GERİATRİK DEPRESYONDA BELLEK YAKINMALARI VE GÜNLÜK YAŞAM AKTİVİTELERİ: ERKEN VE GEÇ BAŞLANGIÇLI DEPRESYON ARASINDA FARK VAR MIDIR?

Amaç: Bu çalışmada geriatrik depresyon hastalarının kognitif belirtileri ve işlevsellik düzeyleri araştırılacaktır. Geriatrik depresyon hastaları erken ve geç başlangıçlı depresyon alt gruplarına ayrılarak gruplar arasında karşılaştırmalar yapılacaktır. Gereç ve Yöntem: Çalışmaya toplam 94 geriatrik depresyon hastası (33 geç başlangıçlı depresyon, 61 erken başlangıçlı depresyon) ve kontrol grubu olarak da 39 kişi dahil edilmiştir. Katılımcıların hepsi için sosyodemografik veri formu, Saat Çizme Testi, Katz Günlük Yaşam Aktiviteleri Ölçeği ve Öznel Bellek Yakınmaları Anketi doldurulmuştur. Geriatrik depresyon hastalarının depresyon şiddetinin ölçülmesinde Geriatrik Depresyon Ölçeği-15 kullanılmıştır. Bulgular: Saat Çizme Testinde geç başlangıçlı depresyon hastaları kontrol grubuna göre daha kötü bir performans sergilemiştir. Erken başlangıçlı ve geç başlangıçlı depresyon hastalarında kontrol grubuna göre daha fazla öznel bellek yakınmalarının olduğu tespit edilmiştir. Geriatrik depresyon hastalarında depresyon şiddeti ile günlük yaşam aktiviteleri arasında negatif yönde bir ilişki bulunmuştur. Sonuç: Geriatrik depresyon; başlangıç yaşına göre kognitif işlevler açısından farklılıklar gösterebilmektedir.

Anahtar Kelimeler:

bilişsel, fonksiyonellik, yaşlılık, bellek, geriatrik depresyon

MEMORY COMPLAINTS AND ACTIVITIES OF DAILY LIVING IN GERIATRIC DEPRESSION: IS THERE A DIFFERENCE BETWEEN EARLY- AND LATE-ONSET DEPRESSION?

Aim: To investigate the cognitive complaints and activities of daily living in patients with geriatric depression. Inter-group comparisons were performed by dividing geriatric depression patients into early- and late-onset subgroups. Materials and Methods: Ninety-four patients with geriatric depression and 39 individuals as a control group were included. Thirty-three of the geriatric depression patients had late-onset depression, and 61 had early-onset depression. All participants completed sociodemographic data, the Mini Mental Test, the Clock-Drawing Test, the Katz Activities of Daily Living Scale, and the Subjective Memory Complaints Questionnaire. Geriatric Depression Scale-15 was used to measure the severity of patients’ depression. Results: Late-onset depression patients exhibited significantly poorer performance on the Clock Drawing Test than the control group. Significantly greater subjective memory complaints were determined in patients with early- and late-onset depression than in the control group. A negative relationship was found between the severity of depression and activities of daily living in patients with geriatric depression. Conclusion: Geriatric depression may differ in terms of cognitive functions according to the age of onset.

Keywords:

cognitive, functionality, memory, geriatric depression, elderly,

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