Cognitive Decline and Cardiometabolic Risk Among Hispanic and Non-Hispanic White Adults in the San Luis Valley Health and Aging Study.
Cognitive decline and cardiometabolic risk among Hispanic and non-Hispanic white adults in the San Luis Valley Health and Aging Study.
Filed under: Depression Treatment
J Behav Med. 2013 Jan 18;
Hildreth KL, Grigsby J, Bryant LL, Wolfe P, Baxter J
Cardiometabolic risk factors, including hypertension, dyslipidemia, central obesity, insulin resistance and diabetes are linked to cognitive impairment. The Hispanic population appears to be differentially affected by both cardiometabolic risk factors and cognitive impairment. We sought to determine whether ethnic differences in cognitive impairment in long-resident southwestern US elders was explained by the presence of cardiometabolic risk factors, and to explore patterns of cognitive decline over time. We performed a secondary analysis of data collected on 378 Hispanic and 409 non-Hispanic white adult participants in a longitudinal study of community-dwelling elderly in southern Colorado. Measures of cardiometabolic risk included waist circumference, blood pressure, diagnosis of diabetes, and random blood glucose. Cognitive measures included the Mini-Mental State Exam (MMSE) and the behavioral dyscontrol scale (a measure of executive cognitive function), at baseline and after an average of 22 months. Subjects were also administered the Center for Epidemiologic Studies Depression Scale, and the Coronary Artery Risk Development in Young Adults 1-Year Activity Recall. At baseline, Hispanic elders had a greater number of cardiometabolic risk factors and lower MMSE and behavioral dyscontrol scale scores than non-Hispanic whites. Hispanic ethnicity was associated with a greater likelihood of decline in general cognitive function, but not executive cognitive function, after adjusting for age and education. This differential decline was not explained by either individual or total number of baseline cardiometabolic risk factors, depression, or physical activity. A borderline increased risk of decline in general cognitive function was seen in sedentary individuals (P = 0.05).
HubMed – depression
The relationship between depressive symptoms, illness perceptions and quality of life in ankylosing spondylitis in comparison to rheumatoid arthritis.
Filed under: Depression Treatment
Clin Rheumatol. 2013 Jan 18;
Hyphantis T, Kotsis K, Tsifetaki N, Creed F, Drosos AA, Carvalho AF, Voulgari PV
Anxiety and depressive symptoms as well as cognitive variables are important in determining outcome in rheumatic diseases. We aimed to compare psychological distress symptoms and illness perceptions in ankylosing spondylitis (AS) and rheumatoid arthritis (RA) and to test whether their associations with health-related quality of life (HRQoL) were similar in these rheumatologic disorders. In 55 AS and 199 RA patients, we administered the Patient Health Questionnaire (PHQ-9), the Symptom Check-List and the Brief-Illness Perception Questionnaire to assess psychological variables and the World Health Organization Quality of Life Instrument, Short Form to assess HRQoL. We used hierarchical regression analyses to determine the associations between psychological variables and HRQoL after adjusting for demographic variables and disease parameters. The prevalence of clinically significant depressive symptoms (PHQ-9???10) was 14.8 % in AS and 25.1 % in RA patients, but adjustment for demographics rendered these differences in depressive symptoms’ severity non-significant. Psychological distress levels and HRQoL were similar in both disorders. Illness concern (b?=?-0.37) was the only significant independent correlate of physical HRQoL in AS. In RA, depression (b?=?-0.25), illness concern (b?=?-0.14) and worries about the consequences of the disease (b?=?-0.31) were the independent correlates of physical HRQoL. These findings suggest that cognitive variables are important correlates of HRQoL in AS, whereas in RA depressive symptoms and illness perceptions equally contribute to HRQoL. Our data encourage the design of psychotherapeutic trials targeting disease-related cognitions in AS in an attempt to improve patient’s physical HRQoL.
HubMed – depression
Review: collaborative care improves depression and anxiety symptoms in adults.
Filed under: Depression Treatment
Evid Based Ment Health. 2013 Jan 17;
Bauer AM
How to Break the Grip of Depression: Read How Robert Declared War On Depression … And Beat It!Depression is not an antidepressant deficiency! Depression is the most common mood disorder in the world and in all likelihood one…
Midwest Center! Lucinda Basset, Attacking Stress, Anxiety and Depression! Master Kit, 2008 Edition!Attacking Stress Anxiety & Depression The Midwest Center Master Kit! 2008 Edition Product Reatails for over 500 Dollars! Get it he…
Overcoming Depression: A Cognitive Therapy Approach Workbook (Treatments That Work)This workbook is designed to help you as you work together with a qualified mental health professional to overcome your depression…
More Depression Treatment Information…