Understanding reported cognitive dysfunction in older adults with cardiovascular disease

John Gunstad; Ronald A Cohen; Robert H Paul; David F Tate; Karin F Hoth; Athena Poppas

doi:10.2147/nedt.2006.2.2.213

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Understanding reported cognitive dysfunction in older adults with cardiovascular disease

Journal article

Open access

Peer reviewed

Understanding reported cognitive dysfunction in older adults with cardiovascular disease

John Gunstad, Ronald A Cohen, Robert H Paul, David F Tate, Karin F Hoth and Athena Poppas

Neuropsychiatric disease and treatment, Vol.2(2), pp.213-218

06/2006

DOI: 10.2147/nedt.2006.2.2.213

PMCID: PMC2671782

PMID: 19412466

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https://europepmc.org/articles/pmc2671782View

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Abstract

Older adults with cardiovascular disease (CVD) often report experiencing significant cognitive dysfunction in everyday life and exhibit deficits on neuropsychological testing. However, the relationship between subjective and objective cognitive dysfunction is inconsistent across studies and requires closer examination. Participants included 84 older adults with documented CVD and no history of neurological or severe psychiatric disorder. All participants underwent echocardiogram and neuropsychological assessment and completed self-report measures of perceived cognitive dysfunction, depression, and health-related quality of life. Results showed that concerns regarding distractibility and sustained attention were most common. Level of reported cognitive dysfunction was significantly related to depressive symptoms, quality of life, and performance on multiple cognitive tests. Exploratory regression analyses showed that depressive symptoms, physical health-related quality of life, and speeded sustained attention predicted reports of cognitive dysfunction, whereas demographic variables, cardiac output, and other cognitive tests did not. Should they be replicated, these findings suggest that reports of cognitive dysfunction in older adults with CVD largely reflect depressive symptoms and reduced quality of life.

Cardiovascular Disease

Quality of Life

depression

cognition

Original Research

Details

Title: Subtitle: Understanding reported cognitive dysfunction in older adults with cardiovascular disease
Creators: John Gunstad - Department of Psychology, Kent State University, Kent OH, USA
Ronald A Cohen - Department of Psychiatry and Human Behavior
Robert H Paul - Department of Psychiatry and Human Behavior
David F Tate - Department of Psychiatry and Human Behavior
Karin F Hoth - Department of Psychiatry and Human Behavior
Athena Poppas - Department of Cardiology, Brown Medical School, Providence RI, USA
Resource Type: Journal article
Publication Details: Neuropsychiatric disease and treatment, Vol.2(2), pp.213-218
DOI: 10.2147/nedt.2006.2.2.213
PMID: 19412466
PMCID: PMC2671782
NLM abbreviation: Neuropsychiatr Dis Treat
ISSN: 1176-6328
eISSN: 1178-2021
Publisher: Dove Medical Press
Language: English
Date published: 06/2006
Academic Unit: Psychiatry; Iowa Neuroscience Institute
Record Identifier: 9984066139402771

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