Subclinical levels of anxiety but not depression are associated with planning performance in a large population-based sample

Unterrainer, Josef M.; Domschke, Katharina; Rahm, Benjamin; Wiltink, Jörg; Schulz, Andreas; Pfeiffer, Norbert; Lackner, Karl J.; Münzel, Thomas; Wild, Philipp S.; Beutel, Manfred E.

doi:10.1017/s0033291717002562

Cited by 11 publications

(9 citation statements)

References 33 publications

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“…The task requires participants to plan ahead in order to transform a given start state into a defined goal state in an efficient way by performing the minimum number of moves. The present study used a touchscreen version 16 . Participants were asked to solve 24 problems in 20 minutes.…”

Section: Methodsmentioning

confidence: 99%

“…With respect to planning ability, we used sex-specific independent t-tests to explore differences between the CCS and controls, and sex-specific one-way ANOVAs to compare CNS tumor survivors, survivors of others cancers, and controls. We chose this strategy as previous research has attested to the association of sex and performance in the Tower of London 16,24,32–34 . Further, sex-dependent vulnerabilities to late effects of childhood cancer are another argument for sex-specific or sex-sensitive analysis methods 7,35 .…”

Section: Methodsmentioning

confidence: 99%

“…Planning denotes a form of problem solving, i.e. the mental conception and evaluation of behavioral sequences and their outcomes prior to execution 16 . It is a complex executive function depending on prefrontal cerebral areas closely linked to fluid intelligence 21 .…”

Section: Aims Of the Present Studymentioning

confidence: 99%

“…There is evidence that these aspects impact cognitive performance from other samples. For example, in a representative sample drawn from the general population, anxious individuals showed worse cognitive performance 16 . Thus, an investigation of cognitive abilities benefits from testing their contributions, especially as CNS tumor survivors have been shown to be at risk for adverse health conditions 17 , risky health behaviors 1 , and unfavorable psychosocial outcomes 7,8 .…”

Section: Introductionmentioning

confidence: 99%

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Status and predictors of planning ability in adult long-term survivors of CNS tumors and other types of childhood cancer

Ernst

Tibubos

Unterrainer

et al. 2019

Sci Rep

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Long-term childhood cancer survivors’ (CCS) quality of life can be impacted by late effects such as cognitive difficulties. Especially survivors of CNS tumors are assumed to be at risk, but reports of cognitive tests in CCS with survival times >25 years are scarce. We assessed planning ability, a capacity closely related to fluid intelligence, using the Tower of London. We compared 122 CNS tumor survivors, 829 survivors of other cancers (drawn from a register-based sample of adult long-term CCS), and 215 healthy controls (using sex-specific one-way ANOVAs and t-tests). Associations of CCS’ planning ability with medical and psychosocial factors were investigated with a hierarchical linear regression analysis. Mean planning ability did not differ between CCS and controls. However, female CNS tumor survivors performed worse than female survivors of other cancers and female controls. CNS tumor survivors of both sexes had a lower socioeconomic status, and fewer of them had achieved high education than other survivors. In the regression analysis, lower status and anxiety symptoms were associated with poor planning, suggesting possible mediators of effects of disease and treatment. The results indicate the necessity to contextualize test results, and to include cognitive and psychological assessments into aftercare.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Aims Of the Present Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Status and predictors of planning ability in adult long-term survivors of CNS tumors and other types of childhood cancer

Ernst

Tibubos

Unterrainer

et al. 2019

Sci Rep

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“…Anxiousness might be expected in life-transitions or situations of uncertainty, such as serious somatic illness. Several studies have indicated that not only clinically diagnosed anxiety disorders, but also subclinical anxiousness may be related to cognitive, emotional and physical impairments 20 – 22 .…”

Section: Introductionmentioning

confidence: 99%

The association of chronic anxiousness with cardiovascular disease and mortality in the community: results from the Gutenberg Health Study

Reiner

Tibubos

Werner

et al. 2020

Sci Rep

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in a large German community sample of adults, we investigated the association of chronic anxiousness with cardiovascular disease and mortality. Self-reported anxiousness from 11,643 German adults between 40 and 80 years of age from the Gutenberg Health Study (GHS) was analyzed over 5 years. Multivariable regression modeling assessed the relation between the variables, cardiovascular disease and mortality. Twelve percent of the participants reported consistently raised (chronic) anxiousness over at least 2.5 years. Anxiousness was more often reported by female, younger participants with a lower socioeconomic status, smokers and those with a family history of stroke and myocardial infarction. new onset of cardiovascular disease was linked to chronic anxiousness in men and new onset of anxiousness in women. However, chronic anxiousness did not predict all-cause mortality. our results revealed that anxiousness is highly prevalent in German adults from middle to old age, affecting women in particular. In our study, we found sex-specific associations between new onset of cardiovascular disease and different forms of anxiousness in men and women. We suggest that even subclinical levels of anxiety need to be considered as cardiovascular risk factors. to elucidate potential harm of anxiousness for mental and physical health, we propose sex-specific analyses in further research studies, taking age and the course of anxiousness into account. Anxiety disorders are among the most frequent mental disorders in the German population with a 12-month prevalence of more than 14% 1. The prevalence of anxiety disorders in cardiovascular and other somatic diseases was even higher, estimated at 30% or more 2. Among different types of anxiety disorders, general anxiety disorder

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Hit the chronic… physical activity: are cannabis associated mental health changes in adolescents attenuated by remaining active?

Duncan

Patte

Leatherdale

2020

Soc Psychiatry Psychiatr Epidemiol

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Subclinical levels of anxiety but not depression are associated with planning performance in a large population-based sample

Cited by 11 publications

References 33 publications

Status and predictors of planning ability in adult long-term survivors of CNS tumors and other types of childhood cancer

Status and predictors of planning ability in adult long-term survivors of CNS tumors and other types of childhood cancer

The association of chronic anxiousness with cardiovascular disease and mortality in the community: results from the Gutenberg Health Study

Hit the chronic… physical activity: are cannabis associated mental health changes in adolescents attenuated by remaining active?

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