Psychological Resilience and Personality in Mild Cognitive Impairment and Healthy Older Adults

IF 3.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY American Journal of Geriatric Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-03-05 DOI:10.1016/j.jagp.2025.02.017
Natascia De Lucia Ph.D. , Leonardo Bencivenga Ph.D. , Gianluca Scotto Di Tella MSc , Giuseppe Rengo Ph.D. , Nelson Mauro Maldonato Ph.D. , Antonio Terracciano Ph.D. , Grazia Daniela Femminella Ph.D.
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Abstract

Objectives

Psychological resilience is the ability to cope with adversity and stressful situations, and it is considered a protective factor against cognitive impairment. This study compared resilience, personality, cognitive, and neuropsychological profiles of older adults with mild cognitive impairment (MCI) and a comparison group without cognitive impairment. Moreover, we evaluated clinical and personality predictors of psychological resilience in both groups.

Design

Observational cross-sectional study.

Setting

Data were collected among outpatients followed up at the Memory Clinic of the Complex Operative Unit of Geriatric of the University Hospital “Federico II”, in Naples (Italy).

Participants

We enrolled 43 individuals with MCI and 70 older adults from the community.

Measurements

Participants completed neuropsychological and clinical assessments, the Resilience scale, and the revised Eysenck Personality Questionnaire.

Results

MCI scored significantly lower on psychological resilience and executive/attentional abilities, had more psychopathological symptoms, and scored higher on neuroticism, introversion, and psychoticism compared to the comparison group. In regression models, neuroticism was the only consistent predictor of psychological resilience across the MCI and comparison groups.

Conclusions

This study found lower resilience and a less adaptive personality profile in MCI. Neuroticism emerged as a key predictor of resilience, pointing to the importance of this personality trait for interventions aimed at enhancing resilience, mental health, and quality of life.
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轻度认知障碍与健康老年人的心理弹性与人格。
目的:心理弹性是一种应对逆境和压力情境的能力,被认为是防止认知障碍的保护因素。本研究比较了轻度认知障碍(MCI)老年人和无认知障碍对照组的恢复力、人格、认知和神经心理学特征。此外,我们评估了两组心理弹性的临床和人格预测因素。设计:观察性横断面研究。背景:数据收集于那不勒斯(意大利)“费德里科二世”大学医院老年综合外科记忆门诊随访的门诊患者。参与者:我们从社区招募了43名轻度认知障碍患者和70名老年人。测量方法:参与者完成了神经心理学和临床评估、弹性量表和修订的艾森克人格问卷。结果:与对照组相比,轻度认知障碍患者在心理弹性和执行/注意力能力方面得分明显较低,精神病理症状较多,神经质、内向和精神病方面得分较高。在回归模型中,神经质是MCI组和对照组中唯一一致的心理弹性预测因子。结论:本研究发现轻度认知障碍患者有较低的恢复力和较低的适应性人格特征。神经质成为恢复力的关键预测因素,指出了这种人格特征对旨在增强恢复力、心理健康和生活质量的干预措施的重要性。
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来源期刊
CiteScore
13.00
自引率
4.20%
发文量
381
审稿时长
26 days
期刊介绍: The American Journal of Geriatric Psychiatry is the leading source of information in the rapidly evolving field of geriatric psychiatry. This esteemed journal features peer-reviewed articles covering topics such as the diagnosis and classification of psychiatric disorders in older adults, epidemiological and biological correlates of mental health in the elderly, and psychopharmacology and other somatic treatments. Published twelve times a year, the journal serves as an authoritative resource for professionals in the field.
期刊最新文献
Table of Contents In This Issue Editorial Board Temporal Dynamics of Depressive Symptoms, Apathy, Daily Activities, and Cognitive Decline in Older People From the General Population: A Network Analysis Thyroid-Stimulating Hormone Levels and Depression in Older Adults: Cross-Sectional and Longitudinal Analyses in a Community-Dwelling Population
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