Associations of Subjective Cognition With Community Participation and Health Conditions in Middle-Aged and Older Adults.

IF 1.5 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2025-10-02 DOI:10.1177/15394492251367287

Yejin Lee, Samantha B Randolph, Sophia Lu, Lisa Tabor Connor

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Abstract

Understanding factors associated with subjective cognition in middle-aged and older adults is important. The objective of this study was to investigate the extent to which community participation, health conditions, and demographics increase the risk of subjective cognitive decline (SCD) in adults aged 45 and older, as well as how these factors are associated with self-perceived executive ability in those with SCD. A cross-sectional study was conducted with 93 community-dwelling participants, categorized into those with SCD (N = 42) and those without SCD (N = 51). Logistic and multivariable linear regression models were built. The results showed that depressive symptoms and concerns about executive ability significantly increased the risk of SCD in the logistic model. The linear model indicated that lower levels of community participation and education were associated with greater concerns about executive ability among those with SCD. Conclusion: Addressing depressive symptoms and executive ability in SCD is crucial; occupational therapy should facilitate community participation to support those with SCD.

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中老年人主观认知与社区参与和健康状况的关系

了解与中老年人主观认知相关的因素是很重要的。本研究的目的是调查社区参与、健康状况和人口统计学因素在多大程度上增加了45岁及以上成年人主观认知能力下降（SCD）的风险，以及这些因素如何与SCD患者自我感知的执行能力相关。对93名社区居民进行了横断面研究，将他们分为患有SCD （N = 42）和非SCD （N = 51）。建立了Logistic和多变量线性回归模型。结果显示，在logistic模型中，抑郁症状和对执行能力的担忧显著增加了SCD的风险。线性模型表明，较低的社区参与和教育水平与SCD患者对执行能力的关注程度相关。结论：处理SCD患者的抑郁症状和执行能力至关重要；职业治疗应促进社会参与，以支援残疾人士。

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

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.