Helping behaviors and cognitive function in later life: The impact of dynamic role transitions and dose changes.

IF 5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Social Science & Medicine Pub Date : 2025-10-01 Epub Date: 2025-07-31 DOI:10.1016/j.socscimed.2025.118465
Sae Hwang Han, Jeffrey A Burr, Shiyang Zhang
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引用次数: 0

Abstract

Despite the burgeoning literature linking prosocial helping behaviors and cognitive function, empirical evidence on whether transitions into and out of helping roles-and how dynamic changes in time commitment-shape cognitive outcomes remain limited. Moreover, most research has focused on formal volunteering, leaving the cognitive outcomes associated with informal helping-assistance provided directly to non-household individuals-largely unexplored. The objective of this study was to investigate the linkages between two forms of helping behaviors-formal volunteering and informal helping-and late-life cognitive function, focusing on dynamic changes in these behaviors over time. Drawing on the life course perspective and two decades of longitudinal data from the U.S. Health and Retirement Study (1998-2020; N = 31,303), we employed the asymmetric fixed-effects modeling approach within a multilevel framework to assess how intra-individual changes in helper role status and time commitment shape cognitive function trajectories. Results indicated that transitioning into volunteering and informal helping were both associated with a higher level of cognitive function and a slower cognitive decline, and highlighted how sustained engagement in helping can yield cumulative cognitive benefits that progressively become greater over time. The findings also provide unique evidence on the level of time commitment in helping behaviors needed to achieve cognitive benefits, where moderate levels of helping (approximately 2-4 weekly hours) were consistently linked to robust cognitive benefits for both forms of helping. These findings highlight prosocial helping behaviors as impactful, modifiable lifestyle interventions for promoting cognitive health in aging populations.

老年生活中的帮助行为和认知功能:动态角色转换和剂量变化的影响。
尽管将亲社会帮助行为与认知功能联系起来的文献越来越多,但关于进入和退出帮助角色的转变——以及时间承诺的动态变化如何影响认知结果的经验证据仍然有限。此外,大多数研究都集中在正式的志愿服务上,而对与非正式帮助(直接向非家庭成员提供帮助)相关的认知结果基本上没有进行探索。本研究的目的是调查两种形式的帮助行为——正式志愿服务和非正式帮助——与晚年认知功能之间的联系,重点关注这些行为随时间的动态变化。借鉴生命历程视角和美国健康与退休研究(1998-2020)二十年的纵向数据;N = 31,303),我们采用多层次框架内的非对称固定效应建模方法来评估个体内部帮助者角色状态和时间承诺的变化如何影响认知功能轨迹。结果表明,过渡到志愿服务和非正式帮助都与更高水平的认知功能和较慢的认知衰退有关,并强调了持续参与帮助如何产生累积的认知益处,并随着时间的推移逐渐变得更大。研究结果还为实现认知益处所需的帮助行为的时间承诺水平提供了独特的证据,其中中等水平的帮助(大约每周2-4小时)始终与两种形式的帮助的强大认知益处相关。这些发现强调了亲社会帮助行为是促进老年人认知健康的有效的、可改变的生活方式干预。
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
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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