Association between symptoms of psychological distress and cognitive functioning among adults with coronary artery disease.
cognitive impairment
coronary artery disease
psychological distress
Journal
Stress and health : journal of the International Society for the Investigation of Stress
ISSN: 1532-2998
Titre abrégé: Stress Health
Pays: England
ID NLM: 101089166
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
09
12
2020
received:
17
08
2020
accepted:
11
12
2020
pubmed:
16
12
2020
medline:
14
8
2021
entrez:
15
12
2020
Statut:
ppublish
Résumé
Greater psychological distress is associated with cognitive impairment in healthy adults. Whether such associations also exist in patients with coronary artery disease (CAD) is uncertain. We assessed cognitive function in 496 individuals with CAD using the verbal and visual memory subtests of the Wechsler Memory Scale and executive functioning measured by the Trail Making Test Parts A and B. We used a composite score of psychological distress derived through summation of Z-transformed psychological distress symptom scales (depression, posttraumatic stress, anxiety, anger, hostility and perceived stress) and scores for each individual psychological scale. Multivariable linear regression models were used to determine the association between memory scores (as outcomes) and the psychological distress scores (both composite score and individual scales). After adjusting for demographic and cardiovascular risk factors, a higher psychological distress score was independently associated with worse memory and executive functioning. Each standard deviation increase in psychological distress score was associated with 3% (95% confidence interval [CI], 1%-5%) to 5% (95% CI, 3-7%) worse cognitive performance (higher Trail A and Trail B, and lower verbal and visual memory scores). Among individuals with CAD, a higher level of psychological distress is independently associated with worse cognitive performance. These findings suggest that psychological risk factors play a role in cognitive trajectories of persons with CAD.
Identifiants
pubmed: 33319483
doi: 10.1002/smi.3018
pmc: PMC8395370
mid: NIHMS1733642
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
538-546Subventions
Organisme : RRD VA
ID : I01 RX003418
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH056120
Pays : United States
Organisme : NHLBI NIH HHS
ID : K24 HL077506
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL125246
Pays : United States
Organisme : NIH Clinical Center
ID : P01HL101398, R01HL109413, R01HL109413-02S1, R01HL1
Organisme : NIMH NIH HHS
ID : R01 MH120262
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL130025
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL127251
Pays : United States
Organisme : NHLBI NIH HHS
ID : F32 HL151163
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000454
Pays : United States
Organisme : NHLBI NIH HHS
ID : P01 HL101398
Pays : United States
Organisme : NIDA NIH HHS
ID : UG3 DA048502
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR000455
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL109413
Pays : United States
Organisme : NIMH NIH HHS
ID : K24 MH076955
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL088726
Pays : United States
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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