探索社会关系的结构和功能方面与高龄认知之间的关联。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-05-07 DOI:10.1080/13607863.2024.2348616
Selina Vogel, Andrés Oliva Y Hausmann, Susanne Zank
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引用次数: 0

摘要

研究目的很少有研究探讨过高龄老人(80 岁以上)的社会关系与认知之间的关系。此外,在探讨社会关系的结构性和功能性与认知之间的关系时,将社会关系的结构性和功能性结合起来考虑的研究也很有限。因此,本研究旨在探讨结构性和功能性社会关系与高龄老年人认知之间的关系:样本包括 518 名 NRW80+ 研究的两波参与者,他们没有痴呆迹象,基线平均年龄为 85 岁(范围:80-97 岁)。他们在大约两年的时间里接受了两次评估。该研究采用多层次线性增长曲线分析来模拟老年人的认知发展,并研究社会关系的结构和功能方面与认知发展之间的联系。该分析与人口统计学和健康特征进行了对照:结果:在完全控制模型中,较大的社会网络规模(ß = 0.05,95% CI [0.02,0.08],p = 0.002)和与他人的频繁接触相比(ß = 0.16,95% CI [0.03,0.28],p = 0.013)与较高的整体认知能力相关。模型比较进一步显示,与功能方面相比,结构方面能更好地预测老年人的总体认知能力(χ2(2)=16.17,p 结论:在完全控制模型中,结构方面与总体认知能力之间存在正相关:研究结果强调了社会关系的结构性方面与高龄老人的整体认知之间的积极联系。研究还强调,有必要采取干预措施,促进积极的社交生活方式,以防止这一脆弱年龄组的认知能力下降。
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Exploring the associations between structural and functional aspects of social relationships and cognition in very old age.

Objectives: Few studies have examined the associations between social relationships and cognition in very old adults (80+ years). Moreover, limited research has considered structural and functional aspects of social relationships together when exploring their associations with cognition. Therefore, the present study aimed to investigate the associations between structural and functional social aspects and cognition in very old age.

Method: The sample comprised 518 two-wave participants of the NRW80+ Study, who showed no indication of dementia and an average age of 85 years at baseline (range: 80-97 years). They were assessed twice over an approximate 2-year interval. Multilevel linear growth curve analysis was employed to model cognitive development over very old age and to examine the associations between structural and functional aspects of social relationships and cognitive development. It was controlled for demographic and health characteristics.

Results: A larger social network size (ß = 0.05, 95% CI [0.02, 0.08], p = 0.002) and frequent compared with occasional, seldom, and no contact with others (ß = 0.16, 95% CI [0.03, 0.28], p = 0.013) were associated with higher global cognition in the fully-controlled model. Model comparisons further revealed that structural aspects better predicted global cognition in very old age compared to functional aspects (χ2(2) = 16.17, p < 0.001).

Conclusion: The findings underline the positive association between structural aspects of social relationships and global cognition in very old age. They also highlight the need for interventions promoting a socially active lifestyle to prevent cognitive decline in this vulnerable age group.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
期刊最新文献
Examining mental health and autonomic function as putative mediators of the relationship between sleep and trajectories of cognitive function: findings from the Irish longitudinal study on ageing (TILDA). Exploring the associations between structural and functional aspects of social relationships and cognition in very old age. Sensory impairments and depressive symptoms in Europe: a cross-national cohort study. Co-occurrence of depressive and anxious symptoms and their influence on self-rated health: a national representative survey among Chinese older adults. Reaching people and managing membership in community-based dementia support groups: the Get Real with Meeting Centres realist evaluation part 1.
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