PMID- 29665519 OWN - NLM STAT- MEDLINE DCOM- 20190122 LR - 20190122 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 235 DP - 2018 Aug 1 TI - Associations between cognitive functioning, mood symptoms and coping styles in older age bipolar disorder. PG - 357-361 LID - S0165-0327(18)30192-7 [pii] LID - 10.1016/j.jad.2018.04.052 [doi] AB - BACKGROUND: Older age patients with bipolar disorder (OABD) have often passive coping styles, generally considered as detrimental for functioning. The aim of the current study is to identify the contribution of cognitive functioning, subjective cognitive complaints and mood symptoms to passive and active coping styles in older age BD. METHODS: In 90 euthymic patients (age > 60) with BD I or II, we examined coping, neuropsychological profile including memory, attention, executive function and fluency, subjective cognitive complaints and mood symptoms. RESULTS: Better executive functioning and fewer depressive symptoms were associated with more active coping (p = .02 and p = .001 respectively). Associations between executive functioning and coping styles turned nonsignificant when combined with depressive symptoms in one model, indicating the importance of mood on coping styles. No associations were found between subjective cognitive complaints and coping styles. LIMITATIONS: Cross-sectional data were used and no conclusions about causality can be made. CONCLUSIONS: Even in euthymic patients, subclinical depressive symptoms may influence active coping negatively. Subjective cognitive complaints and objectified cognitive functioning seem to be of less importance for coping styles. Important implications are on the one hand optimizing treatment on reducing depressive symptoms and on the other hand focusing therapeutic interventions on coping in bipolar patients. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Paans, Nadine P G AU - Paans NPG AD - Department of Psychiatry, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands. Electronic address: n.paans@ggzingeest.nl. FAU - Dols, Annemiek AU - Dols A AD - Department of Old Age Psychiatry, GGZ inGeest/VU University Medical Center, Amsterdam Public Health research institute, Amsterdam, The Netherlands; Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands. FAU - Comijs, Hannie C AU - Comijs HC AD - Department of Old Age Psychiatry, GGZ inGeest/VU University Medical Center, Amsterdam Public Health research institute, Amsterdam, The Netherlands. FAU - Stek, Max L AU - Stek ML AD - Department of Old Age Psychiatry, GGZ inGeest/VU University Medical Center, Amsterdam Public Health research institute, Amsterdam, The Netherlands. FAU - Schouws, Sigfried N T M AU - Schouws SNTM AD - Department of Old Age Psychiatry, GGZ inGeest/VU University Medical Center, Amsterdam Public Health research institute, Amsterdam, The Netherlands. LA - eng PT - Journal Article DEP - 20180406 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - *Adaptation, Psychological MH - *Affect MH - Aged MH - Aging/psychology MH - Attention MH - Bipolar Disorder/*psychology MH - *Cognition MH - Cognition Disorders/complications/psychology MH - Cross-Sectional Studies MH - Executive Function MH - Female MH - Humans MH - Male MH - Memory MH - Middle Aged MH - Mood Disorders/complications/psychology MH - Neuropsychological Tests MH - Socioeconomic Factors OTO - NOTNLM OT - Bipolar disorder OT - Cognition OT - Coping OT - Elderly EDAT- 2018/04/18 06:00 MHDA- 2019/01/23 06:00 CRDT- 2018/04/18 06:00 PHST- 2018/01/29 00:00 [received] PHST- 2018/03/29 00:00 [revised] PHST- 2018/04/04 00:00 [accepted] PHST- 2018/04/18 06:00 [pubmed] PHST- 2019/01/23 06:00 [medline] PHST- 2018/04/18 06:00 [entrez] AID - S0165-0327(18)30192-7 [pii] AID - 10.1016/j.jad.2018.04.052 [doi] PST - ppublish SO - J Affect Disord. 2018 Aug 1;235:357-361. doi: 10.1016/j.jad.2018.04.052. Epub 2018 Apr 6.