Minimal effects of severe depression on cognitive functioning.

Severe and psychotic depression which grossly disables the patient socially, could be expected to impair his cognitive-perceptual functioning significantly, and is generally considered to do so. To test this hypothesis, 55 depressives and 65 normals were matched for age, sex, education, vocabulary score, and nativity, and were tested on 33 cognitive, perceptual, and psychomotor tests, yielding 82 test scores. The depressives performed more poorly (at the .01 level) on only 4% of the test scores which contrasted dramatically with their rating themselves significantly more negatively on 82% of 77 Clyde Mood Scale items. It is concluded that the actual ability and performance during severe depression is not consistent with the patient's unrealistically low image of himself. His experience of ego helplessness is more subjective than objective, more imaginary than real. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Brief Version of the Geriatric Depression Scale for the Chinese.

Elderly persons (N=310) attending outpatient psychiatric clinics were given an interview on the 30-item Geriatric Depression Scale (T. L. Brink et al., 1982; J. A. Yesavage et al., 1983) and received an independent psychiatric evaluation. A 3-step binary logistic regression showed that 2 items measuring positive affect and 2 others measuring negative affect combined to produce diagnostic performance comparable with the full scale. This result was cross-validated on a different sample (N=134). A hierarchical measurement model in which the 4 items tapped 2 first-order factors (positive and negative affect), which in turn tapped a higher order construct of depression, provided excellent fit to the data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"A Brief Version of the Geriatric Depression Scale for the Chinese": Correction.

Reports an error in the original article by S.-T. Cheng and A. C. M. Chan (Psychological Assessment, 2004, Vol. 16(1), pp. 182-186). An error appeared in Footnote 3 of the article. As a result of a recoding error, the diagnosis of depressive disorder not otherwise specified was mistakenly lumped together with that of major depressive disorder in reporting the diagnostic distribution. The correct distribution for the different depression-related diagnoses is published here. The conclusion that self-report depression scores did not differ across these diagnostic categories remained unchanged. (The following abstract of this article originally appeared in record 2004-15398-008.) Elderly persons (N=310) attending outpatient psychiatric clinics were given an interview on the 30-item Geriatric Depression Scale (T. L. Brink et al., 1982; J. A. Yesavage et al., 1983) and received an independent psychiatric evaluation. A 3-step binary logistic regression showed that 2 items measuring positive affect and 2 others measuring negative affect combined to produce diagnostic performance comparable with the full scale. This result was cross-validated on a different sample (N=134). A hierarchical measurement model in which the 4 items tapped 2 first-order factors (positive and negative affect), which in turn tapped a higher order construct of depression, provided excellent fit to the data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Different storage and retrieval deficits in normal aging and mild cognitive impairment: A multinomial modeling analysis.

The authors compared patients with mild cognitive impairment with healthy older adults and young control participants in a free recall test in order to locate potential qualitative differences in normal and pathological memory decline. Analysis with an extended multitrial version of W. H. Batchelder and D. M. Riefer's (1980) pair-clustering model revealed globally decelerated learning and an additional retrieval deficit in patients with mild cognitive impairment but not in healthy older adults. Results thus suggest differences in memory decline between normal and pathological aging that may be useful for the detection of risk groups for dementia, and they illustrate the value of model-based disentangling of processes and of multitrial tests for early detection of dementia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive profiles of mild cognitive impairment with and without vascular disease.

This study examined whether the cognitive profile of subjects with mild cognitive impairment (MCI) with vascular disease differs from that of MCI subjects with no vascular disease. Consecutive MCI subjects with vascular disease (n=60) and matched MCI subjects with no vascular disease (n=60) were included in the study and were compared with healthy control subjects (n=60). The neuropsychological assessment comprised tests of speed and attention, episodic memory, visuospatial function, language, and executive function. Control subjects performed significantly better than did both MCI groups on the neuropsychological battery. MCI subjects with no vascular disease performed better overall than did MCI subjects with vascular disease, most clearly on tests of speed and attention, visuospatial function, and executive function. MCI subjects with and without vascular disease exhibited differences, both in terms of overall performance and of cognitive profiles. These differences can be largely explained by deficits in speed and attention and in executive function of the MCI subjects with vascular disease. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neurocognitive markers of cognitive impairment: Exploring the roles of speed and inconsistency.

A well-known challenge for research in the cognitive neuropsychology of aging is to distinguish between the deficits and changes associated with normal aging and those indicative of early cognitive impairment. In a series of 2 studies, the authors explored whether 2 neurocognitive markers, speed (mean level) and inconsistency (intraindividual variability), distinguished between age groups (64-73 and 74-90+ years) and cognitive status groups (nonimpaired, mildly impaired, and moderately impaired). Study 1 (n = 416) showed that both level and inconsistency distinguished between the age and 2 cognitive status (not impaired, mildly impaired) groups, with a modest tendency for inconsistency to predict group membership over and above mean level. Study 2 (n = 304) replicated these results but extended them because of the qualifying effects associated with the unique moderately impaired oldest group. Specifically, not only were the groups more firmly distinguished by both indicators of speed, but evidence for the differential contribution of performance inconsistency was stronger. Neurocognitive markers of speed and inconsistency may be leading indicators of emerging cognitive impairment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Selectivity of executive function deficits in mild cognitive impairment.

Impairment in executive cognition (EC) is now recognized as relatively common among older persons with mild cognitive impairment (MCI) and may be predictive of the development of dementia. However, both MCI and executive functioning are broad and heterogeneous constructs. The present study sought to determine whether impairments in specific domains of EC are associated with specific subtypes of MCI. MCI patients (n = 124) were divided into 4 subgroups (amnestic vs. nonamnestic, and single- vs. multiple-domain) on the basis of their performance of widely used neuropsychological screening tests. These patients and 68 normal older persons were administered 18 clinical and experimental tests of executive function. Principal components analysis suggested 2 highly reliable EC components, planning/problem solving and working memory, and a less reliable 3rd component, judgment. Planning/problem solving and working memory, but not judgment, were impaired among the MCI patients. This was true even among those with “pure amnestic” MCI, the least impaired group overall. Multiple-domain MCI patients had more severe impairments in planning/problem solving and working memory than single-domain patients, leading to the supposition that they, not pure amnestic MCIs, are at highest risk of imminent dementia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship between depression, fatigue, subjective cognitive impairment, and objective neuropsychological functioning in patients with multiple sclerosis.

Objective: This study explored the influence of depression and fatigue on subjective cognitive complaints and objective neuropsychological impairment in patients with multiple sclerosis (MS). Methods: Data for this study were taken from a randomized controlled trial, comparing 16 weeks of telephone-administered cognitive-behavioral therapy and telephone-administered supportive emotion focused therapy for the treatment of depression. The sample includes 127 patients with MS. The following self-report measures were collected pre- and posttreatment: Perceived Deficits Questionnaire, Beck Depression Inventory-II, and Modified Fatigue Impact Scale. Measures of objective cognitive functioning and the Hamilton Rating Scale for Depression were administered over the telephone. Results: Our results showed that changes in depression and fatigue significantly predicted changes in subjective cognitive complaints from pre- to posttreatment, with patients perceiving fewer cognitive problems at posttreatment (β = .36, p     

Factorial invariance of the Dyadic Adjustment Scale across gender.

The Dyadic Adjustment Scale (DAS; G. B. Spanier, 1976) is the most widely used inventory of relationship satisfaction in the social sciences, yet the question of whether it is measuring the same concept in men and women has never been addressed. In the current study, the authors examined the factor structure of the DAS in a sample of 900 currently married couples who participated in the Minnesota Twin Family Study. Confirmatory factor analysis was applied to a second-order factor solution with Spanier’s four factors (Dyadic Consensus, Dyadic Satisfaction, Dyadic Cohesion, Affectional Expression) loading on one higher order factor (Relationship Adjustment), to test for measurement invariance across gender. The second-order solution was relatively invariant across gender, even when taking into account the nonindependent nature of the data. This suggests that the best conceptualization of the DAS is one of a gender-invariant measure of marital adjustment with four distinct subfactors and that differences between men and women on any of these constructs can be interpreted by both clinicians and researchers as true mean differences rather than measurement bias. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Exploring the structure of a neuropsychological battery across healthy elders and those with questionable dementia and Alzheimer's disease.

An exploratory factor analysis (EFA) and a series of confirmatory factor analyses were conducted on 17 variables designed to assess different cognitive abilities in a sample of healthy older adults. In the EFA, 4 factors emerged corresponding to language, memory, processing speed, and fluid ability constructs. The results of the confirmatory factor analyses suggested that a 5-factor model with an additional Attention factor improved the fit. The invariance of the 5-factor model was examined across 3 groups: a group of cognitively healthy older adults, a group of patients diagnosed with questionable dementia (QD), and a group of patients diagnosed with probable Alzheimer's disease (AD). Results of the invariance analysis suggest that the model may have configural invariance across the 3 groups but not metric invariance. Specifically, preliminary analyses suggest that the memory construct may represent something different in the QD and AD groups as compared to the healthy older adult group, consistent with the underlying pathology in early AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of a shortened center for epidemiological studies depression scale for assessment of depression in rheumatoid arthritis.

Objective: The purpose was to develop a short-form version of the Center for Epidemiologic Studies Depression Scale (CES-D) for the identification of persons with major depressive disorder (MDD) within a population with rheumatoid arthritis (RA). Study Design: Data were analyzed from 337 persons with RA. Forty-six participants met the diagnostic criteria for MDD; 291 participants were classified in the non-MDD category (including 21 participants with dysthymia and 18 participants with minor depressive disorder). A short-form version of the CES-D was developed, and multiple cutoff scores were examined. Results: A cutoff score of ≥5 from a 9-item, short-form CES-D was found to be generally as efficient as the more commonly used full-scale cutoff score of ≥16 for classifying participants with MDD within an RA population. Although the shortened CES-D scale (cutoff score ≥5) was slightly more sensitive, it also exhibited slightly less specificity than the full-scale cutoff score of ≥16. Conclusion: The results suggest that a short-form CES-D can be used to screen for MDD within an RA sample with a degree of efficiency that is generally comparable to that of the full-scale instrument. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor structure of the CES-D and measurement invariance across gender for low-income Puerto Ricans in a probability sample.

Objective: The authors of this study aimed to evaluate 2-factor structures for the Center for Epidemiologic Studies Depression Scale (CES-D) reported in the literature to determine which one proves to be a better fit with the data on low-income Puerto Ricans living on the island. Method: The sample consisted of 3,504 civilian noninstitutionalized Puerto Ricans, ranging in age from 18 to 64 who were living in low-income areas of Puerto Rico. A confirmatory factor analysis (CFA) was implemented, and model fit was assessed with the Tucker–Lewis Index (TLI), the comparative fit index (CFI), and the root-mean-square error of approximation (RMSEA). Results: The CFA results obtained for the Radloff (1977) and Guarnaccia, Angel, and Worobey (1989) models show that neither model obtained adequate fit indexes. Exploratory factor analysis revealed that the 2-factor structure not only obtained better fit indexes (TLI = .948, CFI = .955, RMSEA = .048) but also reflected a better conceptual organization of the factors (basically divided into 2 components: Negative Affect and Positive Affect). When we assessed the model fit by gender, the model consistently fit the data for the female subsample but not for the male one. Conclusions: Results confirm the need to address the issues related to measurement equivalence for specific cultural and language gaps in assessment of depressive symptoms. Lack of factor invariance across gender also raises the question of the appropriateness of this measure for the male subsample and the need for further research in the manifestation of depression in this group. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validation of the Minnesota Scale of Parental Occupations and a modification of the Werner Occupational Rating Scale.

The Minnesota and Warner scales were correlated with material and cultural possession criteria for a sample of 150 urban high school students and 150 rural students. The substantial but not high correlation between the scales and criteria is attributed to the present wide distribution of the criteria possessions in the population, so that they no longer act as adequate socioeconomic differentiators. The Warner scale seems to differentiate more adequately among agricultural occupations than the Minnesota scale. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Convergent validity of the CORE measures with measures of depression for clients in cognitive therapy for depression.

Clients (N = 77) undergoing cognitive therapy for depression were assessed before treatment with the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM), which encompasses domains of subjective well-being, problems, functioning, and risk of harming self or others, along with the Beck Depression Inventory-II (BDI-II), the Hamilton Rating Scale for Depression (HRSD), the Beck Hopelessness Scale (BHS), and a measure of avoidant (Cluster C) personality problems (Inventory of Interpersonal Problems-Avoidant [IIP-Av]). The CORE-OM and the BDI-II were strongly correlated with each other and showed coherent and similar patterns of correlations with the HRSD, the BHS, and the IIP-Av. Sixty-one of the clients were repeatedly assessed during treatment with alternating versions of the CORE Short Form and with the BDI-II. Results strongly supported the convergent validity of the CORE measures with the BDI-II in across-clients comparisons of means scores and rates of improvement and in across-sessions comparisons within clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Scale of Ethnocultural Empathy: Development, validation, and reliability.

The authors present 3 studies on the initial validity and reliability of the Scale of Ethnocultural Empathy (SEE), a self-report instrument that measures empathy toward people of racial and ethnic backgrounds different from one's own. Specifically, the exploratory factor analysis yielded 4 factors: Empathic Feeling and Expression, Empathic Perspective Taking, Acceptance of Cultural Differences, and Empathic Awareness. A confirmatory factor analysis provided evidence for the stability and generalizability of this 4-factor solution. The SEE was correlated in the predicted directions with general empathy and attitudes toward people's similarities and differences. High internal consistency and test-retest reliability estimates were also found across the three studies. A discussion of how this scale can add to the research and practice regarding empathy and multicultural issues is provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reliability and Validity of the Beck Depression Inventory--II With Adolescent Psychiatric Inpatients.

This investigation was conducted to validate the Beck Depression Inventory--II (BDI-II; A. T. Beck, R. A. Steer, & G. K. Brown, 1996) in samples of adolescent psychiatric inpatients. The sample in each substudy was primarily Caucasian. In Study 1, expert raters (N=7) and adolescent psychiatric inpatients (N=13) evaluated the BDI-II items to assess content validity. In Study 2, confirmatory factor analyses of several first-order solutions failed to provide adequate fit estimates to data for 205 boys, 203 girls, and the combined sample. Exploratory factor analyses identified new item-factor solutions. Reliability estimates were good (range = .72 to .91) for the BDI-II total and scale scores. In Study 3 (N=161 boys and 158 girls from Study 2), preliminary evidence for estimates of concurrent, convergent, and discriminant validity were established for the BDI-II. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Biased recognition of positive faces in aging and amnestic mild cognitive impairment.

We investigated age differences in biased recognition of happy, neutral, or angry faces in 4 experiments. Experiment 1 revealed increased true and false recognition for happy faces in older adults, which persisted even when changing each face’s emotional expression from study to test in Experiment 2. In Experiment 3, we examined the influence of reduced memory capacity on the positivity-induced recognition bias, which showed the absence of emotion-induced memory enhancement but a preserved recognition bias for positive faces in patients with amnestic mild cognitive impairment compared with older adults with normal memory performance. In Experiment 4, we used semantic differentials to measure the connotations of happy and angry faces. Younger and older participants regarded happy faces as more familiar than angry faces, but the older group showed a larger recognition bias for happy faces. This finding indicates that older adults use a gist-based memory strategy based on a semantic association between positive emotion and familiarity. Moreover, older adults’ judgments of valence were more positive for both angry and happy faces, supporting the hypothesis of socioemotional selectivity. We propose that the positivity-induced recognition bias might be based on fluency, which in turn is based on both positivity-oriented emotional goals and on preexisting semantic associations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A factor analysis of the Beck Inventory of Depression.

Afactor analysis of the Beck Inventory of Depression, based on the responses of 254 significantly depressed hospital patients, has yielded 3 interpretable factors. The largest factor was that of affective depression referred to here as a factor of "guilty depression." The 2 remaining factors were interpreted as "retarded depression" and "somatic disturbance." These 3 factors showed some correspondence to the factors found by other investigators. The suggestion is made that the etiology of various depressed states may be associated with different levels of mental functioning. The need for additional factor analytic studies, which include behavioral and physiological measures, is noted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship between age and aspects of depression: Consistency and reliability across two longitudinal studies.

In this study, the authors examined cross-sectional and longitudinal age and gender differences in each of the Center for Epidemiological Studies Depression Scale's 4 subscales of depressive symptomatology. Two independent studies (Sample 1 = 2,076; Sample 2 = 943) were used for purposes of establishing stability of findings. Results indicate a reasonable degree of stability among adults under 70 years of age. However, there were significant age-related increases in somatic symptoms and lack of well-being after approximately 70 years of age, whereas symptoms related to depressed affect and interpersonal problems remained stable. Notably, depressive affect symptoms remained stable given significant age-related somatic changes. The addition of comorbid physical illness to the analysis did not reduce the association between age and depressive symptoms, indicating that part of the association was not substantially accounted for by physical health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Structure of Anxiety and Depression in Urban Youth: An Examination of the Tripartite Model.

In this study, the authors examined the validity of the tripartite model of anxiety and depression (L. A. Clark & D. Watson, 1991) in a community epidemiological sample of 467 urban African American youth. Participants completed the Baltimore How I Feel (N. S. Ialongo, S. G. Kellam, & J. Poduska, 1999), a measure of anxiety and depressive symptoms, in Grades 6 and 9. Confirmatory factor analyses indicated that a 3-factor model representing the tripartite model fit the data well and better than competing models. Longitudinal confirmatory factor analysis revealed configural invariance of the tripartite factor structure. However, a predicted divergence among dimensions over time was not evidenced. High correlations among the tripartite dimensions suggest that anxiety and mood symptoms may not differentiate in urban youth. Results are discussed in terms of the ethnicity and urban context of this community sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)