The effects of cognitive competence and anxiety on depression in an elderly sample: a clinical assessment scales for the elderly (case) data analysis
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This study investigates the impact of self- and other-report cognitive competence, anxiety and obsessive-compulsive behaviors on depression using a population sample from the archival data of the Clinical Assessment Scales of the Elderly (CASE). Structural Equation Modeling was used to test predictions of the abovementioned variables. Participants were a matched self-and other-report subset (N=123) of the CASE standardization sample (N=2,000). Structural equation modeling was used to test predictions. The results revealed that age does not predict self-report cognitive competence or other-report cognitive competence. A small covariance (0.42) was found between the errors of self-report cognitive competence and other-report cognitive competence. The data reports self-report depression mediates both self-report anxiety and self-report obsessive compulsive behaviors. Statistically significant large effects were found between self-report cognitive competence and all variables; self-report anxiety (0.72), self-report depression (0.62), and self-report obsessive compulsive behaviors (0.71). Moderate to large effects were found for other-report cognitive competence and all variables; other-report anxiety (.063), other-report depression (0.63), and other-report obsessive compulsive behaviors (0.35). The correlations between the anxiety and depression measures confirm the current literature regarding depression and anxiety. In this study depression has been found to have a mediating effect on both anxiety and obsessive compulsive behaviors in an elderly sample. The inclusion of obsessive compulsive behaviors as a measure of anxiety in this model has empirically demonstrated the variability of the presentation of depression. Psychological self-report measures continue to be the best determinant of a patient’s internal functioning. Research in the area of the presentation of depression in the elderly merits further investigation.
Arnemann, Kelly Gene (2007). The effects of cognitive competence and anxiety on depression in an elderly sample: a clinical assessment scales for the elderly (case) data analysis. Doctoral dissertation, Texas A&M University. Available electronically from