The Dynamic Association Between Emotional Functioning, Quality of Life, and Subjective Cognitive Concerns in a Large Community-Based Sample of Middle-Aged and Older Adults.
Laura M Campbell, Jacqueline E Maye, Dani Kaur, Zvinka Z Zlatar, Tyler Bell, Raeanne C Moore, Elizabeth W Twamley
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引用次数: 0
Abstract
Objective: Research has linked subjective cognitive concerns with emotional functioning, but few studies have examined if there is a dynamic association across time. This study explored whether the association between subjective cognitive concerns, emotional functioning, and quality of life (QoL) is more trait-based (i.e., associated at an average-level) or more state-based (i.e., changes in emotional functioning at one timepoint are related to simultaneous changes in subjective cognitive concerns).
Design and participants: Participants included 1061 community-dwelling adults aged 50-99 at baseline from the observational Successful Aging Evaluation (SAGE) study in San Diego, California. This study analyzed data collected over eight years.
Measurements: Participants completed the Cognitive Failures Questionnaire (CFQ) to assess subjective cognitive concerns yearly. Self-reported emotional functioning (i.e., depression, anxiety, stress symptoms, and resiliency) and QoL were also assessed yearly. Associations between emotional functioning and QoL measures and CFQ scores were analyzed using multilevel modeling.
Results: Between-person analyses showed that worse average emotional functioning and QoL were associated with greater average cognitive concerns (ps <0.0001; partial R2 > 0.28). Within-person analyses indicated that worse emotional functioning and QoL at a given timepoint were significantly associated with greater cognitive concerns at the same timepoint (ps <0.0001; partial R2 = 0.007-0.017). Within all five examined predictors, stress had the greatest within- and between-person associations with CFQ scores.
Discussion: Findings suggest that subjective cognitive concerns are related to trait-like, and to a lesser extent, state-like emotional functioning and QoL. Incorporating assessment of both general and current emotional functioning could refine the use of subjective cognitive concern measures.
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.
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