective Disorders

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A cross-cultural comparison of the phenotype of depression as measured by the Cornell Scale and the MADRS in two elderly outpatient populations

Cited by 8 publications

References 36 publications

The course of depressive symptoms with decline in cognitive function - a longitudinal study of older adults receiving in-home care at baseline

The course of depressive symptoms with decline in cognitive function - a longitudinal study of older adults receiving in-home care at baseline

Mobility and Depressive Symptoms in Persons With Mild Cognitive Impairment and Alzheimer Dementia

The validity of the Montgomery–Aasberg depression rating scale as a screening tool for depression in later life

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