The relationship between depression and subjective cognitive decline in older adults of China: the mediating role of general self-efficacy

Su, Hong; Zhou, Yuqiu; Sun, Yujing; Cai, Yunjiang

doi:10.1080/13548506.2022.2125165

Cited by 13 publications

(22 citation statements)

References 30 publications

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“…[18], and adapted by Hao et al [27], adopted in this study, includes different domains of subjective cognitive decline, such as overall memory function and temporal comparison. Multiple studies have con rmed that SCD-Q9 can be used to distinguish healthy people from those with early cognitive impairment [28][29][30]. This was also con rmed in the present study, where the Cronbach coe cient of the questionnaire was 0.845.…”

Section: Prevalence Of Scd In Mhd Patientssupporting

confidence: 85%

Prevalence, associated factors and clinical implications of subjective cognitive decline linked to frailty in patients receiving maintenance hemodialysis: A cross-sectional study

Li,

Gao,

et al. 2024

Preprint

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Background Subjective cognitive decline (SCD) significantly increases a patient's risk of long-term cognitive decline and is common in adults. However, few studies have evaluated patients with end-stage renal disease receiving maintenance hemodialysis (MHD). In addition, the relationship between frailty and SCD in MHD patients remains unclear. Therefore, this study aims to assess the potential factors affecting SCD in MHD patients and to investigate the relationship between frailty and SCD. Methods This is a cross-sectional study. From December 2023 to April 2024, using convenience sampling method, a total of 171 patients from West China Hospital of Sichuan University were recruited to participate in this study. The demographic and sociological characteristics of the participants were assessed using a general information questionnaire. The subjective cognitive decline - questionnaire 9 (SCD - Q9), the Tilburg frailty indicator (TFI), the subjective global nutritional assessment (SGA) and grip dynamometer were used to assess participants' subjective cognitive level, frailty, nutrition status, and grip strengh, respectively. Univariate analyses examined potential factors associated with SCD. Linear regression was used to analyze the relationship between these factors and SCD. Spearman's correlation was used to assess the association between SCD and frailty. Results The 171 maintenance hemodialysis patients with subjective cognitive decline scores were 4.00 (2.00–7.00), and 95 patients (55.56%) with scores > 3 presented SCD. Linear regression analysis showed that gender, work status, grip strength, SGA, and frailty were influential factors in MHD, explaining a total of 38.80% of the total variation in SCD. Spearman's analysis showed that SCD was positively correlated with frailty in MHD patients (r = 0.431, P<0.001). Conclusions The prevalence of SCD in patients with MHD is common and correlates with certain patient characteristics, including gender, work status, grip strength, SGA, and frailty. Healthcare workers should pay attention to the assessment of subjective cognitive function in this population, stay alert to the risk factors of SCD, and take targeted interventions as early as possible, which can help to improve the quality of survival and slow down the occurrence of cognitive impairment.

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Section: Prevalence Of Scd In Mhd Patientssupporting

confidence: 85%

Prevalence, associated factors and clinical implications of subjective cognitive decline linked to frailty in patients receiving maintenance hemodialysis: A cross-sectional study

Li,

Gao,

et al. 2024

Preprint

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“…On the other hand, the correlations with the A-MMSE and MoCA tests were modest; values greater than 0.60 are generally expected. Scores for depressive symptoms have been found to have a mild to moderate correlation with different measures of major cognitive impairment [37][38][39][40]. This observation justifies further studies to corroborate this finding and, in the best of cases, test performance against a structured interview for major cognitive impairment.…”

Section: Discussionmentioning

confidence: 55%

Psychometric Performance of the Memory Complain Scale among Colombian Individuals of 60 Years and Older

Campo‐Arias¹,

Ortíz²

2023

Dement Geriatr Cogn Disord

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Introduction: The Memory Complaint Scale (MCS-15) is a 15-item instrument to explore frequent forgetfulness in daily life in people with possible cognitive impairment. However, knowledge about its psychometric performance is limited. Objective: The objective of this study was to know the dimensionality and internal consistency of the MCS-15 in Colombian older adults. Methods: A probabilistic sample of 1,957 older adults from the general Colombian population was taken, aged between 60 and 98 years (mean = 71.0 ± 7.9), and 62.2% were women. Internal consistency (Cronbach’s alpha and McDonald’s omega) and dimensionality (exploratory and confirmatory factor analysis) were calculated for the original and ten-item versions. Results: The 15-item version showed Cronbach’s alpha and McDonald’s omega of 0.91, and one dimension accounted for 45.3% of the variance. A version of ten items showed Cronbach’s alpha and McDonald’s omega of 0.89 and a single factor that explained 50.9% of the variance with better indicators in the confirmatory factor analysis. Convergence with the shortened Mini-Mental State Examination was rs = 0.43 (p < 0.001), and the Montreal Cognitive Assessment test was rs = 0.38 (p < 0.001). The nomological validity with the geriatric depression scale was rs = 0.44 (p < 0.001), and women scored higher than men (p < 0.001). Conclusions: The MCS-15 shows high internal consistency with poor dimensionality. However, a ten-item version shows high internal consistency and a clear one-dimensional structure. More research is needed: testing the performance against a structured interview for major cognitive impairment.

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“…In addition to CoI, CKD leads to emotional changes, frequently leading to depression among patients with CKD; these individuals exhibit comparable changes in regional cerebral blood ow to those with mood disorders [58]. In ammatory responses and cerebrovascular diseases are factors in uencing depression in patients with CKD [45]. In ammatory cytokines, hypothalamic-pituitary-adrenal (HPA) axis dysregulation, and oxidative stress have been implicated in the pathogenesis of depression [59].…”

Section: Discussionmentioning

confidence: 99%

“…These mechanisms might serve as the pathophysiological links between CKD and concurrent depression. The endothelial function of cerebral arteries is impaired during CKD [61], and the resulting vascular damage could cause brain white matter damage, cerebral infarction, or hemorrhage, leading to depression or CoI [45].…”

Section: Discussionmentioning

confidence: 99%

Association of cognitive impairment with the interaction between chronic kidney disease and depression: Findings from NHANES 2011-2014

Zhou,

Zhao,

et al. 2023

Preprint

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Background: Cognitive impairment (CoI), chronic kidney disease (CKD), and depression are prevalent among older adults and are interrelated, imposing a significant disease burden. This study evaluates the association of CKD and depression with CoI and explores their potential interactions. Method: Data for this study were sourced from the 2011-2014 National Health and Nutritional Examination Survey (NHANES). Multiple binary logistic regression models assessed the relationship between CKD, depression, and CoI while controlling for confounders. The interactions were measured using the relative excess risk of interaction (RERI), the attributable proportion of interaction (AP), and the synergy index (S). Results: A total of 2,666 participants (weighted n=49,251,515) were included in the study, of which 700 (16.00%) had CoI. After adjusting for confounding factors, the risk of CoI was higher in patients with CKD compared to non-CKD participants (odds ratio [OR]=1.48, 95% confidence interval [CI]:1.11–1.97). The risk of CoI was significantly increased in patients with depression compared to those without (OR=2.23, 95% CI: 1.68–2.94). Furthermore, there was a significant additive interaction between CKD and depression in terms of the increased risk of CoI (adjusted RERI=1.88, [95% CI: 0.27–3.48], adjusted AP=0.49 [95% CI: 0.24–0.75], adjusted S=2.97 [95% CI: 1.24–7.13]). Conclusion: CKD and depression synergistically affect CoI, particularly when moderate-to-severe depression co-occurs with CKD. Clinicians should be mindful of the combined impact on patients with CoI. Further research is needed to elucidate the underlying mechanisms and assess the effects specific to different CKD stages.

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The relationship between depression and subjective cognitive decline in older adults of China: the mediating role of general self-efficacy

Cited by 13 publications

References 30 publications

Prevalence, associated factors and clinical implications of subjective cognitive decline linked to frailty in patients receiving maintenance hemodialysis: A cross-sectional study

Prevalence, associated factors and clinical implications of subjective cognitive decline linked to frailty in patients receiving maintenance hemodialysis: A cross-sectional study

Psychometric Performance of the Memory Complain Scale among Colombian Individuals of 60 Years and Older

Association of cognitive impairment with the interaction between chronic kidney disease and depression: Findings from NHANES 2011-2014

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