PMID- 20623776 OWN - NLM STAT- MEDLINE DCOM- 20130913 LR - 20110329 IS - 1099-1166 (Electronic) IS - 0885-6230 (Linking) VI - 26 IP - 5 DP - 2011 May TI - Neuropsychological profiles and short-term outcome in late-onset depression. PG - 458-65 LID - 10.1002/gps.2548 [doi] AB - OBJECTIVE: Neuropsychological impairments are common in older persons with late-onset depression. This study examined the relationship between neuropsychological profiles and short-term outcome in late-onset depression. METHODS: A total of 54 non-demented Chinese elders presented with their first major depressive episode after 60 years of age participated in this study and were treated according to a standardised protocol. At entry, they were assessed on neurological signs (Parkinsonian features and neurological soft signs) and neuropsychological measures (executive function, psychomotor-speed, attention and working memory, episodic memory, conceptualisation, construction and global cognitive function). The Hamilton Depression Rating Scale (HAM-D) was administered at baseline, the sixth and 12th week of treatment. RESULTS: Abnormal fist-edge-palm (FEP) test, a sign reflecting impairment in motor sequencing, was more common in non-remitters (defined as HAM-D score above 7) at the 12th week of treatment. CONCLUSIONS: The FEP test may be included in the clinical assessment for patients with late-onset depression to identify a susceptible group who may require more intensive treatment. Further research is warranted to ascertain the link between late-onset depression, neuropsychological deficits and prognosis. CI - Copyright (c) 2010 John Wiley & Sons, Ltd. FAU - Chui, William W H AU - Chui WW AD - Castle Peak Hospital, Hong Kong SAR, Hong Kong. cwh687@ha.org.hk FAU - Cheung, Eric F C AU - Cheung EF FAU - Lam, Linda C W AU - Lam LC LA - eng PT - Journal Article DEP - 20100709 PL - England TA - Int J Geriatr Psychiatry JT - International journal of geriatric psychiatry JID - 8710629 SB - IM MH - Age of Onset MH - Aged MH - Aged, 80 and over MH - Attention/physiology MH - Cognition/physiology MH - Depressive Disorder/*physiopathology/psychology MH - Executive Function/physiology MH - Female MH - Hong Kong MH - Humans MH - Male MH - Memory/physiology MH - Parkinson Disease/physiopathology MH - Psychiatric Status Rating Scales MH - Psychomotor Performance/physiology MH - Severity of Illness Index EDAT- 2010/07/14 06:00 MHDA- 2013/09/14 06:00 CRDT- 2010/07/13 06:00 PHST- 2009/12/01 00:00 [received] PHST- 2010/04/16 00:00 [accepted] PHST- 2010/07/13 06:00 [entrez] PHST- 2010/07/14 06:00 [pubmed] PHST- 2013/09/14 06:00 [medline] AID - 10.1002/gps.2548 [doi] PST - ppublish SO - Int J Geriatr Psychiatry. 2011 May;26(5):458-65. doi: 10.1002/gps.2548. Epub 2010 Jul 9.