Important for preventing but also living well with cognitive impairment - The associations between social relationships, well-being, and cognition in very old adults.

IF 4.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Selina Vogel, Susanne Zank
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引用次数: 0

Abstract

Objectives: Social relationships are well-researched as protective factors against cognitive impairment, but their role for individuals experiencing cognitive impairment is less clear. The present study examined the associations between cognitive impairment, social relationships, and well-being in very old adults (80 + years), a high-risk group for cognitive impairment.

Design: Using representative data from the Study on Quality of Life and Well-Being in North-Rhine Westphalia (NRW80+ Study), we analyzed three social factors (close network, leisure activity, loneliness) and two well-being measures (depressiveness, positive affect) across very old individuals with and without cognitive impairment. We also investigated whether cognitive impairment affected the associations between social factors and well-being.

Setting: Computer-assisted interviews were conducted with target persons or proxies in private housing and care facilities.

Participants: The final sample included 1516 participants: 66.80 % without cognitive impairment, 15.00 % with mild impairment, and 18.20 % with major impairment.

Measurements: Social and well-being measures were assessed through standardized interviews.

Results: Cognitive impairment was associated with poorer social outcomes and lower well-being. Meanwhile, stronger social connections were linked to higher well-being. The associations were partially influenced by cognitive impairment. Notably, low leisure engagement was more strongly associated with increased depressiveness in individuals with major cognitive impairment than in those without (B = -0.53 [-0.83, -0.23], p < .001).

Conclusions: Our findings emphasize the importance of social integration in preserving well-being for individuals with cognitive impairment. As the incidence of cognitive impairment rises, future research should not only focus on prevention but also on improving the situation for those affected.

对预防认知障碍很重要,但对认知障碍也很重要——社会关系、幸福感和老年人认知之间的联系。
目的:社会关系作为预防认知障碍的保护因素已经得到了充分的研究,但它们对经历认知障碍的个体的作用尚不清楚。本研究调查了认知障碍的高危人群——耄耋老人(80岁以上)的认知障碍、社会关系和幸福感之间的关系。设计:使用来自北莱茵-威斯特伐利亚州生活质量和幸福感研究(NRW80+研究)的代表性数据,我们分析了有和没有认知障碍的高龄个体的三个社会因素(亲密网络、休闲活动、孤独)和两个幸福感指标(抑郁、积极影响)。我们还调查了认知障碍是否影响社会因素与幸福感之间的联系。设置:电脑辅助访谈对象为私人房屋及护理机构的目标人士或代理人。参与者:最终样本包括1516名参与者:66.80%无认知障碍,15.00%轻度认知障碍,18.20%重度认知障碍。测量方法:通过标准化访谈评估社会和福利措施。结果:认知障碍与较差的社会结果和较低的幸福感有关。与此同时,更强的社会关系与更高的幸福感有关。这种关联部分受到认知障碍的影响。值得注意的是,与没有严重认知障碍的个体相比,有严重认知障碍的个体的低休闲参与与抑郁增加的相关性更强(B = -0.53 [-0.83, -0.23], p)。结论:我们的研究结果强调了社会整合在保持认知障碍个体幸福感方面的重要性。随着认知障碍发病率的上升,未来的研究不仅应该关注预防,还应该关注改善患者的状况。
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来源期刊
International psychogeriatrics
International psychogeriatrics 医学-精神病学
CiteScore
9.10
自引率
8.60%
发文量
217
审稿时长
3-6 weeks
期刊介绍: A highly respected, multidisciplinary journal, International Psychogeriatrics publishes high quality original research papers in the field of psychogeriatrics. The journal aims to be the leading peer reviewed journal dealing with all aspects of the mental health of older people throughout the world. Circulated to over 1,000 members of the International Psychogeriatric Association, International Psychogeriatrics also features important editorials, provocative debates, literature reviews, book reviews and letters to the editor.
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