终身教育与认知功能。

Martin Lövdén, Laura Fratiglioni, M Maria Glymour, Ulman Lindenberger, Elliot M Tucker-Drob
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摘要

认知能力是教育和职业表现、社会经济地位、健康和长寿的重要预测因素。认知能力的下降与老年人日常功能的损害有关,但人们在成年期和老年期认知能力下降的速度各不相同。因此,找出防止晚年认知能力受损的因素具有重大的社会意义。个人完成正规教育的年数与其整个成年期的认知功能呈正相关,并预示着晚年患痴呆症的风险较低。这些观察结果提出了延长受教育时间可能(a)影响认知能力和(b)减轻与衰老相关的认知能力下降的命题。我们通过回顾有关教育程度和认知衰老的文献,包括最近对多项纵向队列研究和相关荟萃分析的统一数据分析,对这些命题进行了评估。根据第一个命题,有证据表明受教育程度对认知功能有积极影响。我们还发现有证据表明,认知能力与选择接受较长时间的教育有关,而且有一些共同因素(如父母的社会经济资源)会影响受教育程度和认知发展。在发展过程中,这些因素之间以及认知能力之间可能存在相互影响。教育与认知能力之间的关联在整个成人生命周期和各种教育水平(包括(在某种程度上)高等教育)中都是显而易见的。然而,与第二个命题相反,我们发现教育与衰老相关的认知能力下降之间的关联微乎其微,而且痴呆症的阈值模型可以解释教育程度与晚年痴呆症风险之间的关联。我们的结论是,受教育程度对晚年认知功能的影响主要是通过造成认知技能的个体差异来实现的,这种差异在成年早期出现,但一直持续到老年。我们还注意到,教育程度对认知功能衰退率的影响普遍缺失,这对认知衰老的理论概念,如认知储备和大脑维持的概念,造成了限制。改善生命最初几十年的发展条件,对于提高成年早期的认知能力、减少与认知老化和痴呆症相关的公共卫生负担具有巨大的潜力。
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Education and Cognitive Functioning Across the Life Span.

Cognitive abilities are important predictors of educational and occupational performance, socioeconomic attainment, health, and longevity. Declines in cognitive abilities are linked to impairments in older adults' everyday functions, but people differ from one another in their rates of cognitive decline over the course of adulthood and old age. Hence, identifying factors that protect against compromised late-life cognition is of great societal interest. The number of years of formal education completed by individuals is positively correlated with their cognitive function throughout adulthood and predicts lower risk of dementia late in life. These observations have led to the propositions that prolonging education might (a) affect cognitive ability and (b) attenuate aging-associated declines in cognition. We evaluate these propositions by reviewing the literature on educational attainment and cognitive aging, including recent analyses of data harmonized across multiple longitudinal cohort studies and related meta-analyses. In line with the first proposition, the evidence indicates that educational attainment has positive effects on cognitive function. We also find evidence that cognitive abilities are associated with selection into longer durations of education and that there are common factors (e.g., parental socioeconomic resources) that affect both educational attainment and cognitive development. There is likely reciprocal interplay among these factors, and among cognitive abilities, during development. Education-cognitive ability associations are apparent across the entire adult life span and across the full range of education levels, including (to some degree) tertiary education. However, contrary to the second proposition, we find that associations between education and aging-associated cognitive declines are negligible and that a threshold model of dementia can account for the association between educational attainment and late-life dementia risk. We conclude that educational attainment exerts its influences on late-life cognitive function primarily by contributing to individual differences in cognitive skills that emerge in early adulthood but persist into older age. We also note that the widespread absence of educational influences on rates of cognitive decline puts constraints on theoretical notions of cognitive aging, such as the concepts of cognitive reserve and brain maintenance. Improving the conditions that shape development during the first decades of life carries great potential for improving cognitive ability in early adulthood and for reducing public-health burdens related to cognitive aging and dementia.

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期刊介绍: Psychological Science in the Public Interest (PSPI) is a unique journal featuring comprehensive and compelling reviews of issues that are of direct relevance to the general public. These reviews are written by blue ribbon teams of specialists representing a range of viewpoints, and are intended to assess the current state-of-the-science with regard to the topic. Among other things, PSPI reports have challenged the validity of the Rorschach and other projective tests; have explored how to keep the aging brain sharp; and have documented problems with the current state of clinical psychology. PSPI reports are regularly featured in Scientific American Mind and are typically covered in a variety of other major media outlets.
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