Dementie en amnestische stoornissen (onder psychische stoornissen) affect depression memory problems mood
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age 60 or above - informed consent given by patient - cognitive deficits according to memory clinic or MMSE3
Exclusion criteria
Exclusion criteria: - severe medical illness known to influence short-term survival;- Moderate and severe dementia (indicated by Clinical Dementia Rating Scale 2 or 3) - neurological disorders (other than MCI or dementia as defined in the inclusion criteria);- presence of the following mental health disorders in the past 2 years: bipolar disorder, psychotic disorders, severe substance use disorders;- incapable of participation in study procedures (i.e. non-Dutch language, incapable of filling in the diaries, no internet connection at home);- mentally incompetent to give consent for study participation according to judgement of treating specialist;- Incapable to participate in study as it shows from the 3-day practice period (for example not being capable of using the ipad, intolerance to actiwatch, forgetting assessments)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Temporal patterns of depressive symptoms, cognitive function and sleep disturbances. Unique to time-series analyses all three variables can be both determinant and outcome (which may differ between patients, see analyses). | — |
Secondary
| Measure | Time frame |
|---|---|
| See also the document: "overzicht metingen". Inclusion interview: - Presence of DSM-IV diagnosis of depression (MINI) - Severity of depressive symptoms (GDS-15) - Cognitive screen: MOCA Patient characteristics at baseline, from baseline questionaire: - Demographic variables (age, sex, living situation, marital status, education level, work) - Smoking - Somatic diseases - Treatments for depression and/or sleep disturbances - Presence and severity of sleep disturbances (PSQI) - Chronotype (MCTQ) - Restless legs syndrome - Sleep apnea - Medication use (assessed by researcher during baseline assessment) Patient characteristics from medical files: - Results of diagnostic tests to evaluate the likelihood of Alzheimer's disease (among which, MRI, PET, lumbar punction) - Results of neuropsychological examination to evaluate the degree of cognitive impairments Daily measured variables used in time-series analyses to evaluate their influence on the temporal patterns of depression, sleep disturbances and cognitive functioning: - Parameters of circadian rhythm and objective sleep disturbances assessed with actiwatch - Subjective memory impairments, assessed in electronic diary - Use of sleeping pills, assessed in electronic diary - Physical activity, assessed in electronic diary - Daily use of alcohol, cafeine and cigarettes, assessed in electronic diary, - Pain, assessed in electronic diary - Important events, assessed in electronic diary Weekly evaluated by researchter during telephone interview: - Changes in (any) medications - Changes in therapies for depression or sleep disturbances - Important events End of study period questionnaire: - Experiences of participant with the study/data collection Two months after end of study (= 4 months after start of study) - Insight questionnaire asking patient whether he or she gained more insight into the causes of his/her depressive complaints and/or sleep problems and/or cognitive complaints T | — |
Countries
Netherlands