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Depressive Symptoms and Cognitive Function in Older Adults: A Cross-Lagged Network Analysis
Sun, He Li1,2; Chen, Pan1,2; Bai, Wei3; Zhang, Qinge4,5; Sha, Sha4,5; Su, Zhaohui6; Cheung, Teris7; Ungvari, Gabor S.8,9; Jackson, Todd10; Feng, Yuan4; Xiang, Yu Tao1,2
2024-09-21
Source PublicationDepression and Anxiety
ISSN1091-4269
Volume2024Pages:6166775
Abstract

Background: Depressive symptoms commonly co-occur with cognitive decline in older adults. However, prospective interrelationships between different cognitive function domains and depressive symptoms are not well understood. This study evaluated prospective interrelationships between depressive symptoms and cognitive functioning components among individuals aged 50 years or older from a perspective of network analysis.

Method: Longitudinal data from the English Longitudinal Study of Aging were analyzed. Depressive symptoms were measured with the eight-item Center for Epidemiologic Studies Short–Depression Scale. Cognitive functions assessed included memory, orientation, and executive function. Contemporaneous network analyses were conducted using mixed graphical model, while a temporal network model was assessed using cross-lagged panel network model. To identify important predictors and outcomes, centrality indices, including expected influence, out-expected influence, and in-expected influence, were calculated.

Results: A total of 6,433 older adults were included in the network analysis. Baseline “Not enjoy life” (CESD-6) was negatively associated with executive function at the follow-up assessment. Moreover, improvements in “Everything was an effort” (CESD-2) and “Loneliness” (CESD-5) were related to less future decline of executive function and memory ability. Furthermore, analyses suggested targeting “Lack of happiness” (CESD-4) could be useful in reducing the co-occurrence of depression and cognitive decline among older adults.

Conclusions: This network analysis study highlighted dynamic interrelationships between depressive symptoms and cognitive decline in older adults. Findings suggest that interventions targeting specific depressive symptoms may have the potential to alleviate declines in executive function and memory for this population.

KeywordCognitive Decline Cross-lagged Network Analysis Depression Executive Function
DOI10.1155/2024/6166775
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychology ; Psychiatry
WOS SubjectPsychology, Clinical ; Psychiatry ; Psychology
WOS IDWOS:001322781900001
PublisherWILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ
Scopus ID2-s2.0-85205738954
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Citation statistics
Document TypeJournal article
CollectionInstitute of Translational Medicine
Faculty of Health Sciences
Faculty of Social Sciences
DEPARTMENT OF PSYCHOLOGY
INSTITUTE OF COLLABORATIVE INNOVATION
Corresponding AuthorFeng, Yuan; Xiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao
3.Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
4.Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, China
5.Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
6.School of Public Health, Southeast University, Nanjing, China
7.School of Nursing, Hong Kong Polytechnic University, Hong Kong
8.Section of Psychiatry, University of Notre Dame Australia, Fremantle, Australia
9.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
10.Department of Psychology, Faculty of Social Sciences, University of Macau, Macao
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Sun, He Li,Chen, Pan,Bai, Wei,et al. Depressive Symptoms and Cognitive Function in Older Adults: A Cross-Lagged Network Analysis[J]. Depression and Anxiety, 2024, 2024, 6166775.
APA Sun, He Li., Chen, Pan., Bai, Wei., Zhang, Qinge., Sha, Sha., Su, Zhaohui., Cheung, Teris., Ungvari, Gabor S.., Jackson, Todd., Feng, Yuan., & Xiang, Yu Tao (2024). Depressive Symptoms and Cognitive Function in Older Adults: A Cross-Lagged Network Analysis. Depression and Anxiety, 2024, 6166775.
MLA Sun, He Li,et al."Depressive Symptoms and Cognitive Function in Older Adults: A Cross-Lagged Network Analysis".Depression and Anxiety 2024(2024):6166775.
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