Association of Depression, Anxiety, and Type D Personality with Cognitive Function in Patients with Coronary Artery Disease

Burkauskas, Julius; Brožaitienė, Julija; Bunevičius, Adomas; Neverauskas, Julius; Zaliunaite, Violeta; Bunevičius, Robertas

doi:10.1097/wnn.0000000000000093

Cited by 30 publications

(21 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 29 – 31 Study samples ranged from 17 to 4752 patients with a median number of 101 participants. Eleven studies were described as cross-sectional studies, 31 – 41 eight were comparative studies, 42 – 49 five were randomized controlled trials, 50 – 54 and two were retrospective cohort studies. 30 , 55 The remaining studies were a prospective cohort study, 29 an observational study, 27 a follow-up study, 28 a case-control study, 56 a longitudinal study, 57 and an interventional study.…”

Section: Resultsmentioning

confidence: 99%

“…The studies employed various cognitive function measures. The tests used to examine the executive domain of cognitive function were the Trail Making Test, 29 , 31 , 34 – 41 , 48 , 50 , 51 , 54 , 55 , 58 Digit Symbol Substitution Test, 31 , 35 – 41 , 50 , 54 , 55 Digit Span Test, 31 , 36 , 39 , 42 , 43 , 49 , 51 – 53 , 55 and Controlled Oral Word Association Test. 29 , 31 , 35 , 37 , 38 , 43 , 45 , 51 , 54 Verbal memory was most commonly assessed using the California Verbal Learning Test.…”

Section: Resultsmentioning

confidence: 99%

“… 35 , 37 , 38 , 40 , 41 , 54 The global cognitive function measure used in most of the studies was the Mini-Mental State Examination. 27 – 31 , 33 , 34 , 37 , 39 , 40 – 42 , 56…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Cognitive function in patients with coronary artery disease: A literature review

et al. 2018

View full text Add to dashboard Cite

ObjectiveCognitive function impairment is a well-documented complication of cerebrovascular disease (CBVD). Less is known about what factors affect the deterioration of cognitive function in patients with coronary artery disease (CAD). The aim of this review is to explore recent studies investigating factors associated with cognitive function in patients with CAD.MethodsStudies published from 2010 to 2016 were identified through a systematic search of MEDLINE/PubMed and were included if they addressed factors affecting cognitive function in the CAD population.ResultsOf the 227 publications identified, 32 were selected for the review. Five factors tentatively affecting cognitive function in patients with CAD were identified: coronary artery bypass grafting (CABG) surgery, apolipoprotein E4 (APOE4) genotype, left ventricular ejection fraction (LVEF), medication use, and various hormones and biomarkers.ConclusionNew techniques in CABG surgery have proven to alleviate postoperative cognitive decline. Researchers are still debating the effects of APOE4 genotype, LVEF, and the use of cardiovascular medications on cognitive function. Thyroid hormones and biomarkers are associated with cognitive function, but the exact nature of the association is debatable. Longitudinal studies should clarify those associations. In addition, cross-sectional studies addressing other causes of cognitive decline in patients with CAD are warranted.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Cognitive function in patients with coronary artery disease: A literature review

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In the general population, individuals with type-D personality have a heightened perception of negative emotions such as depression and anxiety, potentially contributing to a bi-directional relationship between personality and sleep, with adverse health outcomes [64]. The association with negative health outcomes coupled with impaired cognitive function [72] and decreased quality of life [73], necessitate identification of type-D personality prior to commencing treatment and ideally modification of these factors where possible, to enhance health outcomes.…”

Section: Type-d Personality and Physiological Correlatesmentioning

confidence: 99%

A review of psychosocial factors and personality in the treatment of obstructive sleep apnoea

et al. 2019

View full text Add to dashboard Cite

Effective treatment of obstructive sleep apnoea (OSA) is primarily determined by adherence to the selected intervention. The most common treatment pathways are mechanical devices such as continuous positive airway pressure (CPAP) or a mandibular advancement device, often combined with weight loss therapy. Weight reduction is usually an adjunct therapy but may be used as a secondary treatment in mild-to-moderate OSA when mechanical treatments cannot be tolerated. To enhance the uptake and adherence to treatment, clinicians may assess patient's personality profiles and psychological readiness. There is a paucity of evidence related to these aspects of patient care and this article outlines the current research in relation to patient presentation, treatment uptake and barriers, and methods to enhance treatment adherence.This article disseminates personality traits observed in patients with OSA and identifies vulnerable groups who may require additional support to increase treatment adherence. It summarises the current evidence for treatment barriers in patients with OSA. Low self-efficacy in relation to CPAP and weight loss adherence will be explored as well as the potential to predict treatment responders and enhance therapeutic uptake and adherence. Extending personality traits into research and clinical practice could potentially result in more successful CPAP therapy and weight loss treatment outcomes.

show abstract

“…We chose cognitive tests that in previous research studies identified patients at elevated risk of impairment in specific and complementary areas of cognitive functioning or relevance to CAD [20][21][22] and were previously validated and used for research purposes in Lithuania [23,24]. The majority of these tests are recommended by the National Institute of Neurological Disorders and Stroke-Canadian Stroke Network vascular cognitive impairment harmonization standards to target the executive domain of cognitive functioning [25].…”

Section: Cognitive Functionsmentioning

confidence: 99%

Exploring Cognitive Concomitants of Mental Fatigue in Patients with Coronary Artery Disease

et al. 2017

Self Cite

View full text Add to dashboard Cite

Objective: Fatigue and reduced exercise capacity are common concomitants of coronary artery disease (CAD). They are known to be associated with the deterioration in mental health, including emotional and cognitive status. However, the precise nature of the inter-relationship is poorly understood. The aim of this study was to investigate the relationship between fatigue and exercise capacity on the one hand and changes in cognitive functioning on the other, to generate new heuristics for clinical management and outcome prediction of CAD. Methods: A cross-sectional study included 827 in-patients (58 ± 9 years, 75% men) with CAD. Patients were evaluated for demographic, cardiac characteristics, and exercise capacity. The Multidimensional Fatigue Inventory-20 was used to assess fatigue, the Mini Mental State Examination for global cognitive function, the Digit Span Test, Digit Symbol Test, and Trail Making Test for executive aspects of cognitive functioning, and the Hospital Anxiety and Depression Scale for anxiety and depression symptom severity. Results: Using multiple regression analysis, after adjusting for possible confounders such as anxiety and depression, mental fatigue was associated with several executive aspects of cognitive function including short-term memory (Digit Symbol Test pairs recalled correctly [β = –0.127, p < 0.005]), psychomotor performance (time to complete the Digit Symbol Test [β = 0.089, p < 0.03]), and cognitive processing speed (Trail Making Test A [β = 0.081, p < 0.05]). Conclusion: In rehabilitating CAD patients, certain aspects of executive functioning were independently associated with mental fatigue. These findings suggest that the subjective experience of mental fatigue, rather than reduced exercise capacity, is significantly associated with cognitive function.

show abstract

Association of Depression, Anxiety, and Type D Personality with Cognitive Function in Patients with Coronary Artery Disease

Abstract: For patients with CAD undergoing a cardiac rehabilitation program, depression, anxiety, and Type D personality were associated with worse cognitive performance independent of clinical CAD severity and sociodemographic characteristics.

Cited by 30 publications

References 55 publications

Cognitive function in patients with coronary artery disease: A literature review

Cognitive function in patients with coronary artery disease: A literature review

A review of psychosocial factors and personality in the treatment of obstructive sleep apnoea

Exploring Cognitive Concomitants of Mental Fatigue in Patients with Coronary Artery Disease

Contact Info

Product

Resources

About