Longitudinal relationships between cognitive domains and depression and anxiety symptoms in systemic lupus erythematosus
Seminars in Arthritis and Rheumatism Sep 30, 2021
Bingham KS, DiazMartinez J, Green R, et al. - Findings suggested an association of depression and anxiety symptoms in SLE patients with cognitive dimension incorporating memory, executive function and complex processing speed in a stable manner across one year. Many people with cognitive impairment are clinically depressed and anxious.
A total of 301 SLE patients were included in the study.
Anxiety and depression and neuropsychological performance remained steady throughout time.
A factor analysis revealed two factors that accounted for 42.2% of the variance in neuropsychological performance.
The first dimension (33.1% of the variance) was mostly comprised of complex cognitive tests measuring executive function, verbal, visual, and working memory, and complex processing speed.
The second component (9.1% of the variation) mostly included assessments of simple information processing speed or motor dexterity.
The first cognitive dimension was consistently connected to anxiety and depression scores.
There was significant overlap among persons identified as having cognitive impairment, anxiety, or depression.
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