Early Cognitive Decline and its Impact on Spouse's Loneliness.

IF 1.4 4区心理学 Q4 PSYCHOLOGY, DEVELOPMENTAL

Research in Human Development Pub Date : 2020-01-01 Epub Date: 2020-07-01 DOI:10.1080/15427609.2020.1750293

Amanda N Leggett, HwaJung Choi, William J Chopik, Hui Liu, Richard Gonzalez

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Abstract

Background: Loneliness is common in dementia caregivers as cognitive impairment (CI) alters marital and social relationships. Unexplored is how an individual's loneliness is affected at earlier, more ambiguous, periods of their spouse's CI.

Methods: Using the Health and Retirement Study, our study participants included 2,206 coupled individuals with normal cognitive function at the 2006/8 baseline. Loneliness outcomes at baseline, 4-year and 8-year follow-up are assessed by the status of transition to cognitive impairment no dementia (TCIND) (2010/12 & 2014/16) using linear mixed models.

Results: Individual's loneliness was stable when their spouse's cognition remained normal, but increased with the spouse's TCIND. The increase in loneliness did not vary by gender.

Conclusions: Loneliness, a key risk factor for reduced life quality and increased depression, increases even at early stages of a partner's CIND. This work suggests the potential impact of early intervention and social support for partners of individuals with CIND.

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早期认知能力衰退及其对配偶孤独感的影响。

背景由于认知障碍（CI）改变了婚姻和社会关系，孤独感在痴呆症照护者中很常见。在配偶认知障碍较早期、较模糊的时期，个人的孤独感会受到怎样的影响，这一问题尚未得到探讨：方法：通过健康与退休研究（Health and Retirement Study），我们的研究对象包括 2,206 名在 2006/8 年基线认知功能正常的夫妇。使用线性混合模型对基线、4 年和 8 年随访中的孤独感结果进行评估，并根据向无痴呆认知障碍（TCIND）过渡的状态（2010/12 年和 2014/16 年）进行评估：结果：当配偶的认知能力保持正常时，个人的孤独感保持稳定，但随着配偶的认知障碍（TCIND）而增加。孤独感的增加不因性别而异：孤独感是导致生活质量下降和抑郁增加的一个关键风险因素，即使在配偶 CIND 的早期阶段，孤独感也会增加。这项研究表明，早期干预和社会支持对 CIND 患者的伴侣具有潜在影响。

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

Research in Human Development PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

4.10

自引率

4.20%

发文量