Later-life depression: Influences of irrational thinking and cognitive impairment

The relationship of personality styles to depression at later-lifeand the influence of irrational thinking and cognitive impairment on this relationshp are addressed. Sixty older (>55) male psychiatric patients at a large medical center were given a battery of psychological tests, including the MCMI, BDI, the Idea Inventory, and the Hooper VOT. A record review for background/treatment factors was also conducted. Results showed that personality styles at later-life are distinctly related to depression, with four styles having an inverse relationship. The personality styles also have the same relationship to irrational thinking. When the influence of irrational thinking and cognitive impairment were removed from the relationship of each personality style to depression, there were only minimal changes in correlation coefficients. These components, therefore, are largely independent of the personality style and depression relationship with later-life inpatients.Leon Hyer, a clinical psychologist at the Veterans Administration Medical Center, Augusta, Georgia and assistant professor at the Medical College of Georgia, is Co-Director of the Psychogeriatric Unit at the Augusta VA Medical Center.William R. Harrison is the coordinator of the Augusta VA Medical Center's Psychodiagnostic Laboratory.Rebecca H. Jacobsen is currently a staff psychologist at the Veterans Administration Medical Center in Augusta, Georgia, where she works with psychiatric inpatients on the Psychosocial Unit. Dr. Jacobsen also is an assistant professor at the Medical College of Georgia.