Association between brain amyloid accumulation and neuropsychological characteristics in elders with depression and mild cognitive impairment

Hyun Chul Youn, Suji Lee, Changsu Han, Seung Hyun Kim, Hyun Ghang Jeong

    Research output: Contribution to journalArticlepeer-review

    11 Citations (Scopus)

    Abstract

    Objectives: To investigate the presence of cerebral amyloidopathy and its associations with performances on neurocognitive tests and clinical features in depressed elders with mild cognitive impairment (MCI). Methods/design: In total, 94 older adults with concomitant MCI and some depressive symptoms were included in this study. Cerebral amyloidopathy was evaluated using 18F-florbetaben-positron emission tomography. A standardized neurocognitive test battery and brain magnetic resonance imaging (MRI) were administered to all subjects. We examined the Apolipoprotein E genotype using a polymerase chain reaction-based method. Results: Among the 94 initial participants, seven participants were excluded because of failure to undergo MRI or complete the neuropsychological battery. Among 87 subjects, 45 elders (51.7%) had cerebral amyloidopathy and were classified as the concomitant depression and MCI with cerebral amyloid-accumulation-positive (CDAP) group; others were classified as the concomitant depression and MCI with cerebral amyloid-accumulation-negative (CDAN) group. Poorer performances on word list recall and constructional recall were observed in the CDAP group than in the CDAN group. Conclusions: The results indicate that around half of older adults with concomitant MCI and some depressive symptoms might be prone to have Alzheimer dementia. Results of neurocognitive tests possibly aid in discerning the presence of cerebral amyloidopathy.

    Original languageEnglish
    Pages (from-to)1907-1915
    Number of pages9
    JournalInternational Journal of Geriatric Psychiatry
    Volume34
    Issue number12
    DOIs
    Publication statusPublished - 2019 Dec 1

    Bibliographical note

    Funding Information:
    This work was supported by the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) that was funded by the Ministry of Health & Welfare, Republic of Korea (HC15C1509 to H.G. Jeong) and the Basic Science Research Program through the National Research Foundation of Korea (NRF) granted funded by the Korea government (Ministry of Science and ICT, MSIT) (NRF-2015R1C1A1A01052172 to H.G. Jeong). The funding agency had no role in the design or conduct of the study; the collection, management, analysis, or interpretation of the data; or the preparation, review, or approval of the manuscript. In addition, it had no role in the decision to submit the article for publication.

    Publisher Copyright:
    © 2019 John Wiley & Sons, Ltd.

    Keywords

    • Alzheimer disease
    • amyloid
    • cognitive dysfunction
    • late-life depression
    • memory
    • positron emission tomography

    ASJC Scopus subject areas

    • Geriatrics and Gerontology
    • Psychiatry and Mental health

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