Clinical and Neuropsychological Assessment of Dementia and Geriatric Depression in Patients of Sir T Hospital, Bhavnagar

Abstract

Three-hundred-and-thirty-four cognitive profiles from neuropsychological examinations assessed during a 2-year
period (2020 to 2022) from geriatric patients of a day clinic in the bhavnagar were analyzed. For this purpose, the
profiles were divided into the following subgroups:
(1) Mild Cognitive Impairment, no depression (2) Onset or mild dementia, no depression (3) No cognitive
deficit, depression (4) cognitively impaired (MCI, dementia) and depression. Subgroups were be compared
using analysis of variance (independent variable IV: diagnostic groups, dependent variable DV: cognitive
functions) to reveal specific differences that will allow a differential diagnosis. Post-hoc comparisons and a
graphical representation of the cognitive profiles were also investigated. All cognitive profiles with a Mini-
Mental-State-Examination (MMSE) score of 25 or more points were selected for analysis if they had complete
data from the following testing procedures: MMSE, clock drawing test, Geriatric Depression Scale (GDS),
Syndrom-Kurztest (SKT), Nuremberg Aging Inventory (NAI) maze test, Wechsler Adult Intelligence Scale
(WAIS) similarities, Rivermead Be- havioral Memory Test (RBMT) story immediate and delayed. The results
will help to improve the differential diagnostic examination of older depressed people with and without cognitive
impairment: Depressed patients usually have no objectifiable memory impairment and inconspicuous scores
in the logical structure of thought processes, while attention was usually impaired in both depressed and
demented patients.