Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-17T15:18:44.630Z Has data issue: false hasContentIssue false
  • English
  • Français

Depressive symptomatology and cognitive functioning: an epidemiological survey in an elderly community sample in France

Published online by Cambridge University Press:  09 July 2009

R. Fuhrer ,
T. C. Antonucci ,
M. Gagnon ,
J.-F. Dartigues ,
P. Barberger-Gateau  and
A. Alperovitch
R. Fuhrer*
Affiliation:
Institut National de la Santé et de la Recherche Médicate (INSERM), Unit 169, Villejuif, France; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA; INSERM Unit 330, University of Bordeaux II, France
T. C. Antonucci
Affiliation:
Institut National de la Santé et de la Recherche Médicate (INSERM), Unit 169, Villejuif, France; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA; INSERM Unit 330, University of Bordeaux II, France
M. Gagnon
Affiliation:
Institut National de la Santé et de la Recherche Médicate (INSERM), Unit 169, Villejuif, France; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA; INSERM Unit 330, University of Bordeaux II, France
J.-F. Dartigues
Affiliation:
Institut National de la Santé et de la Recherche Médicate (INSERM), Unit 169, Villejuif, France; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA; INSERM Unit 330, University of Bordeaux II, France
P. Barberger-Gateau
Affiliation:
Institut National de la Santé et de la Recherche Médicate (INSERM), Unit 169, Villejuif, France; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA; INSERM Unit 330, University of Bordeaux II, France
A. Alperovitch
Affiliation:
Institut National de la Santé et de la Recherche Médicate (INSERM), Unit 169, Villejuif, France; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA; INSERM Unit 330, University of Bordeaux II, France
*
1 Address for correspondence: Dr Rebecca Fuhrer, INSERM Unit 169, 16 Avenue P. V. Couturier, 94807 Villejuif Cédex, France.
Get access Rights & Permissions [Opens in a new window]

Synopsis

As part of a 5-year, prospective, epidemiological survey of normal and pathological ageing, this cross-sectional analysis examines the relationship between depressive symptomatology (CES-D) and cognitive functioning (MMS) in a community sample of 2792 non-institutionalized persons (age ≥ 65) living in Southwest France. Of the sample, 13·4%, report depressive symptoms above the cut-off. A significant association was found between CES-D and MMS scores, but after adjusting for age, living arrangements, and especially functional limitations, the relationship remained strong only for women.

Type
Original Articles
Information
Psychological Medicine , Volume 22 , Issue 1 , February 1992 , pp. 159 - 172
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Referemces

Anthony, J. C., Leresche, L., Niaz, U., Von, K. O. R. F. & Folstein, M. F. (1982). Limits of the ‘mini-mental state’ as a screening test for dementia and delirium among hospital patients. Psychological Medicine 12, 397–408.CrossRefGoogle ScholarPubMed
Antonucci, T. C. & Akiyama, H. (1987). Social networks in adult life and a preliminary examination of the convoy model. Journal of Gerontology 42, 519–527.CrossRefGoogle Scholar
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 53–63.CrossRefGoogle ScholarPubMed
Berkman, L. F., Berkman, C. S., Kasl, S., Freeman, D. H., Leo, L., Ostfeld, A.M., Cornoni-Huntley, J. & Brody, J. A. (1986). Depressive symptoms in relation to physical health and functioning in the elderly. American Journal of Epidemiology 124, 372–388.CrossRefGoogle ScholarPubMed
Binstock, R. H. & George, L. K. (1990). Handbook of Aging and the Social Sciences. Academic Press: San Diego, California.Google Scholar
Blazer, D. (1989). Depression in the elderly. New England Journal of Medicine 320, 164–166.CrossRefGoogle ScholarPubMed
Blazer, D. & Williams, C. D. (1980). Epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry 137, 439–444.Google Scholar
Blazer, D., Hughes, D. C. & George, L. K. (1987). The epidemiology of depression in an elderly community population. Gerontologist 27, 281–287.CrossRefGoogle Scholar
Blazer, D. G. & Houpt, J. L. (1979). Perception of poor health in the healthy older adult. Journal of the American Geriatrics Society 27, 330–334.CrossRefGoogle ScholarPubMed
Carpiniello, B., Carta, M. G. & Rudas, N. (1989). Depression among elderly people: a psychosocial study of urban and rural populations. Acta Psychiatrica Scandinavica 80, 445–450.CrossRefGoogle ScholarPubMed
Comstock, G. W. & Helsing, K. J. (1976). Symptoms of depression in two communities. Psychological Medicine 6, 551–563.CrossRefGoogle ScholarPubMed
Cornoni-Huntley, J., Brock, D. B., Ostfeld, A. M., Taylor, J. O. & Wallace, R. B. (1986). Established Populations for Epidemiologic Studies of the Elderly: Resource Data Book. National Institute on Aging: Washington, DC.Google Scholar
Dartigues, J. F., Barberger-Gateau, P., Gagnon, M., Commenges, D., Alperovitch, A., Decamps, A. & Salamon, R. (1991). PAQUID: Etude épidémiologue du vieillissement normal et pathologique. Revue de Gériatrie 16, 5–15.Google Scholar
Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. (1980). American Psychiatric Association: Washington, DC.Google Scholar
Eaton, W. W. & Kessler, L. G. (1981). Rates of symptoms of depression in a national sample. American Journal of Epidemiology 114, 528–538.CrossRefGoogle ScholarPubMed
Fillenbaum, G. G., Hughes, D. C., Heyman, A., George, L. K. & Blazer, D. G. (1988). Relationship of health and demographic characteristics to Mini-Mental Slate Examination score among community residents. Psychological Medicine 18, 719–726.CrossRefGoogle Scholar
Folstein, M. F. & McHugh, P. R. (1978). Dementia syndrome of depression. In Alzheimer's Disease: Senile Dementia and Related Disorders (ed. Katzman, R., Terry, R. D. and Bick, K. L.), 7, 87–96. Raven Press: New York.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975). Mini-mental state. A practical method of grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12, 189–198.CrossRefGoogle Scholar
Frerichs, R. R., Aneshensel, C. S. & Clark, V. A. (1981). Prevalence of depression in Los Angeles County. American Journal of Epidemiology 113, 691–699.CrossRefGoogle ScholarPubMed
Fuhrer, R. & Rouillon, F. (1989). La version française de l'échelle CES-D (Center for Epidemiologic Studies–Depression Scale). Description et traduction de l'échelle d'autoévaluation. Psychiatrie et Psychobiologie 4, 163–166.CrossRefGoogle Scholar
Griffiths, R. A., Good, W. R., Watson, N. P., O'Donnell, H. F., Fell, P. & Shakespeare, J. M. (1987). Depression, dementia and disability in the elderly. British Journal of Psychiatry 150, 482–493.CrossRefGoogle ScholarPubMed
Gurland, B. J. (1976). The comparative frequency of depression in various adult age groups. Journal of Gerontology 31, 283–291.CrossRefGoogle ScholarPubMed
Gurland, B. J., Copeland, J., Kuriansky, J., Kelleher, M., Sharpe, L. & Dean, L. (1983). The Mind and Mood of Aging. Croom Helm: London.Google Scholar
Henderson, A. S. (1990). Co-occurrence of affective and cognitive symptoms: the epidemiological evidence. Dementia 1, 119–123.Google Scholar
Henderson, A. S., Grayson, D. A., Scott, R., Wilson, J., Rickwood, D. & Kay, W. K. (1986). Social support, dementia and depression among the elderly living in the Hobart community. Psychological Medicine 16, 379–390.CrossRefGoogle ScholarPubMed
Hertzog, C., Vanalstine, J., Usala, P. D., Hultsch, D. F. & Dixon, R. (1990). Measurement properties of the Center for Epidemiological Studies Depression Scale (CES-D) in older populations. Psychological Assessment 2, 64–72.CrossRefGoogle Scholar
Himmelfarb, S. (1984). Age and sex differences in the mental health of older persons. Journal of Consulting and Clinical Psychology 52, 844–856.CrossRefGoogle ScholarPubMed
Himmelfarb, S. & Murrell, S. A. (1983). Reliability and validity of five mental health scales in older persons. Journal of Gerontology 38, 333–339.CrossRefGoogle ScholarPubMed
Holzer, C. E., Tischler, G. L., Leaf, P. J. & Myers, J. K. (1984). An epidemiologic assessment of cognitive impairment in a community population. In Research in Community and Mental Health (ed. Greenley, J. R.), pp. 3–32. AI Press: Greenwich, CT.Google Scholar
INSEE (Institut National de la Statistique et des Etudes Economiques) (1985). Recensement Général de la Population de 1982. INSEE: Paris.Google Scholar
Jorm, A. F., Scott, R., Henderson, A. S. & Kay, D. W. K. (1988). Educational level differences on the mini-mental state: the role of test bias. Psychological Medicine 18, 727–731.CrossRefGoogle ScholarPubMed
Katz, S., Downs, T. D., Cash, H. R. & Grotz, R. C. (1970). Progress in development of the index of A.D.L. Gerontologist 10, 20–30.CrossRefGoogle Scholar
Kay, D. W. K., Henderson, A. S., Scott, R., Wilson, J., Rickwood, D. & Grayson, D. A. (1985). Dementia and depression among the elderly living in the Hobart community: the effect of the diagnostic criteria on the prevalence rates. Psychological Medicine 15, 771–788.CrossRefGoogle ScholarPubMed
Kennedy, G. J., Kelman, H. R., Thomas, C., Wisniewski, W., Metz, H. & Bijur, P. E. (1989). Hierarchy of characteristics associated with depressive symptoms in an urban elderly sample. American Journal of Psychiatry 146, 220–225.Google Scholar
Klerman, G., Lavori, P. W., Rice, J., Reich, T., Endicott, J., Andreasen, N. C., Keller, M. B. & Hirschfield, R. M. A. (1985). Birth-cohort trends in rates of major depressive disorder among relatives of patients with affective disorder. Archives of General Psychiatry 42, 657–666.CrossRefGoogle ScholarPubMed
Lawton, M. P. & Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9, 179–186.CrossRefGoogle ScholarPubMed
Lindesay, J., Briggs, K. & Murphy, E. (1989). The Guy's/Age concern survey: prevalence rates of cognitive impairment, depression and anxiety in an urban elderly community. British Journal of Psychiatry 155, 317–329.CrossRefGoogle Scholar
Montgomery, S. A. & Åsberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry 134, 382–389.CrossRefGoogle ScholarPubMed
Murrell, S. A., Himmelfarb, S. & Wright, K. (1983). Prevalence of depression and its correlates in older adults. American Journal of Epidemiology 117, 173–185.CrossRefGoogle ScholarPubMed
Newmann, J. P. (1989). Aging and depression. Psychology and Aging 4, 150–165.CrossRefGoogle ScholarPubMed
Nunnally, J. C. (1978). Psychometric Theory. McGraw Hill: New York.Google Scholar
O'Hara, M. W., Kohout, F. J. & Wallace, R. B. (1985). Depression among the rural elderly: a study of prevalence and correlates. Journal of Nervous and Mental Disease 173, 582–589.CrossRefGoogle ScholarPubMed
Palinkas, L. A., Wingard, D. L. & Barrett-Connor, E. (1990). The biocultural context of social networks and depression among the elderly. Social Science and Medicine 30, 441–447.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1, 385–401.CrossRefGoogle Scholar
Radloff, L. S. & Teri, L. (1986). Use of the Center of Epidemiological Studies-Depression scale with older adults. In Clinical Gerontology (ed. Brink, T. L.), ch. 6, pp. 119–136.Google Scholar
Reding, M. J., Haycox, J. & Blass, J. (1985). Depression in patients referred to a dementia clinic. Archives of Neurology 42, 894–896.CrossRefGoogle ScholarPubMed
Regier, D. A., Myers, J. K., Kramer, M., Robins, L. N., Blazer, D. G., Hough, R. L., Eaton, W. W. & Locke, B. Z. (1984). The NIMH Epidemiologic Catchment Area (ECA) Program: historical context, major objectives, and study population characteristics. Archives of General Psychiatry 41, 934–941.CrossRefGoogle ScholarPubMed
Regier, D. A., Boyd, J. H., Burke, J. D., Rae, D. S., Myers, J. K., Kramer, M., Robins, L. N., George, L. K., Karno, M. & Locke, B. Z. (1988). One-month prevalence of mental disorders in the United States: based on five epidemiologic catchment area sites. Archives of General Psychiatry 45, 977–986.CrossRefGoogle ScholarPubMed
Reifler, B. V., Larson, E. & Hanley, R. (1982). Coexistence of cognitive impairment and depression in geriatric outpatients. American Journal of Psychiatry 139, 623–626.Google ScholarPubMed
SAS User's Guide: Basics and Statistics Manuals – Versions 5.18 Edition. (1985). SAS Institute: Cary, NC.Google Scholar
Scherr, P. A., Albert, M. S., Funkenstein, H. H., Cook, N. R., Hennekens, C. H., Branch, L. G., White, L. R., Taylor, J. O. & Evans, D. A. (1988). Correlates of cognitive function in an elderly community population. American Journal of Epidemiology 128, 1084–1101.CrossRefGoogle Scholar
Scialfa, C. T. & Games, P. A. (1987). Problems with step-wise regression in research on aging and recommended alternatives. Journal of Gerontology 42, 579–583.CrossRefGoogle ScholarPubMed
Sunderland, T., Lawlor, B. A., Molchan, S. E. & Martinez, R. A. (1988). Depressive syndromes in the elderly: special concerns. Psychopharmacology Bulletin 24, 567–576.Google ScholarPubMed
Teri, L. & Lewinsohn, P. M. (1983). Depression and age: prevalence, incidence, and symptom pattern of depression across the life span.Paper presented at the meeting of the Western Psychological Association,San Francisco.Google Scholar
Weinstein, M. C. & Fineberg, H. V. (1980). Clinical Decision Analysis. W. B. Saunders: Philadelphia.Google Scholar
Weissman, M. M. & Myers, J. K. (1978). Affective disorders in a US urban community: the use of research diagnostic criteria in an epidemiological survey. Archives of General Psychiatry 35, 1304–1311.CrossRefGoogle Scholar
Weissman, M. M., Myers, J. K., Tischler, G. L., Holzer, C. E., Leaf, P. J., Orvaschel, H. & Brody, J. A. (1985). Psychiatric disorders (DSM-III) and cognitive impairment among the elderly in a U.S. urban community. Acta Psychiatrica Scandinavica 71, 366–379.CrossRefGoogle Scholar
Zung, W. W. K. (1967). Depression in the normal aged. Psychosomatics 8, 287–292.CrossRefGoogle ScholarPubMed