ABSTRACT

Objectives

Depression and cognitive impairment are disabling conditions that commonly occur together in older adults. The interaction is challenging when choosing appropriate measurement scales. This review aimed to summarize the scales to measure depression symptoms in older people with cognitive impairment, investigating how cognitive impairment is related to the choice of measurement, and how the setting may affect the choice of measurement.

Methods

A scoping review of literature published between 2015 and 2021.

Results

After screening 1580 articles, 26 were included in the review with 11 different measures of depression symptoms identified. The measures mostly commonly used were the Geriatric Depression Scale (GDS), Cornell Scale for Depression in Dementia (CSDD) and the Neuropsychiatric Inventory (NPI-Q). Most studies did not report on the usability of depression scales used with people with cognitive impairment and only two scales (CSDD and NPI-Q, not GDS) have been validated for use with this population.

Conclusions

Severe cognitive impairment was under-represented in the identified studies, and no association was detected between study setting, cognitive impairment and type of measure used.

Clinical Implications

Clinicians and researchers should consider both the cognitive status of participants and the setting they live in when choosing a measure of depression symptoms.

中文翻译：

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对患有认知障碍的老年人抑郁症测量的范围审查

摘要

目标

抑郁症和认知障碍是老年人常见的致残性疾病。选择适当的测量尺度时，交互是具有挑战性的。本综述旨在总结测量患有认知障碍的老年人抑郁症状的量表，调查认知障碍与测量选择的关系，以及环境如何影响测量的选择。

方法

对 2015 年至 2021 年发表的文献进行范围界定审查。

结果

在筛选了 1580 篇文章后，其中 26 篇纳入了综述，并确定了 11 种不同的抑郁症状测量方法。最常用的测量方法是老年抑郁量表（GDS）、康奈尔痴呆抑郁量表（CSDD）和神经精神量表（NPI-Q）。大多数研究没有报告抑郁量表在认知障碍人群中的可用性，并且只有两种量表（CSDD 和 NPI-Q，而不是 GDS）经过验证可用于该人群。

结论

在已确定的研究中，严重认知障碍的代表性不足，并且没有发现研究背景、认知障碍和所使用的测量类型之间存在关联。

临床意义

临床医生和研究人员在选择抑郁症状的衡量标准时应考虑参与者的认知状态和他们居住的环境。