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The Relation Between Depressive Symptoms and Semantic Memory in Amnestic Mild Cognitive Impairment and in Late-Life Depression

机译:轻度轻度认知障碍和后期抑郁中抑郁症状与语义记忆的关系

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摘要

Semantic deficits have been documented in the prodromal phase of Alzheimer’s disease, but it is unclear whether these deficits are associated with non-cognitive manifestations. For instance, recent evidence indicates that cognitive deficits in elders with amnestic mild cognitive impairment (aMCI) are modulated by concomitant depressive symptoms. The purposes of this study were to (i) investigate if semantic memory impairment in aMCI is modulated according to the presence (aMCI-D group) or absence (aMCI group) of depressive symptoms, and (ii) compare semantic memory performance of aMCI and aMCI-D groups to that of patients with late-life depression (LLD). Seventeen aMCI, 16 aMCI-D, 15 LLD, and 26 healthy control participants were administered a semantic questionnaire assessing famous person knowledge. Results showed that performance of aMCI-D patients was impaired compared to the control and LLD groups. However, in the aMCI group performance was comparable to that of all other groups. Overall, these findings suggest that semantic deficits in aMCI are somewhat associated with the presence of concomitant depressive symptoms. However, depression alone cannot account solely for the semantic deficits since LLD patients showed no semantic memory impairment in this study. Future studies should aim at clarifying the association between depression and semantic deficits in older adults meeting aMCI criteria.
机译:阿尔茨海默氏病的前驱期已记录了语义缺陷,但尚不清楚这些缺陷是否与非认知表现有关。例如,最近的证据表明,伴有轻度认知障碍(aMCI)的老年人的认知功能障碍是由伴随的抑郁症状调节的。这项研究的目的是(i)研究是否根据抑郁症状的存在(aMCI-D组)或不存在(aMCI组)来调节aMCI中的语义记忆障碍,并且(ii)比较aMCI的语义记忆表现和aMCI-D与晚期抑郁症(LLD)的患者分组。对17名aMCI,16名aMCI-D,15名LLD和26名健康对照参与者进行了语义问卷调查,以评估名人知识。结果显示,与对照组和LLD组相比,aMCI-D患者的表现受损。但是,在aMCI组中的表现可与所有其他组相媲美。总体而言,这些发现表明,aMCI中的语义缺陷与伴随的抑郁症状的存在有关。但是,仅抑郁症不能单独解决语义缺陷,因为LLD患者在本研究中未显示语义记忆障碍。未来的研究应旨在阐明符合aMCI标准的老年人的抑郁与语义缺陷之间的关系。

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