Verbal learning on depressive pseudodementia: accentuate impairment of free recall, moderate on learning processes, and spared short-term and recognition memory

Arq Neuropsiquiatr. 2013 Sep;71(9A):596-9. doi: 10.1590/0004-282X20130102.

Abstract

Objective: Depressive pseudodementia (DPD) is a clinical condition characterized by depressive symptoms followed by cognitive and functional impairment characteristics of dementia. Memory complaints are one of the most related cognitive symptoms in DPD. The present study aims to assess the verbal learning profile of elderly patients with DPD.

Methods: Ninety-six older adults (34 DPD and 62 controls) were assessed by neuropsychological tests including the Rey auditory-verbal learning test (RAVLT). A multivariate general linear model was used to assess group differences and controlled for demographic factors.

Results: Moderate or large effects were found on all RAVLT components, except for short-term and recognition memory.

Conclusion: DPD impairs verbal memory, with large effect size on free recall and moderate effect size on the learning. Short-term storage and recognition memory are useful in clinical contexts when the differential diagnosis is required.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Depressive Disorder / complications*
  • Depressive Disorder / physiopathology
  • Factitious Disorders / complications*
  • Factitious Disorders / physiopathology
  • Female
  • Humans
  • Male
  • Memory Disorders / diagnosis*
  • Memory Disorders / physiopathology
  • Mental Recall / physiology
  • Neuropsychological Tests
  • Socioeconomic Factors
  • Verbal Learning / physiology*