Neuropsychological prediction of recovery in late-onset major depression

Int J Geriatr Psychiatry. 2005 Aug;20(8):790-5. doi: 10.1002/gps.1363.

Abstract

Objectives: To assess antidepressant response in late-onset major depression in relation to neuropsychological domains: attention, memory and planning.

Methods: A neuropsychological battery was administered in 30 medication-free patients with late-onset major depression, who were then included in a 12-week antidepressant treatment regimen within a 12-month follow-up period. Logistic regression was used to define a predictive model of recovery.

Results: Eighteen patients were classed as remitters and seven as non-remitters. The 'indexrem' refers to the results of a logistic regression from verbal learning and planning and had a global predictive power of 84%.

Conclusions: Our study suggests that the balance between verbal learning (memory) and planning (executive function)-both related to the dorsolateral prefrontal cortex-could predicts recovery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age of Onset
  • Aged
  • Aged, 80 and over
  • Antidepressive Agents / therapeutic use*
  • Antidepressive Agents, Second-Generation / therapeutic use
  • Antidepressive Agents, Tricyclic / therapeutic use
  • Citalopram / therapeutic use
  • Cognition
  • Depressive Disorder, Major / drug therapy
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy*
  • Electroconvulsive Therapy / methods
  • Female
  • Humans
  • Male
  • Memory
  • Neuropsychological Tests
  • Nortriptyline / therapeutic use
  • Predictive Value of Tests
  • Recovery of Function / physiology
  • Treatment Outcome
  • Verbal Learning

Substances

  • Antidepressive Agents
  • Antidepressive Agents, Second-Generation
  • Antidepressive Agents, Tricyclic
  • Citalopram
  • Nortriptyline