Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping Review

ABSTRACT Background In recent years, cognitive impairment has emerged as a pivotal symptom in elderly patients with depression, exerting a substantial impact on the course and prognosis of diseases. Moreover, it persists even following remission from depression during the rehabilitation period. Howe...

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Main Authors: Ping Jiang, Yunfeng Gao, Lin Wang, Xiaojun Shao, Lei Zhang, Gang Zhu, Li Duan
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Brain and Behavior
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Online Access:https://doi.org/10.1002/brb3.70265
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author Ping Jiang
Yunfeng Gao
Lin Wang
Xiaojun Shao
Lei Zhang
Gang Zhu
Li Duan
author_facet Ping Jiang
Yunfeng Gao
Lin Wang
Xiaojun Shao
Lei Zhang
Gang Zhu
Li Duan
author_sort Ping Jiang
collection DOAJ
description ABSTRACT Background In recent years, cognitive impairment has emerged as a pivotal symptom in elderly patients with depression, exerting a substantial impact on the course and prognosis of diseases. Moreover, it persists even following remission from depression during the rehabilitation period. However, there remains an incomplete understanding of the relevant influencing factors for cognitive impairment in elderly depressed patients, which seriously impedes the development of risk prediction models and the subsequent research on precision intervention programs. Objective The purpose of this study is to examine the current state of negative influencing factors and assessment tools for cognitive impairment in patients with late‐life depression (LLD), thereby providing a theoretical framework for the construction of subsequent targeted intervention programs. Methods The search strategy employed in this study followed an evidence‐based approach, utilizing a systematic scoping review to thoroughly explore six English and four Chinese databases up until November 2023. Two researchers independently conducted article screening and employed thematic analysis to categorize the results into themes. Results Following two rounds of rigorous screening conducted by the evidence‐based research team, data were meticulously extracted and succinctly summarized from five distinct themes encompassing socio‐demographic, physiological, psychological, genetic, and other related factors. In addition, a comprehensive compilation of 19 diverse assessment tools was undertaken. Ultimately, a total of 22 articles met the eligibility criteria for inclusion in this study. These comprised five longitudinal studies, nine pathological controlled studies, five cross‐sectional studies, two cohort studies, and one randomized controlled study. Conclusion Cognitive dysfunction is an important symptom of LLD, which seriously affects the survival of patients. At present, the research on its influencing factors mainly includes socio‐demographic, physiological, psychological, genetic, and other related factors. There have been existing cognitive function assessment tools specifically for those 18‐ to 65‐year‐old patients of major depressive disorder, but there is still a lack of reliability and validity tests in LLD.
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spelling doaj-art-6776ed34b7ce4234b22a385f6b988ff02025-01-29T13:36:39ZengWileyBrain and Behavior2162-32792025-01-01151n/an/a10.1002/brb3.70265Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping ReviewPing Jiang0Yunfeng Gao1Lin Wang2Xiaojun Shao3Lei Zhang4Gang Zhu5Li Duan6Department of Health Management ResearchChengde Medical UniversityChengdeChinaDepartment of Health Management ResearchChengde Medical UniversityChengdeChinaDepartment of Health Management ResearchChengde Medical UniversityChengdeChinaDepartment of Psychiatrythe First Affiliated Hospital of China Medical UniversityShenyangChinaDepartment of Health Management ResearchChengde Medical UniversityChengdeChinaDepartment of Psychiatrythe First Affiliated Hospital of China Medical UniversityShenyangChinaDepartment of Health Management ResearchChengde Medical UniversityChengdeChinaABSTRACT Background In recent years, cognitive impairment has emerged as a pivotal symptom in elderly patients with depression, exerting a substantial impact on the course and prognosis of diseases. Moreover, it persists even following remission from depression during the rehabilitation period. However, there remains an incomplete understanding of the relevant influencing factors for cognitive impairment in elderly depressed patients, which seriously impedes the development of risk prediction models and the subsequent research on precision intervention programs. Objective The purpose of this study is to examine the current state of negative influencing factors and assessment tools for cognitive impairment in patients with late‐life depression (LLD), thereby providing a theoretical framework for the construction of subsequent targeted intervention programs. Methods The search strategy employed in this study followed an evidence‐based approach, utilizing a systematic scoping review to thoroughly explore six English and four Chinese databases up until November 2023. Two researchers independently conducted article screening and employed thematic analysis to categorize the results into themes. Results Following two rounds of rigorous screening conducted by the evidence‐based research team, data were meticulously extracted and succinctly summarized from five distinct themes encompassing socio‐demographic, physiological, psychological, genetic, and other related factors. In addition, a comprehensive compilation of 19 diverse assessment tools was undertaken. Ultimately, a total of 22 articles met the eligibility criteria for inclusion in this study. These comprised five longitudinal studies, nine pathological controlled studies, five cross‐sectional studies, two cohort studies, and one randomized controlled study. Conclusion Cognitive dysfunction is an important symptom of LLD, which seriously affects the survival of patients. At present, the research on its influencing factors mainly includes socio‐demographic, physiological, psychological, genetic, and other related factors. There have been existing cognitive function assessment tools specifically for those 18‐ to 65‐year‐old patients of major depressive disorder, but there is still a lack of reliability and validity tests in LLD.https://doi.org/10.1002/brb3.70265assessment toolscognitive dysfunctioninfluencing factorslate‐life depressionscoping review
spellingShingle Ping Jiang
Yunfeng Gao
Lin Wang
Xiaojun Shao
Lei Zhang
Gang Zhu
Li Duan
Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping Review
Brain and Behavior
assessment tools
cognitive dysfunction
influencing factors
late‐life depression
scoping review
title Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping Review
title_full Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping Review
title_fullStr Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping Review
title_full_unstemmed Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping Review
title_short Risk Factors Influencing Cognitive Function in Elderly Patients With Late‐Life Depression: A Scoping Review
title_sort risk factors influencing cognitive function in elderly patients with late life depression a scoping review
topic assessment tools
cognitive dysfunction
influencing factors
late‐life depression
scoping review
url https://doi.org/10.1002/brb3.70265
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