Morse, Rachel M;
Koutsoubelis, Freya;
Whitfield, Tim;
Demnitz-King, Harriet;
Ourry, Valentin;
Stott, Josh;
Chocat, Anne;
... Marchant, Natalie L; + view all
(2024)
Worry and ruminative brooding: associations with cognitive and physical health in older adults.
Frontiers in Psychology
, 15
, Article 1332398. 10.3389/fpsyg.2024.1332398.
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Abstract
INTRODUCTION: Mental health conditions are associated with cognition and physical function in older adults. We examined whether worry and ruminative brooding, key symptoms of certain mental health conditions, are related to subjective and/or objective measures of cognitive and physical (cardiovascular) health. METHODS: We used baseline data from 282 participants from the SCD-Well and Age-Well trials (178 female; agemean = 71.1 years). We measured worry and ruminative brooding using the Penn State Worry Questionnaire and the Ruminative Response Scale-brooding subscale. We assessed subjective physical health using the WHOQOL-Bref physical subscale, and objective physical health via blood pressure and modified versions of the Framingham Risk Score and Charlson Comorbidity Index. With subjective and objective cognition, we utilized the Cognitive Difficulties Scale and a global composite (modified Preclinical Alzheimer's Cognitive Composite, PACC5, with the Wechsler Adult Intelligence Scale-IV, category fluency, Mattis Dementia Rating Scale-2, and either the California Verbal Learning Test or the Rey Auditory Verbal Learning Test). We conducted linear regressions, adjusted for education, age, sex and cohort. RESULTS: Worry and ruminative brooding were negatively associated with subjective physical health (worry: β = -0.245, 95%CI -0.357 to -0.133, p < 0.001; ruminative brooding: β = -0.224, 95%CI -0.334 to -0.113, p < 0.001) and subjective cognitive difficulties (worry: β = 0.196, 95%CI 0.091 to 0.302, p < 0.001; ruminative brooding: β = 0.239, 95%CI 0.133 to 0.346, p < 0.001). We did not observe associations between worry or ruminative brooding and any measure of objective health. DISCUSSION: Worry and ruminative brooding may be common mechanisms associated with subjective but not objective health. Alternatively, cognitively unimpaired older adults may become aware of subtle changes not captured by objective measures used in this study. Interventions reducing worry and ruminative brooding may promote subjective physical and cognitive health; however, more research is needed to determine causality of the relationships.
| Type: | Article |
|---|---|
| Title: | Worry and ruminative brooding: associations with cognitive and physical health in older adults |
| Location: | Switzerland |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3389/fpsyg.2024.1332398 |
| Publisher version: | http://dx.doi.org/10.3389/fpsyg.2024.1332398 |
| Language: | English |
| Additional information: | © 2024 Morse, Koutsoubelis, Whitfield, Demnitz-King, Ourry, Stott, Chocat, Devouge, Walker, Klimecki, Collette, Chetelat, Gonneaud, Poisnel and Marchant for the Medit-Ageing Research Group. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
| Keywords: | Social Sciences, Psychology, Multidisciplinary, Psychology, worry, rumination, cognition, physical health, perseverative cognition, repetitive negative thinking, REPETITIVE NEGATIVE THINKING, OF-LIFE ASSESSMENT, PERSEVERATIVE COGNITION, PSYCHOMETRIC PROPERTIES, AGE IDENTITY, DEPRESSION, STRESS, DISORDERS, SYMPTOMS, DECLINE |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Mental Health of Older People |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10195218 |
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