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Association between cognitive impairment and cardiovascular burden in patients with severe mental disorder.

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Title: Association between cognitive impairment and cardiovascular burden in patients with severe mental disorder.
Authors: Foguet-Boreu, Quintí, Guàrdia Sancho, Anna, Santos Lopez, Jose Manuel, Roura Poch, Pere, Palmarola Ginesta, Joan, Puig-Ribera, Anna Maria, Muñoz Pradós, Jordina
Source: Cognitive Neuropsychiatry. Jan2020, Vol. 25 Issue 1, p1-13. 13p. 3 Charts, 1 Graph.
Subjects: Cognition disorders, Mental illness, People with mental illness, Rehabilitation centers, Psychoeducation, Schizoaffective disorders
Abstract: Introduction: Cognitive impairment is related to an increase in cardiovascular risk (CVR) in the general population. However, in severe mental disorder (SMD), the evidence is less consistent. Few studies have evaluated the relationship between cognition and vascular burden in SMD. This study determines the relationship between cognition and vascular burden in patients with SMD. Methods: Sixty SMD patients (61% men, mean age: 46) attending a psychosocial rehabilitation centre were included. We evaluated sociodemographic, clinical, laboratory, quality of life and functionality characteristics. And we analysed the association between cognitive performance and vascular burden. Results: SMD diagnoses were: 41.7% schizophrenia, 20.0% bipolar, 5.0% schizoaffective, 21.7% depressive and 11.7% other. Cognitive impairment was present in 55% of the cases. The average vascular burden was 3.2. Patients with cognitive impairment have a significantly higher vascular burden than patients without cognitive impairment (p < 0.05). The speed of processing had a moderate correlation with vascular burden (r = −0.457, p=0.001). Conclusions: Patients with cognitive impairment had a significantly higher vascular burden than patients without cognitive impairment. There are two practical clinical implications: CVR should be evaluated in all SMD patients; and psychoeducation programmes for CVR should be performed and adapted to the cognitive deficits. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Neuropsychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Association between cognitive impairment and cardiovascular burden in patients with severe mental disorder.
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  Data: Introduction: Cognitive impairment is related to an increase in cardiovascular risk (CVR) in the general population. However, in severe mental disorder (SMD), the evidence is less consistent. Few studies have evaluated the relationship between cognition and vascular burden in SMD. This study determines the relationship between cognition and vascular burden in patients with SMD. Methods: Sixty SMD patients (61% men, mean age: 46) attending a psychosocial rehabilitation centre were included. We evaluated sociodemographic, clinical, laboratory, quality of life and functionality characteristics. And we analysed the association between cognitive performance and vascular burden. Results: SMD diagnoses were: 41.7% schizophrenia, 20.0% bipolar, 5.0% schizoaffective, 21.7% depressive and 11.7% other. Cognitive impairment was present in 55% of the cases. The average vascular burden was 3.2. Patients with cognitive impairment have a significantly higher vascular burden than patients without cognitive impairment (p &lt; 0.05). The speed of processing had a moderate correlation with vascular burden (r = −0.457, p=0.001). Conclusions: Patients with cognitive impairment had a significantly higher vascular burden than patients without cognitive impairment. There are two practical clinical implications: CVR should be evaluated in all SMD patients; and psychoeducation programmes for CVR should be performed and adapted to the cognitive deficits. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Cognitive Neuropsychiatry is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/13546805.2019.1676709
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        Text: English
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      – SubjectFull: Mental illness
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      – SubjectFull: People with mental illness
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      – SubjectFull: Rehabilitation centers
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      – SubjectFull: Schizoaffective disorders
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      – TitleFull: Association between cognitive impairment and cardiovascular burden in patients with severe mental disorder.
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              Text: Jan2020
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              Y: 2020
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