Repetitive negative thinking is associated with amyloid, tau, and cognitive decline.

TitleRepetitive negative thinking is associated with amyloid, tau, and cognitive decline.
Publication TypeJournal Article
Year of Publication2020
AuthorsMarchant NL, Lovland LR, Jones R, Binette APichet, Gonneaud J, Arenaza-Urquijo EM, Chételat G, Villeneuve S
Corporate AuthorsPREVENT-AD Research Group
JournalAlzheimers Dement
Date Published2020 07

INTRODUCTION: The Cognitive Debt hypothesis proposes that repetitive negative thinking (RNT), a modifiable process common to many psychological risk factors for Alzheimer's disease (AD) may itself increase risk. We sought to empirically examine relationships between RNT and markers of AD, compared with anxiety and depression symptoms.METHODS: Two hundred and ninety-two older adults with longitudinal cognitive assessments, including 113 with amyloid-positron emission tomography (PET) and tau-PET scans, from the PREVENT-AD cohort and 68 adults with amyloid-PET scans from the IMAP+ cohort were included. All participants completed RNT, anxiety, and depression questionnaires.RESULTS: RNT was associated with decline in global cognition (P = .02); immediate (P = .03) and delayed memory (P = .04); and global amyloid (PREVENT-AD: P = .01; IMAP+: P = .03) and entorhinal tau (P = .02) deposition. Relationships remained after adjusting for potential confounders.DISCUSSION: RNT was associated with decline in cognitive domains affected early in AD and with neuroimaging AD biomarkers. Future research could investigate whether modifying RNT reduces AD risk.

Alternate JournalAlzheimers Dement
PubMed ID32508019