{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:19:11Z","timestamp":1791609551286,"version":"4.3.4"},"reference-count":59,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,11,27]],"date-time":"2020-11-27T00:00:00Z","timestamp":1606435200000},"content-version":"vor","delay-in-days":331,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Alzheimer\u2019s disease and depressive disorder are frequent in old age. Both may be associated with depressed mood and cognitive impairment. Therefore, finding a strategy to clarify the diagnosis underlying subjective complaints of impaired cognition and depressed mood in older persons is of utmost interest. We conducted a cross-sectional retrospective observational clinical cohort study using patient records from 2014 to 2018. From 3758 patients, we included patients aged 60\u2009years and older with a Mini-Mental-Status Examination score of 24 and above. Final analysis included all patients in whom Alzheimer\u2019s disease biomarker analysis was performed (cerebrospinal fluid markers of Alzheimer\u2019s disease or positron emission tomography imaging; n\u2009=\u2009179) and patients with depressive disorder in whom Alzheimer\u2019s disease was ruled out by analysis of biomarkers suggestive of Alzheimer\u2019s disease (n\u2009=\u200970). With case\u2013control matching for age, education and gender, performance of patients with Alzheimer\u2019s disease was worse in acquisition, consolidation and recall of verbal information and false-positive answers. None of the results, however, sufficed to differentially diagnose individual patients with Alzheimer\u2019s disease or depressive disorder. With more severe symptoms of depression, patients with biomarker-verified Alzheimer\u2019s disease performed worse in executive testing but were not additionally impaired in verbal episodic memory performance. We conclude that distinguishing between Alzheimer\u2019s disease and depressive disorder is unreliable on clinical grounds and behavioural testing alone. Diagnosing the cause of subjective complaints about deteriorating cognitive function or depressed mood requires additional biomarker assessment, whereas cognitive assessment is needed to define appropriate targets of symptomatic treatment in patients with Alzheimer\u2019s disease and depressive disorder.<\/jats:p>","DOI":"10.1093\/braincomms\/fcaa206","type":"journal-article","created":{"date-parts":[[2020,11,27]],"date-time":"2020-11-27T09:26:56Z","timestamp":1606469216000},"source":"Crossref","is-referenced-by-count":16,"title":["Cognitive profiles in persons with depressive disorder and Alzheimer\u2019s disease"],"prefix":"10.1093","volume":"2","author":[{"given":"Claudia","family":"Lanza","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy II, Ulm University, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolina","family":"Sejunaite","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and 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