Journal
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
Volume 24, Issue 10, Pages 816-820Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jagp.2016.06.010
Keywords
Computerized cognitive remediation; executive dysfunction; geriatric; depression; treatment resistant
Categories
Funding
- National Institute of Mental Health [P30 MH68638, R01 MH079414, T32 MH019132, K23 MH095830, UL1TR000457]
- Sanchez Foundation
Ask authors/readers for more resources
Objectives: Executive dysfunction (ED) is a predictor of poor treatment response of late-life depression to pharmacotherapy. In response to the consistency of these findings, we designed neuroplasticity-based computerized cognitive remediation (nCCR-GD) intervention to target and improve ED in patients who failed to remit with antidepressant treatment. This study tests the hypothesis that ED at baseline will predict favorable treatment response to nCCR-GD. Methods: 11 elderly patients with treatment-resistant major depression were treated with a 30-hour, 4-week, unblinded, nCCR-GD treatment trial. Neuropsychological performance was assessed at baseline and after treatment ceased. Results: ED at baseline was associated with greater reduction in Montgomery-Asberg Depression Rating Scale score over the 4-week treatment beta = -0.74, F(2,8) = 10.85, p = 0.009, R-2 = 0.55. Conclusions: ED predicts favorable treatment response to nCCR-GD in older adults suffering from major depression resistant to antidepressants. This finding is opposed to studies testing pharmacotherapy where ED predicts poorer treatment response.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available