Pathways from spousal bereavement to cognitive functioning in Pakistani older adults: Mediational role of social rhythms and moderating role of social support

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Ruba Izhar, Sumara Masood Ul Hassan
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引用次数: 0

Abstract

Objective

This study investigated the association between spousal bereavement and cognitive functioning among Pakistani community dwelling older adults.

Methods

This cross-sectional study was completed in Pakistan in 2022–2023. A total sample of 135 bereaved older adults (Mage = 67.7, SD = 7.37) was obtained from the twin cities of Rawalpindi and Islamabad, Pakistan, via purposive sampling. Data were collected through the Montreal Cognitive Assessment Scale (MoCA), the Core Bereavement Item (CBI), the Inventory of Complicated Grief (ICG), the Multidimensional Scale of Perceived Social Support(MSPSS) and the Brief Social Rhythm Scale (BSRS). All scales were administered in Urdu language.

Results

Correlation analysis revealed a significant negative relationship between normative grief, complicated grief and cognitive functioning. Results generated, using PROCESS Macro Model 4 after controlling for age and duration of bereavement, revealed that normative grief and cognitive functioning were partially mediated by social rhythms. No mediation was formed after controlling for education. Complicated grief and cognitive functioning were not mediated by social rhythms. Perceived social support did not moderate the relationship between normative grief and complicated grief. However, only the perceived support from family moderated the relationship between complicated grief and cognitive functioning.

Conclusions

Social rhythm regularity did not mediate cognitive decline among grieving older adults. However, results highlight the importance of support from family in preventing cognitive decline. Findings suggested that understanding the underlying pathways associated with cognitive decline among older adults are vital for the development of specific intervention and prevention strategies.

巴基斯坦老年人丧偶对认知功能的影响:社会节奏的中介作用和社会支持的调节作用
目的探讨巴基斯坦社区老年人丧偶与认知功能的关系。方法本横断面研究于2022-2023年在巴基斯坦完成。通过有目的抽样,从巴基斯坦拉瓦尔品第和伊斯兰堡双城共获得135名丧偶老年人(Mage = 67.7, SD = 7.37)。采用蒙特利尔认知评估量表(MoCA)、核心丧亲项目(CBI)、复杂悲伤量表(ICG)、感知社会支持多维量表(MSPSS)和短暂社会节奏量表(BSRS)收集数据。所有量表均以乌尔都语进行。结果相关分析显示规范性悲伤、复杂悲伤与认知功能呈显著负相关。在控制了年龄和丧亲持续时间后,使用PROCESS Macro模型4得出的结果显示,规范性悲伤和认知功能部分受到社会节奏的调节。在控制了教育之后,没有形成调解。复杂的悲伤和认知功能不受社会节奏的调节。知觉社会支持对规范性悲伤和复杂悲伤的关系没有调节作用。然而,只有来自家庭的支持能够调节复杂悲伤与认知功能之间的关系。结论社会节律规律并没有调节悲伤老年人的认知能力下降。然而,研究结果强调了家庭支持在预防认知能力下降方面的重要性。研究结果表明,了解与老年人认知能力下降相关的潜在途径对于制定具体的干预和预防策略至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australasian Journal on Ageing
Australasian Journal on Ageing 医学-老年医学
CiteScore
3.10
自引率
6.20%
发文量
114
审稿时长
>12 weeks
期刊介绍: Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.
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