학술논문
The body of evidence of late-life depression: the complex relationship between depressive symptoms, movement, dyspnea and cognition
Document Type
Author
Belvederi Murri, Martino; Triolo, Federico; Coni, Alice; Nerozzi, Erika; Maietta Latessa, Pasqualino; Fantozzi, Silvia; Padula, Nicola; Escelsior, Andrea; Assirelli, Barbara; Ermini, Giuliano; Bagnoli, Luigi; Zocchi, Donato; Cabassi, Aderville; Tedeschi, Stefano; Toni, Giulio; Chattat, Rabih; Tripi, Ferdinando; Neviani, Francesca; Bertolotti, Marco; Cremonini, Alessandro; Bertakis, Klea D.; Amore, Mario; Chiari, Lorenzo; Zanetidou, Stamatula
Source
Experimental Aging Research.
Subject
Language
English
ISSN
0361-073X
1096-4657
1096-4657
Abstract
Background: Physical symptoms play an important role in late-life depression and may contribute to residual symptomatology after antidepressant treatment. In this exploratory study, we examined the role of specific bodily dimensions including movement, respiratory functions, fear of falling, cognition, and physical weakness in older people with depression.Methods: Clinically stable older patients with major depression within a Psychiatric Consultation-Liaison program for Primary Care underwent comprehensive assessment of depressive symptoms, instrumental movement analysis, dyspnea, weakness, activity limitations, cognitive function, and fear of falling. Network analysis was performed to explore the unique adjusted associations between clinical dimensions.Results: Sadness was associated with worse turning and walking ability and movement transitions from walking to sitting, as well as with worse general cognitive abilities. Sadness was also connected with dyspnea, while neurovegetative depressive burden was connected with activity limitations.Discussion: Limitations of motor and cognitive function, dyspnea, and weakness may contribute to the persistence of residual symptoms of late-life depression.