Search

Background: studies of cognitive ageing at the group level suggest that age is associated with cognitive decline; however, there may be individual differences such that not all older adults will experience cognitive decline.Objective: to evaluate patterns of cognitive decline in a cohort of older adults initially free of dementia.Design, setting and subjects: elderly Catholic clergy members participating in the Religious Orders Study were followed for up to 15 years. Cognitive performance was assessed annually.Methods: performance on a composite global measure of cognition was analysed using random effects models for baseline performance and change over time. A profile mixture component was used to identify subgroups with different cognitive trajectories over the study period.Results: from a sample of 1,049 participants (mean age 75 years), three subgroups were identified based on the distribution of baseline performance and change over time. The majority (65%) of participants belonged to a slow decline class that did not experience substantial cognitive decline over the observation period [−0.04 baseline total sample standard deviation (SD) units/year]. About 27% experienced moderate decline (−0.19 SD/year), and 8% belonged to a class experiencing rapid decline (−0.57 SD/year). A subsample analysis revealed that when substantial cognitive decline does occur, the magnitude and rate of decline is correlated with neuropathological processes.Conclusions: in this sample, the most common pattern of cognitive decline is extremely slow, perceptible on a time scale measured by decades, not years. While in need of cross validation, these findings suggest that cognitive changes associated with ageing may be minimal and emphasise the importance of understanding the full range of age-related pathologies that may diminish brain function. [ABSTRACT FROM PUBLISHER]

Background: Some symptom dimensions in obsessive-compulsive disorder (OCD) patients have a familial and putative genetic foundation, based on replicated findings in studies of sib-pairs with OCD. However, these symptom dimensions are all from exploratory factor analyses of Yale-Brown Obsessive-Compulsive Scale Symptom Checklist ratings based on non-empirically derived symptom categories, rather than individual symptoms. Methods: In this study, we used a novel latent variable mixture model analysis to identify meaningful patient subgroupings. This was preceded by a confirmatory factor analysis of a 65-item OCD symptom inventory from 398 OCD probands, which yielded a five-factor solution. Data from all five symptom factors were used in a latent variable mixture model analysis, which identified two statistically separate OCD subpopulations. Results: One group of probands had a significantly higher proportion of OCD-affected afflicted relatives (parents or close parental relatives), whereas the other group had a less prevalent familial OCD. The group with the more familial OCD was also found to have an earlier age of OCD onset, more severe OCD symptoms, and greater psychiatric comorbidity and impairment. Conclusions: Especially if the results are verified in other samples, this research paradigm, which identified characteristics of individuals with familial OCD, should prove useful in carrying out genome-wide linkage and association studies of OCD and may provide a model for other symptom-based studies of additional medical disorders. Depression and Anxiety 25:680–688, 2008. Published 2008 Wiley-Liss, Inc. [ABSTRACT FROM AUTHOR]

We examine how parents' relationships with their 13- to 25-year-old offspring affect the parents' willingness to ask them for help with financial and personal problems 20 years later. Husbands and wives were interviewed in 1974 and 1994; a child was interviewed in 1974. We used two aspects of parental style, responsiveness and restrictive dominance, to predict parents' willingness to request help from a child 20 years later. Structural equation modeling analyses revealed the following: (a) mothers' willingness to ask an adult child for help with a personal problem was increased by higher levels of responsiveness; (b) mothers' willingness to ask for financial help was increased by responsive and decreased by restrictive-dominant maternal behavior; and (c) neither responsive nor restrictive-dominant paternal behavior affected fathers' later willingness to ask an adult child for help of either kind. [ABSTRACT FROM AUTHOR]

A battery of 17 neuropsychological tests (including the CERAD battery) and 17 psychometric ability tests were administered to a sample of 499 participants of the Seattle Longitudinal study who had been given the psychometric ability tests seven and 14 years earlier. The neuropsychological tests were projected into a 5-factor psychometric ability space by means of extension analysis. The concurrent regressions of the neuropsychology tests on the psychometric ability tests were then used to estimate neuropsychology test scores from the psychometric ability tests administered in 1984, 1991 and 1998. Neuropsychologists then rated the study participants as either normal, suspect or cognitively impaired in 1998. Changes in estimated test scores were computed over seven and fourteen years. Significant odds ratios between normal and cognitively impaired groups were found for all neuropsychological tests over the proximal period and for most tests over the 14-year period. Similar findings occurred for the odds ratios between the normal and suspect groups for the most proximal 7-year changes. [ABSTRACT FROM AUTHOR]

Investigates the relationship between depression, a subjective self-rated Individual Activities of Daily Living (IADL) skllls assessment, and an objective IADL skills assessment. Role of depression on functional recovery for geriatric patients at discharge; Association of factors related to patient reported impairment in IADL functioning with patient reported disability.