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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004033naa a2200481 4500
001oai:gup.ub.gu.se/98783
003SwePub
008240910s2009 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:120321227
024a https://gup.ub.gu.se/publication/987832 URI
024a https://doi.org/10.1017/S00332917099908572 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1203212272 URI
040 a (SwePub)gud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Teodorczuk, A.4 aut
2451 0a Relationship between baseline white-matter changes and development of late-life depressive symptoms: 3-year results from the LADIS study.
264 1c 2009
520 a BACKGROUND: Growing evidence suggests that cerebral white-matter changes and depressive symptoms are linked directly along the causal pathway. We investigated whether baseline severity of cerebral white-matter changes predict longer-term future depressive outcomes in a community sample of non-disabled older adults.MethodIn the Leukoaraiosis and Disability in the Elderly (LADIS) study, a longitudinal multi-centre pan-European study, 639 older subjects underwent baseline structural magnetic resonance imaging (MRI) and clinical assessments. Baseline severity of white-matter changes was quantified volumetrically. Depressive outcomes were assessed in terms of depressive episodes and depressive symptoms, as measured by the Geriatric Depression Scale (GDS). Subjects were clinically reassessed annually for up to 3 years. Regression models were constructed to determine whether baseline severity of white-matter changes predicted future depressive outcomes, after controlling for confounding factors. RESULTS: Baseline severity of white-matter changes independently predicted depressive symptoms at both 2 (p<0.001) and 3 years (p=0.015). Similarly, white-matter changes predicted incident depression (p=0.02). Over the study period the population became significantly more disabled (p<0.001). When regression models were adjusted to account for the influence of the prospective variable transition to disability, baseline severity of white-matter changes no longer predicted depressive symptoms at 3 years (p=0.09) or incident depression (p=0.08). CONCLUSIONS: Our results support the vascular depression hypothesis and strongly implicate white-matter changes in the pathogenesis of late-life depression. Furthermore, the findings indicate that, over time, part of the relationship between white-matter changes and depression may be mediated by loss of functional activity.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng
700a Firbank, M.J.4 aut
700a Pantoni, L4 aut
700a Poggesi, A4 aut
700a Erkinjuntti, T4 aut
700a Wallin, Anders,d 1950u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry4 aut0 (Swepub:gu)xwaand
700a Wahlund, LOu Karolinska Institutet4 aut
700a Scheltens, P4 aut
700a Waldemar, G4 aut
700a Schrotter, G4 aut
700a Ferro, JM4 aut
700a Chabriat,4 aut
700a Bazner, H4 aut
700a Visser, M4 aut
700a Inzitari,4 aut
700a O'Brien, JT4 aut
710a Göteborgs universitetb Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi4 org
773t Psychological medicineg 40:4, s. 603-610q 40:4<603-610x 1469-8978
8564 8u https://gup.ub.gu.se/publication/98783
8564 8u https://doi.org/10.1017/S0033291709990857
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:120321227

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