Skip to main content

Advertisement

Log in

Executive functions in elderly men

  • Published:
AGE Aims and scope Submit manuscript

Abstract

The executive function deficit is greater in depressed patients with cardiovascular disease than in depressed patients without cardiovascular disease. Late-life depression is said to have a vascular etiology and would worsen the executive function. A cross-sectional design was used for this study. The study was done in outpatient clinics of Kaohsiung Veterans General Hospital and National Cheng Kung University Hospital, Taiwan. Three hundred thirty-five older elderly men (>75 years old) were chosen as study participants, some military veterans and some not. The mini-mental state examination was used to exclude those suspected of dementia, the Mini-International Neuropsychiatric Interview to screen those undergoing a current major depressive episode, and the revised Geriatric Depression Scale Short Form to measure the severity of depression. Specialist physicians obtained past histories of medical illnesses through chart reviews, history taking, and health examinations. Elderly men with major depression comorbid with cardiovascular disease had worse executive functions. Executive function impairment is greater in elderly men diagnosed with major depression comorbid with cardiovascular disease than in those without cardiovascular disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alexopoulos GS, Buckwalter K, Olin J, Martinez R, Wainscott C, Krishnan KR (2002) Comorbidity of late life depression: an opportunity for research on mechanisms and treatment. Biol Psychiatry 52:543–558

    Article  PubMed  Google Scholar 

  • Alexopoulos GS, Kiosses DN, Heo M, Murphy CF, Shanmugham B, Gunning-Dixon F (2005) Executive dysfunction and the course of geriatric depression. Biol Psychiatry 58:204–210

    Article  PubMed  Google Scholar 

  • Arbuthnott K, Frank J (2000) Trail making test, part B as a measure of executive control: validation using a set-switching paradigm. J Clin Exp Neuropsychol 22:518–528

    Article  PubMed  CAS  Google Scholar 

  • Austin MP, Ross M, Murray C, O’Carroll RE, Ebmeier KP, Goodwin GM (1992) Cognitive function in major depression. J Affect Disord 25:21–29

    Article  PubMed  CAS  Google Scholar 

  • Austin MP, Mitchell P, Goodwin GM (2001) Cognitive deficits in depression: possible implications for functional neuropathology. Br J Psychiatry 178:200–206

    Article  PubMed  CAS  Google Scholar 

  • Baldwin RC, Tomenson B (1995) Depression in later life. A comparison of symptoms and risk factors in early and late onset cases. Br J Psychiatry 167:649–652

    Article  PubMed  CAS  Google Scholar 

  • Barnes DE, Alexopoulos GS, Lopez OL, Williamson JD, Yaffe K (2006) Depressive symptoms, vascular disease, and mild cognitive impairment: findings from the Cardiovascular Health Study. Arch Gen Psychiatry 63:273–279

    Article  PubMed  Google Scholar 

  • Blazer DG (2003) Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci 58:249–265

    Article  PubMed  Google Scholar 

  • Blelsky J (1990) The psychology of aging: theory, research, and intervention. Brooks/Cole, Pacific Grove California

    Google Scholar 

  • Boone KB, Ghaffarian S, Lesser IM, Hill-Gutierrez E, Berman NG (1993) Wisconsin Card Sorting Test performance in healthy, older adults: relationship to age, sex, education, and IQ. J Clin Psychol 49:54–60

    Article  PubMed  CAS  Google Scholar 

  • Brown ES, Varghese FP, McEwen BS (2004) Association of depression with medical illness: does cortisol play a role? Biol Psychiatry 55:1–9

    Article  PubMed  CAS  Google Scholar 

  • Campbell 3rd JJ, Coffey CE (2001) Neuropsychiatric significance of subcortical hyperintensity. J Neuropsychiatry Clin Neurosci 13:261–288

    Article  PubMed  Google Scholar 

  • Carney RM, Freedland KE, Miller GE, Jaffe AS (2002) Depression as a risk factor for cardiac mortality and morbidity: a review of potential mechanisms. J Psychosom Res 53:897–902

    Article  PubMed  Google Scholar 

  • Chou K-L, Chi I (2005) Prevalence and correlates of depression in Chinese oldest-old. Int J Geriatr Psychiatry 20:41–50

    Article  PubMed  Google Scholar 

  • Conwell Y, Duberstein PR, Caine ED (2002) Risk factors for suicide in later life. Biol Psychiatry 52:193–204

    Article  PubMed  Google Scholar 

  • Crocco EA, Castro K, Loewenstein DA (2010) How late-life depression affects cognition: neural mechanisms. Curr Psychiatry Rep 12:34–38

    Article  PubMed  Google Scholar 

  • Davidson RJ, Pizzagalli D, Nitschke JB, Putnam K (2002) Depression: perspectives from affective neuroscience. Annu Rev Psychol 53:545–574

    Article  PubMed  Google Scholar 

  • Drane DL, Yuspeh RL, Huthwaite JS, Klingler LK (2002) Demographic characteristics and normative observations for derived-trail making test indices. Neuropsychiatry Neuropsychol Behav Neurol 15:39–43

    PubMed  Google Scholar 

  • Eastwood MR, Rifat SL, Nobbs H, Ruderman J (1989) Mood disorder following cerebrovascular accident. Br J Psychiatry 154:195–200

    Article  PubMed  CAS  Google Scholar 

  • Elderkin-Thompson V, Thomas MA, Binesh N et al (2004) Brain metabolites and cognitive function among older depressed and healthy individuals using 2D MR spectroscopy. Neuropsychopharmacology 29:2251–2257

    Article  PubMed  CAS  Google Scholar 

  • Elderkin-Thompson V, Mintz J, Haroon E, Lavretsky H, Kumar A (2006) Executive dysfunction and memory in older patients with major and minor depression. Arch Clin Neuropsychol 21:669–676

    Article  PubMed  Google Scholar 

  • Elderkin-Thompson V, Hellemann G, Pham D, Kumar A (2009) Prefrontal brain morphology and executive function in healthy and depressed elderly. Int J Geriatr Psychiatry 24:459–468

    Article  PubMed  Google Scholar 

  • Elias MF, Sullivan LM, D’Agostino RB et al (2004) Framingham stroke risk profile and lowered cognitive performance. Stroke 35:404–409

    Article  PubMed  Google Scholar 

  • Gianaros PJ, Greer PJ, Ryan CM, Jennings JR (2006) Higher blood pressure predicts lower regional grey matter volume: consequences on short-term information processing. Neuroimage 31:754–765

    Article  PubMed  Google Scholar 

  • Guo N-W, Liu H-C, Wong P-F et al (1988) Chinese version and norms of the mini-mental status examination (full text in Mandarin). J Rehabil Med Assoc 16:52–59

    Google Scholar 

  • Hoshi T, Yamagami H, Furukado S et al (2010) Serum inflammatory proteins and frontal lobe dysfunction in patients with cardiovascular risk factors. Eur J Neurol 17:1134–1140

    Article  PubMed  CAS  Google Scholar 

  • Krishnan KR (1991) Organic bases of depression in the elderly. Annu Rev Med 42:261–266

    Article  PubMed  CAS  Google Scholar 

  • Lezak MD, Howieson DB, Loring DW (2004) Neuropsychological assessment, 4th edn. Oxford University Press, New York

    Google Scholar 

  • Liao SC, Lee YJ, Liu SK, Lee MB (2000) Acute stress syndromes in patients at an emergency medical station after a major earthquake. Taiwanese Journal of Psychiatry 14:31–40

    Google Scholar 

  • Lin I-C, Yu S-M, Chang H-J (2004) A survey of depression and its related factors of the institutionalized and non-institutionalized elderly in Hsin-Tien City. Taiwan Journal of Family Medicine 14:81–93

    Google Scholar 

  • Lockwood KA, Alexopoulos GS, van Gorp WG (2002) Executive dysfunction in geriatric depression. Am J Psychiatry 159:1119–1126

    Article  PubMed  Google Scholar 

  • Lowe LP, Tranel D, Wallace RB, Welty TK (1994) Type II diabetes and cognitive function. A population-based study of Native Americans. Diab Care 17:891–896

    Article  CAS  Google Scholar 

  • Lu X (1998) Social mobility and social resources on military-dependents’ village: field research of a veteran community. Unpublished Master thesis, Tunghai University, Taichung

  • McCaffery JM, Frasure-Smith N, Dube MP et al (2006) Common genetic vulnerability to depressive symptoms and coronary artery disease: a review and development of candidate genes related to inflammation and serotonin. Psychosom Med 68:187–200

    Article  PubMed  CAS  Google Scholar 

  • Mega MS, Cummings JL (1994) Frontal-subcortical circuits and neuropsychiatric disorders. J Neuropsychiatry Clin Neurosci 6:358–370

    PubMed  CAS  Google Scholar 

  • Mei C-J (1998) Neuropsychology. Gui-Guan Press, Taipei

    Google Scholar 

  • Merriam EP, Thase ME, Haas GL, Keshavan MS, Sweeney JA (1999) Prefrontal cortical dysfunction in depression determined by Wisconsin Card Sorting Test performance. Am J Psychiatry 156:780–782

    PubMed  CAS  Google Scholar 

  • Mohlman J (2005) Does executive dysfunction affect treatment outcome in late-life mood and anxiety disorders? J Geriatr Psychiatry Neurol 18:97–108

    Article  PubMed  Google Scholar 

  • Monthly Bulletin of Interior statistics: Population by 5-year Age Group (2006) Ministry of the Interior Statistical Information Service, http://www.vac.gov.tw/cxls/index.asp?pno=510. Accessed 10 August, 2010

  • Mui AC (1996) Geriatric Depression Scale as a community screening instrument for elderly Chinese immigrants. Int Psychogeriatr 8:445–458

    Article  PubMed  CAS  Google Scholar 

  • Naismith SL, Hickie IB, Turner K et al (2003) Neuropsychological performance in patients with depression is associated with clinical, etiological and genetic risk factors. J Clin Exp Neuropsychol 25:866–877

    Article  PubMed  Google Scholar 

  • Naismith SL, Hickie IB, Ward PB, Scott E, Little C (2006) Impaired implicit sequence learning in depression: a probe for frontostriatal dysfunction? Psychol Med 36:313–323

    Article  PubMed  Google Scholar 

  • Nakano Y, Baba H, Maeshima H et al (2008) Executive dysfunction in medicated, remitted state of major depression. J Affect Disord 111:46–51

    Article  PubMed  Google Scholar 

  • Oxenkrug GF (2007) Genetic and hormonal regulation of tryptophan kynurenine metabolism: implications for vascular cognitive impairment, major depressive disorder, and aging. Ann NY Acad Sci 1122:35–49

    Article  PubMed  CAS  Google Scholar 

  • Palsson SP, Ostling S, Skoog I (2001) The incidence of first-onset depression in a population followed from the age of 70 to 85. Psychol Med 31:1159–1168

    PubMed  CAS  Google Scholar 

  • Rapp MA, Dahlman K, Sano M, Grossman HT, Haroutunian V, Gorman JM (2005) Neuropsychological differences between late-onset and recurrent geriatric major depression. Am J Psychiatry 162:691–698

    Article  PubMed  Google Scholar 

  • Reitan R (1958) Perceptual and motor skills. Percept Mot Skills 8:271–276

    Google Scholar 

  • Schillerstrom JE, Horton MS, Royall DR (2005) The impact of medical illness on executive function. Psychosomatics 46:508–516

    Article  PubMed  CAS  Google Scholar 

  • Shan IK, Chen YS, Lee YC, SU TP (2008) Adult normative data of the Wisconsin Card Sorting Test in Taiwan. J Chin Med Assoc. 71:517–522

    Google Scholar 

  • Sheehan DV, Lecrubier Y, Sheehan KH et al (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59 Suppl 20:22–33, quiz 34-57

    PubMed  CAS  Google Scholar 

  • Sheline YI, Barch DM, Garcia K et al (2006) Cognitive function in late life depression: relationships to depression severity, cerebrovascular risk factors and processing speed. Biol Psychiatry 60:58–65

    Article  PubMed  Google Scholar 

  • Sims R, Madhere S, Callender C, Campbell A Jr (2008) Patterns of relationships between cardiovascular disease risk factors and neurocognitive function in African Americans. Ethn Dis 18:471–476

    PubMed  Google Scholar 

  • Smith PJ, Blumenthal JA, Babyak MA et al (2007) Cerebrovascular risk factors, vascular disease, and neuropsychological outcomes in adults with major depression. Psychosom Med 69:578–586

    Article  PubMed  Google Scholar 

  • Spreen O, Strauss E (1991) A compendium of neuropsychological tests: administration, norms and commentary. Oxford University Press, New York

    Google Scholar 

  • Statistical Yearbook of Interior (2004) Veterans Affairs Commission EY (2004). http://sowf.moi.gov.tw/stat/year/list.htm. Accessed 8 June, 2010

  • Weng Z (1998) The Domicile Difference of Marital Distribution for Total Population in Taiwan Area in 1990, Master, National Chengchi University, Taipei

  • Yuan Y, Zhang Z, Bai F et al (2008) Abnormal neural activity in the patients with remitted geriatric depression: a resting-state functional magnetic resonance imaging study. J Affect Disord 111:145–152

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported in part by grant VGHKS99-101 from the Kaohsiung Veterans General Hospital, Taiwan (to YCK) and by the National Cheng Kung University Project for Promoting Academic Excellence and Developing World Class Research Centers (to RBL).

Disclosure

The study was approved by the ethical committee of the National Cheng Kung University in accordance with the Declaration of Helsinki. Written informed consent was obtained from all participants before the experiment. For all authors, there is no actual or potential conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ru-Band Lu.

About this article

Cite this article

Liu, ME., Chang, YH., Ku, YC. et al. Executive functions in elderly men. AGE 34, 59–66 (2012). https://doi.org/10.1007/s11357-011-9215-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11357-011-9215-7

Keywords

Navigation