Evidence map›Paper›PMID 27350776›Full record

ArticleDementia and geriatric cognitive disorders extra

Trajectories of Depressive Symptomatology in Rural Memory Clinic Patients between Baseline Diagnosis and 1-Year Follow-Up.

Julie G Kosteniuk, Debra G Morgan, Megan E O'Connell, Andrew Kirk, Margaret Crossley, Norma J Stewart, Chandima P Karunanayake

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Article in Dementia and geriatric cognitive disorders extra. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Julie G KosteniukCanadian Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Sask., Canada.
Debra G MorganCanadian Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Sask., Canada.
Megan E O'ConnellDepartment of Psychology, University of Saskatchewan, Saskatoon, Sask., Canada.
Andrew KirkDivision of Neurology, University of Saskatchewan, Saskatoon, Sask., Canada.
Margaret CrossleyDepartment of Psychology, University of Saskatchewan, Saskatoon, Sask., Canada.
Norma J StewartCollege of Nursing, University of Saskatchewan, Saskatoon, Sask., Canada.
Chandima P KarunanayakeCanadian Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Sask., Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo investigate the prevalence and trajectories of depressive symptomatology at 1-year follow-up, and the severity of depressive symptoms, by dementia diagnostic group, as well as to determine the predictors of depressive symptomatology at 1-year follow-up.

methodsIn rural and remote patients of an interdisciplinary memory clinic between 2004 and 2014, 144 patients diagnosed with no cognitive impairment (NCI), mild cognitive impairment, dementia due to Alzheimer's disease (AD), or non-AD dementia completed the Center for Epidemiologic Studies of Depression Scale to assess depressive symptomatology at both time points.

resultsAmong patients with data at both time points, persistence of depressive symptomatology at follow-up occurred in 22.2%, remission in 17.4%, incidence in 13.2%, and absence in 47.2%. The prevalence of depressive symptomatology at baseline and persistence at follow-up were significantly greater in the NCI group than in the other diagnostic groups, but there were no differences in severity. Depressive symptomatology at follow-up was independently associated with depressive symptomatology, lower independence in activities of daily living, and lower self-rating of memory at baseline, as well as with decreased independence in activities of daily living between time points.

conclusionFuture studies should further examine short-term postdiagnostic trajectories in depressive symptomatology in multiple dementia diagnostic groups to inform prognoses and treatment decisions.

Indexed as

Alzheimer's diseaseDementiaDepressionDepressive symptomsMemory clinicMild cognitive impairmentRural population

Identifiers

PMID27350776
PMCPMC4913763

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