Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-24T21:49:09.471Z Has data issue: false hasContentIssue false

Does cognitive reserve moderate the association between mood and cognition? A systematic review

Published online by Cambridge University Press:  03 November 2015

Carol Opdebeeck
Affiliation:
Bangor University, UK
Catherine Quinn
Affiliation:
University of Exeter, UK
Sharon M Nelis
Affiliation:
University of Exeter, UK
Linda Clare*
Affiliation:
University of Exeter, UK
*
Address for correspondence: Professor Linda Clare, REACH: The Centre for Research in Ageing and Cognitive Health, School of Psychology, University of Exeter, Exeter EX4 4QG, United Kingdom. Email: l.clare@exeter.ac.uk

Summary

The evidence regarding the association between mood and cognitive function is conflicting, suggesting the involvement of moderating factors. This systematic review aimed to assess whether cognitive reserve moderates the association between mood and cognition in older people. Cognitive reserve was considered in terms of the three key proxy measures – educational level, occupation, and engagement in cognitively stimulating leisure activities – individually and in combination. Sixteen studies representing 37,101 participants were included in the review. Of these, 13 used a measure of education, one used a measure of occupation, two used a measure of participation in cognitively stimulating activities, and one used a combination of these. In general, cognitive reserve moderated the association between mood and cognition, with a larger negative association between mood and cognition in those with low cognitive reserve than in those with high cognitive reserve. Further research utilizing multiple proxy measures of cognitive reserve is required to elucidate the associations.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Beaudreau, SA, O’Hara, R. The association of anxiety and depressive symptoms with cognitive performance in community-dwelling older adults. Psychol Aging 2009; 24: 507–12.CrossRefGoogle ScholarPubMed
2Beaudreau, SA, O’Hara, R. Late-life anxiety and cognitive impairment: a review. Am J Geriatric Psychiatry 2008; 16: 790803.CrossRefGoogle ScholarPubMed
3Diniz, BS, Butters, MA, Albert, SM, Dew, MA, Reynolds, CF. Late-life depression and risk of vascular dementia and Alzheimer's disease: systematic review and meta-analysis of community-based cohort studies. Br J Psychiatry 2013; 20: 329–35.CrossRefGoogle Scholar
4Reppermund, S, Brodaty, H, Crawford, JD, Kochan, NA, Slavin, MJ, Trollor, JNet al.The relationship of current depressive symptoms and past depression with cognitive impairment and instrumental activities of daily living in an elderly population: the Sydney Memory and Ageing Study. J Psychiatr Res 2011; 45: 1600–7.CrossRefGoogle Scholar
5Steffens, DC, McQuoid, DR, Potter, GG. Amnestic mild cognitive impairment and incident dementia and Alzheimer's disease in geriatric depression. Int Psychogeriatr 2014; 26: 2029–36.CrossRefGoogle ScholarPubMed
6Yates, JA, Clare, L, Woods, RT. Mild cognitive impairment and mood: a systematic review. Rev Clin Gerontology 2013; 23: 217–56.CrossRefGoogle Scholar
7Becker, JT, Chang, Y, Lopez, OL, Dew, MA, Sweet, RA, Barnes, Det al.Depressed mood is not a risk factor for incident dementia in a community-based cohort. Am J Geriatr Psychiatry 2009; 8: 653–63.CrossRefGoogle Scholar
8de Bruijn, RFAG, Direk, N, Mirza, SS, Hofman, A, Koudstaal, PJ, Tiemeier, Het al.Anxiety is not associated with the risk of dementia or cognitive decline: the Rotterdam study. Am J Geriatr Psychiatry 2014; 22: 1382–90.CrossRefGoogle ScholarPubMed
9Kindermann, SS, Brown, GG. Depression and memory in the elderly: a meta-analysis. J Clin Exp Neuropsychol 1997; 19: 625–42.CrossRefGoogle ScholarPubMed
10Mortimer, JA, Snowdon, DA, Markesbery, WR. Head circumference, education and risk of dementia: findings from the Nun Study. J Clin Exp Neuropsychol 2003; 25: 671–79.CrossRefGoogle ScholarPubMed
11Opdebeeck, C, Martyr, A, Clare, L. Cognitive reserve and cognitive function in healthy older people: a meta-analysis. Aging Neuropsychol Cogn 2015 (1 May: Epub ahead of print).Google ScholarPubMed
12Valenzuela, MJ, Sachdev, P. Brain reserve and dementia: a systematic review. Psychol Med 2006; 36: 441–54.CrossRefGoogle ScholarPubMed
13Valenzuela, MJ, Sachdev, P. Brain reserve and cognitive decline: a non-parametric systematic review. Psychol Med 2006; 36: 1065–74.CrossRefGoogle ScholarPubMed
14Benedict, RHB, Morrow, SA, Weinstock Guttman, B, Cookfair, D, Schretlen, DJ. Cognitive reserve moderates decline in information processing speed in multiple sclerosis patients. J Int Neuropsychol Soc 2010; 16: 829–35.CrossRefGoogle ScholarPubMed
15Foley, JM, Ettenhofer, ML, Kim, MS, Behdin, N, Castellon, SA, Hinkin, CH. Cognitive reserve as a protective factor in older HIV-positive patients at risk for cognitive decline. Appl Neuropsychol 2012; 19: 1625.Google ScholarPubMed
16Hindle, JV, Martyr, A, Clare, L. Cognitive reserve in Parkinson's disease: a systematic review and meta-analysis. Parkinsonism Relat Disord 2014; 20: 17.CrossRefGoogle ScholarPubMed
17Kesler, SR, Adams, HF, Blasey, CM, Bigler, ED. Premorbid intellectual functioning, education, and brain size in traumatic brain injury: an investigation of the cognitive reserve hypothesis. Appl Neuropsychol 2003; 10: 153–62.CrossRefGoogle ScholarPubMed
18Adams, KB, Leibbrandt, S, Moon, H. A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing Society 2011; 31: 683712.CrossRefGoogle Scholar
19Bjelland, I, Krokstad, S, Mykletun, A, Dahl, AA, Tell, GS, Tambs, K. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med 2008; 66: 1334–45.CrossRefGoogle ScholarPubMed
20Glass, TA, De Leon, CFM, Bassuk, SS, Berkman, LF. Social engagement and depressive symptoms in late life: longitudinal findings. J Aging Health 2006; 18: 604–28.CrossRefGoogle ScholarPubMed
21Hong, S, Hasche, L, Bowland, S. Structural relationships between social activities and longitudinal trajectories of depression among older adults. Gerontologist 2009; 49: 111.CrossRefGoogle ScholarPubMed
22Jenkins, A. Participation in learning and wellbeing among older adults. Int J Lifelong Education 2011; 30: 403–20.CrossRefGoogle Scholar
23Ladin, K. Risk of late-life depression across 10 European Union countries: deconstructing the education effect. J Aging Health 2008; 20: 653–70.CrossRefGoogle ScholarPubMed
24Lorant, V, Deliège, D, Eaton, W, Robert, A, Philippot, P, Ansseau, M. Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 2003; 157: 98112.CrossRefGoogle ScholarPubMed
25Murrell, SA, Salsman, NL, Meeks, S. Educational attainment, positive psychological mediators, and resources for health and vitality in older adults. J Aging Health 2003; 15: 591615.CrossRefGoogle ScholarPubMed
26Narushima, M, Liu, J, Diestelkamp, N. The association between lifelong learning and psychological well-being among older adults: implications for interdisciplinary health promotion in an aging society. Act Adapt Aging 2013; 37: 239–50.Google Scholar
27Ross, CE, Mirowsky, J. Sex differences in the effect of education on depression: resource multiplication or resource substitution? Soc Sci Med 2006; 63: 1400–13.CrossRefGoogle ScholarPubMed
28Ross, CE, Mirowsky, J. Gender and the health benefits of education. Sociological Quarterly 2010; 51: 119.CrossRefGoogle ScholarPubMed
29Ballmaier, M, Toga, AW, Blanton, RE, Sowell, ER, Lavretsky, H, Peterson, Jet al.Anterior cingulate, gyrus rectus, and orbitofrontal abnormalities in elderly depressed patients: an MRI-based parcellation of the prefrontal cortex. Am J Psychiatry 2004; 161: 99108.CrossRefGoogle ScholarPubMed
30Elbejjani, M, Fuhrer, R, Abrahamowicz, M, Mazoyer, B, Crivello, F, Tzourio, Cet al.Depression, depressive symptoms, and rate of hippocampal atrophy in a longitudinal cohort of older men and women. Psychol Med 2015; 15: 1931–44.CrossRefGoogle Scholar
31Lampe, IK, Pol, HEH, Janssen, J, Schnack, HG, Kahn, RS, Heeren, TJ. Association of depression duration with reduction of global cerebral gray matter volume in female patients with recurrent major depressive disorder. Am J Psychiatry 2003; 160: 2052–54.CrossRefGoogle ScholarPubMed
32Sandu, A, Staff, RT, McNeil, CJ, Mustafa, N, Ahearn, T, Whalley, LJet al.Structural brain complexity and cognitive decline in late life – a longitudinal study in the Aberdeen 1936 Birth Cohort. Neuroimage 2014; 100: 558–63.CrossRefGoogle ScholarPubMed
33Byers, AL, Yaffe, K. Depression and risk of developing dementia. Nat Rev Neurol 2011; 7: 323–31.CrossRefGoogle ScholarPubMed
34Korczyn, AD, Halperin, I. Depression and dementia. J Neurol Sci 2009; 283: 139–42.CrossRefGoogle ScholarPubMed
35Leonard, BE. Inflammation, depression and dementia: are they connected? Neurochem Res 2007; 32: 1749–56.CrossRefGoogle ScholarPubMed
*36Opdebeeck, C, Nelis, SM, Quinn, C, Clare, L. How does cognitive reserve impact on the relationships between mood, rumination, and cognitive function in later life? Aging Ment Health 2015; 19: 705–12.CrossRefGoogle ScholarPubMed
*37O’Shea, DM, Fieo, RA, Hamilton, JL, Zahodne, LB, Manly, JJ, Stern, Y. Examining the association between late‐life depressive symptoms, cognitive function, and brain volumes in the context of cognitive reserve. Int J Geriatr Psychiatry 2015; 30: 614–22.CrossRefGoogle ScholarPubMed
*38Bhalla, RK, Butters, MA, Zmuda, MD, Seligman, K, Mulsant, BH, Pollock, BGet al.Does education moderate neuropsychological impairment in late-life depression? Int J Geriatr Psychiatry 2005; 20: 413–17.CrossRefGoogle ScholarPubMed
*39Potvin, O, Bergua, V, Meillon, C, Le Goff, M, Bouisson, J, Dartigues, Jet al.State anxiety and cognitive functioning in older adults. Am J Geriatr Psychiatry 2013; 21: 915–24.CrossRefGoogle ScholarPubMed
*40Gale, CR, Allerhand, M, Deary, IJ. Is there a bidirectional relationship between depressive symptoms and cognitive ability in older people? A prospective study using the English Longitudinal Study of Ageing. Psychol Med 2012; 42: 2057–69.CrossRefGoogle Scholar
*41Corsentino, EA, Collins, N, Sachs-Ericsson, N, Blazer, DG. Religious attendance reduces cognitive decline among older women with high levels of depressive symptoms. J Gerontol Biol Sci 2009; 64A: 1283–89.CrossRefGoogle Scholar
*42Reyes-Ortiz, CA, Berges, IM, Raji, MA, Koenig, HG, Kuo, Y, Markides, KS. Church attendance mediates the association between depressive symptoms and cognitive functioning among older Mexican Americans. J Gerontol Biol Sci 2008; 63: 480–86.CrossRefGoogle ScholarPubMed
*43Wilson, RS, de Leon, CFM, Bennett, DA, Bienias, JL, Evans, DA. Depressive symptoms and cognitive decline in a community population of older persons. J Neurol Neurosurg Psychiatry 2004; 75: 126–29.Google Scholar
*44Fuhrer, R, Antonucci, TC, Dartigues, J. The co-occurrence of depressive symptoms and cognitive impairment in a French community: are there gender differences? Eur Arch Psychiatry Clin Neurosci 1992; 242: 161–71.CrossRefGoogle Scholar
*45Pálsson, S, Aevarsson, O, Skoog, I. Depression, cerebral atrophy, cognitive performance and incidence of dementia. Population study of 85-year-olds. Br J Psychiatry 1999; 174: 249–53.CrossRefGoogle ScholarPubMed
*46Pálsson, S, Larsson, L, Tengelin, E, Waern, M, Samuelsson, S, Hallstro, Tet al.The prevalence of depression in relation to cerebral atrophy and cognitive performance in 70- and 74-year-old women in Gothenburg. The Women's Health Study. Psychol Med 2001; 31: 3949.CrossRefGoogle ScholarPubMed
*47Wight, RG, Aneshensel, CS, Seeman, TE. Educational attainment, continued learning experience, and cognitive function among older men. J Aging Health 2002; 14: 211–36.CrossRefGoogle ScholarPubMed
*48Geerlings, MI, Schoevers, RA, Beekman, AT, Jonker, C, Deeg, DJ, Schmand, Bet al.Depression and risk of cognitive decline and Alzheimer's disease. Results of two prospective community-based studies in The Netherlands. Br J Psychiatry 2000; 176: 568–75.CrossRefGoogle ScholarPubMed
*49Santos, NC, Costa, PS, Cunha, P, Portugal-Nunes, C, Amorim, L, Cotter, Jet al.Clinical, physical and lifestyle variables and relationship with cognition and mood in aging: a cross-sectional analysis of distinct educational groups. Frontiers in Aging Neuroscience 2014; 6: 21.CrossRefGoogle ScholarPubMed
*50Avila, R, Moscoso, MAA, Ribeiz, S, Arrais, J, Jaluul, O, Bottino, CMC. Influence of education and depressive symptoms on cognitive function in the elderly. Int Psychogeriatr 2009; 21: 560–67.CrossRefGoogle ScholarPubMed
*51Moraes, C, PintoJA, Jr JA, Jr, Lopes, MA, Litvoc, J, Bottino, CMC. Impact of sociodemographic and health variables on Mini-Mental State Examination in a community-based sample of older people. Eur Arch Psychiatry Clin Neurosci 2010; 260: 535–42.CrossRefGoogle Scholar
52Nucci, M, Mapelli, D, Mondini, S. The cognitive reserve questionnaire (CRIq): a new instrument for measuring the cognitive reserve. Aging Clin Exp Res 2011; 23: 218–26.Google Scholar
53Richards, M, Deary, IJ. A life course approach to cognitive reserve: a model for cognitive aging and development? Ann Neurol 2005; 58: 617–22.CrossRefGoogle Scholar
54Richards, M, Sacker, A. Lifetime antecedents of cognitive reserve. J Clin Exp Neuropsychol 2003; 25: 614–24.CrossRefGoogle ScholarPubMed
55Sánchez Rodríguez, JL, Torrellas, C, Martín, J, Fernandez, MJ. Cognitive reserve and lifestyle in Spanish individuals with sporadic Alzheimer's disease. Am J Alzheimer's Disease Other Dementias 2011; 26: 542–54.CrossRefGoogle ScholarPubMed
56Stern, Y. Cognitive reserve. Neuropsychologia 2009; 47: 2015–28CrossRefGoogle ScholarPubMed
57Tucker, AM, Stern, Y. Cognitive reserve in aging. Current Alzheimer Research 2011; 8: 354360.CrossRefGoogle ScholarPubMed
58Whalley, LJ, Dick, FD, McNeill, G. A life-course approach to the aetiology of late-onset dementias. Lancet Neurology 2006; 5: 8796.CrossRefGoogle Scholar
59Folstein, MF, Folstein, SE, McHugh, PR. Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189–98.CrossRefGoogle Scholar
60Davey, A, Dai, T, Woodard, JL, Miller, LS, Gondo, Y, Johnson, MAet al.Profiles of cognitive functioning in a population-based sample of centenarians using factor mixture analysis. Exp Aging Res 2013; 39: 125–44.CrossRefGoogle Scholar
61Leibovici, D, Ritchie, K, Ledésert, B, Touchon, J. Does education level determine the course of cognitive decline? Age Ageing 1996; 25: 392–97.CrossRefGoogle ScholarPubMed
62Leung, GTY, Fung, AWT, Tam, CWC, Lui, VWC, Chiu, HFK, Chan, WMet al.Examining the association between participation in late-life leisure activities and cognitive function in community-dwelling elderly Chinese in Hong Kong. Int Psychogeriatr 2010; 22: 213.CrossRefGoogle ScholarPubMed
63Mueller, AE, Raymond, N, Yochim, BP. Cognitive activity engagement predicts future memory and executive functioning in older adults. Act Adapt Aging 2013; 37: 251–64.Google Scholar
64Zahodne, LB, Nowinski, CJ, Gershon, RC, Manly, JJ. Which psychosocial factors best predict cognitive performance in older adults? Int J Geriatr Psychiatry 2014; 20: 487–95.Google ScholarPubMed
65Lyman, GH, Kuderer, NM. The strengths and limitations of meta-analyses based on aggregate data. BMC Medical Res Methodol 2005; 5: 1421.CrossRefGoogle ScholarPubMed
66Borenstein, M, Hedges, LV, Higgins, JPT, Rothstein, HR. Introduction to Meta-Analysis. Chichester: John Wiley & Sons Ltd; 2009.CrossRefGoogle Scholar