scholarly journals Improving late life depression and cognitive control through the use of therapeutic video game technology: A proof-of-concept randomized trial

2017 ◽  
Vol 34 (6) ◽  
pp. 508-517 ◽  
Author(s):  
Joaquin A. Anguera ◽  
Faith M. Gunning ◽  
Patricia A. Areán
2010 ◽  
Vol 18 (11) ◽  
pp. 1017-1025 ◽  
Author(s):  
Richard Katz ◽  
Pierfilippo De Sanctis ◽  
Jeannette R. Mahoney ◽  
Pejman Sehatpour ◽  
Christopher F. Murphy ◽  
...  

2012 ◽  
Vol 139 (1) ◽  
pp. 56-65 ◽  
Author(s):  
George S. Alexopoulos ◽  
Matthew J. Hoptman ◽  
Dora Kanellopoulos ◽  
Christopher F. Murphy ◽  
Kelvin O. Lim ◽  
...  

2015 ◽  
Vol 45 (14) ◽  
pp. 3111-3120 ◽  
Author(s):  
G. S. Alexopoulos ◽  
K. Manning ◽  
D. Kanellopoulos ◽  
A. McGovern ◽  
J. K. Seirup ◽  
...  

Background.Executive processes consist of at least two sets of functions: one concerned with cognitive control and the other with reward-related decision making. Abnormal performance in both sets occurs in late-life depression. This study tested the hypothesis that only abnormal performance in cognitive control tasks predicts poor outcomes of late-life depression treated with escitalopram.Method.We studied older subjects with major depression (N = 53) and non-depressed subjects (N = 30). Executive functions were tested with the Iowa Gambling Test (IGT), Stroop Color-Word Test, Tower of London (ToL), and Dementia Rating Scale – Initiation/Perseveration domain (DRS-IP). After a 2-week placebo washout, depressed subjects received escitalopram (target daily dose: 20 mg) for 12 weeks.Results.There were no significant differences between depressed and non-depressed subjects on executive function tests. Hierarchical cluster analysis of depressed subjects identified a Cognitive Control cluster (abnormal Stroop, ToL, DRS-IP), a Reward-Related cluster (IGT), and an Executively Unimpaired cluster. Decline in depression was greater in the Executively Unimpaired (t = −2.09, df = 331, p = 0.0375) and the Reward-Related (t = −2.33, df = 331, p = 0.0202) clusters than the Cognitive Control cluster. The Executively Unimpaired cluster (t = 2.17, df = 331, p = 0.03) and the Reward-Related cluster (t = 2.03, df = 331, p = 0.0433) had a higher probability of remission than the Cognitive Control cluster.Conclusions.Dysfunction of cognitive control functions, but not reward-related decision making, may influence the decline of symptoms and the probability of remission of late-life depression treated with escitalopram. If replicated, simple to administer cognitive control tests may be used to select depressed older patients at risk for poor outcomes to selective serotonin reuptake inhibitors who may require structured psychotherapy.


2016 ◽  
Vol 6 (9) ◽  
pp. e893-e893 ◽  
Author(s):  
J A Anguera ◽  
A N Brandes-Aitken ◽  
C E Rolle ◽  
S N Skinner ◽  
S S Desai ◽  
...  

2020 ◽  
Vol 5 (2) ◽  
pp. 213-221 ◽  
Author(s):  
Matteo Respino ◽  
Matthew J. Hoptman ◽  
Lindsay W. Victoria ◽  
George S. Alexopoulos ◽  
Nili Solomonov ◽  
...  

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.


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