Cognition and its association with the factors of the EURO‐D: Suffering and Motivation. Findings from SHARE Wave 6

Portellano-Ortiz, Cristina; Conde-Sala, Josep Lluís

doi:10.1002/gps.4967

Cited by 9 publications

(4 citation statements)

References 62 publications

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“…The higher the score, the higher the participant's cognitive function (34). These cognitive measures are validated and are widely used in many large longitudinal surveys (34,35). Our calculated Cronbach's alphas demonstrated good internal consistency reliability of the cognition scale.…”

Section: Variables Cognitive Functionmentioning

confidence: 66%

“…A joint scale was created based on all items with a total score range of 0 to 125 (Cronbach's alpha = 0.80, for wave 5 and Cronbach's alpha = 0.76, for wave 6). The higher the score, the higher the participant's cognitive function (34). These cognitive measures are validated and are widely used in many large longitudinal surveys (34,35).…”

Section: Variables Cognitive Functionmentioning

confidence: 99%

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Pathways To Pain And Disability: The Impact of Early Social Deprivation And Educational Attainment In Newly Diagnosed Osteoarthritis Patients

Kouraki

Bast

Ferguson

et al. 2021

Preprint

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Previous research established links between pain and cognitive function on one hand and pain and anxiety on the other, and there is some evidence linking osteoarthritis to lower educational attainment. However, the inter-play of these factors and the role of key social factors (social deprivation) at the early disease stages are not understood. Using data from waves 4, 5, 6 and 7 of the Survey of Health, Ageing and Retirement in Europe (SHARE) (n = 1,240), we tested how social deprivation, education and anxiety, before diagnosis, affects the relationship between cognitive function, pain and independence (activities of daily living) in a subsample of respondents reporting a diagnosis of osteoarthritis at wave 6, with cross-lagged panel models. We show that social deprivation, before osteoarthritis diagnosis, predicts functional impairment in daily living after diagnosis, with this effect partly mediated by impaired cognitive function, and that education before diagnosis is protective against impairments in daily living after diagnosis via better cognitive function and lower anxiety at wave 5. Therefore, improving cognitive function and managing anxiety may mitigate the negative impact of social deprivation and low educational attainment on independent living and help to promote independence in patients with osteoarthritis.

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Section: Variables Cognitive Functionmentioning

confidence: 66%

Section: Variables Cognitive Functionmentioning

confidence: 99%

Pathways To Pain And Disability: The Impact of Early Social Deprivation And Educational Attainment In Newly Diagnosed Osteoarthritis Patients

Kouraki

Bast

Ferguson

et al. 2021

Preprint

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“…Lastly, in order to strengthen the potentialities of our approach, Table E1 in the online supplementary material reports the results of regression model estimations that compare the use of the single indicator of depression based on the cut-off value of the EURO-D scale and the categories created by our solution. We use SHARE Wave 6 data to investigate the relationship between cognitive abilities and depression (no causal effects), as in Portellano-Ortiz and Conde-Sala (2018). The dependent variable in each estimated model is the result of the fluency test, which provides a measure of individual cognitive abilities (this variable counts the total number of animals cited by the respondent in one minute); several individual and household characteristics (gender, age, education, household size, physical health, job status, country) are specified for controlling.…”

Section: Discussionmentioning

confidence: 99%

A model-driven approach to better identify older people at risk of depression

Gennaro¹,

Paccagnella

Zaninotto

2019

Ageing and Society

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Depression in later life is one of the most common mental disorders. Several instruments have been developed to detect the presence or the absence of certain symptoms or emotional disorders, based on cut-off points. However, the use of a cut-off does not allow identification of depression sub-types or distinguish between mild and severe depression. As a result, depression may be under- or over-diagnosed in older people. This paper aims to apply a model-driven approach to classify individuals into distinct sub-groups, based on different combinations of depressive and emotional conditions. This approach is based on two distinct statistical solutions: first, a latent class analysis is applied to the items collected by the depression scale and, according to the final model, the probability of belonging to each class is calculated for every individual. Second, a factor analysis of these classes is performed to obtain a reduced number of clusters for easy interpretation. We use data collected through the EURO-D scale in a large sample of older individuals, participants of the sixth wave of the Survey of Health, Ageing and Retirement in Europe. We show that by using such a model-based approach it is possible to classify individuals in a more accurate way than the simple dichotomisation ‘depressed’ versus ‘non-depressed’.

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“…A joint scale was created based on all items with a total score range of 0 to 125 (Cronbach's alpha = 0.80, for wave 5 and Cronbach's alpha = 0.76, for wave 6). The higher the score, the higher the participant's cognitive function (34). We decided not use a standardised score of cognitive function due to the risks associated with their use in the analysis of longitudinal data (35,36).…”

Section: Variables Cognitive Functionmentioning

confidence: 99%

Pathways to Pain and Disability: the Impact of Early Social Deprivation and Educational Attainment in Newly Diagnosed Osteoarthritis Patients

Kouraki

Bast

Ferguson

et al. 2021

Preprint

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BackgroundLinks between pain and cognitive function on one hand and pain and anxiety on the other have already been shown in other studies and there is biological evidence linking osteoarthritis to educational attainment. However, the inter-play of these factors and the role of key social (social deprivation) factors at the early disease stages are not understood. Therefore, we tested how social deprivation, education and anxiety, before diagnosis, affects the cognition, pain and independence (activities of daily living) relationship longitudinally after diagnosis of osteoarthritis. MethodsUsing data from waves 4, 5, 6 and 7 of the Survey of Health, Ageing and Retirement in Europe (SHARE) (n = 1,240), we examined the impact of social deprivation, education and anxiety on the dynamic relationship between cognitive function, pain and instrumental activities of daily living (IADL) in a subsample of respondents reporting a diagnosis of osteoarthritis at wave 6, with cross-lagged panel models.ResultsSocial deprivation before diagnosis predicted poorer cognitive function and higher pain levels after diagnosis, and further predicted impairments in IALD at wave 7 through its negative effect on cognitive function at wave 6. Education before diagnosis was protective against impairments in daily living after diagnosis via better cognitive function and lower anxiety at wave 5.ConclusionWe show for the first time that social deprivation, before osteoarthritis diagnosis, predicts functional impairment in daily living, after diagnosis with this effect partly mediated by impaired cognitive function. We also show for the first time that, education before diagnosis was protective against impairments in daily living after diagnosis via better cognitive function and lower anxiety before diagnosis. Therefore, improving cognitive function and managing anxiety may dampen the impact of social deprivation and low educational attainment on poor health and help to promote independence in patients with osteoarthritis.

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Cognition and its association with the factors of the EURO‐D: Suffering and Motivation. Findings from SHARE Wave 6

Abstract: In the EURO-D depression scale, poor cognition was associated with higher scores in the Motivation factor only, while the female gender presented higher scores in the Suffering factor.

Cited by 9 publications

References 62 publications

Pathways To Pain And Disability: The Impact of Early Social Deprivation And Educational Attainment In Newly Diagnosed Osteoarthritis Patients

Pathways To Pain And Disability: The Impact of Early Social Deprivation And Educational Attainment In Newly Diagnosed Osteoarthritis Patients

A model-driven approach to better identify older people at risk of depression

Pathways to Pain and Disability: the Impact of Early Social Deprivation and Educational Attainment in Newly Diagnosed Osteoarthritis Patients

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