Psychology and Aging最新文献

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Are social interactions perceived as more meaningful in older adulthood? 成年后的社会交往是否更有意义?
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-09-01 Epub Date: 2024-05-23 DOI: 10.1037/pag0000827
Jana Nikitin, Martina Luchetti, Nejla Alimanovic, Fiona S Rupprecht, Angelina R Sutin
{"title":"Are social interactions perceived as more meaningful in older adulthood?","authors":"Jana Nikitin, Martina Luchetti, Nejla Alimanovic, Fiona S Rupprecht, Angelina R Sutin","doi":"10.1037/pag0000827","DOIUrl":"10.1037/pag0000827","url":null,"abstract":"<p><p>Social relationships accompany us throughout adulthood and are among the most important sources of meaning in a person's life. However, little is known about age differences in meaningfulness of social interactions across adulthood. According to socioemotional selectivity theory, as people age, they develop relatively stronger preferences for social relationships that are emotionally meaningful. Consequently, older adults may perceive social interactions in everyday life as more meaningful than younger adults. To test this hypothesis, the present study examined age-related differences in the perceived meaningfulness of daily social interactions using experience sampling data. Three-hundred six participants (56.9% women, 18-88 years) completed a total of 6,407 entries over 3 days. Results of the multilevel analyses showed that age was positively associated with perceived meaningfulness of daily social interactions, controlling for relationship closeness and situation valence. In addition, the perceived meaningfulness of daily social interactions was positively related to subjective well-being both between and within all participants, indicating that meaningful social interactions are beneficial for well-being regardless of age. Thus, perceiving social interactions as meaningful could be one way that older people maintain a high level of well-being in their daily lives. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"599-607"},"PeriodicalIF":3.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do early midlife work characteristics predict 20-year change in control beliefs? 中年早期的工作特征能否预测 20 年后控制信念的变化?
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-09-01 Epub Date: 2024-07-11 DOI: 10.1037/pag0000830
Johanna Hartung, Lena Stahlhofen, Oliver K Schilling, Hans-Werner Wahl, Gizem Hülür
{"title":"Do early midlife work characteristics predict 20-year change in control beliefs?","authors":"Johanna Hartung, Lena Stahlhofen, Oliver K Schilling, Hans-Werner Wahl, Gizem Hülür","doi":"10.1037/pag0000830","DOIUrl":"10.1037/pag0000830","url":null,"abstract":"<p><p>Previous research showed the importance of control beliefs for many life outcomes. The present study examines associations between subjectively perceived work environment and objectively measured work activities at the beginning of midlife as a central developmental phase in the context of work, with control beliefs across the subsequent 20 years. We analyzed four-wave longitudinal data from <i>N</i> = 374 participants (born 1950-1952; <i>M</i><sub>age</sub> baseline = 44 years, <i>SD</i> = 1; 44% women) from the Interdisciplinary Longitudinal Study of Adult Development and Aging within a structural equation modeling framework. Over 20 years and overall, internal control beliefs were stable, while external control beliefs decreased. Individuals who reported higher task variety and better social integration at work at baseline also reported higher levels of control beliefs for positive life outcomes. In addition, higher social integration at work at baseline was related to lower levels of external control beliefs. Work characteristics at baseline were not associated with individual differences in change in control beliefs across the 20-year observational interval. In summary, our findings suggest that work experiences at the prime of job-related development around the midst of the fifth decade of life do not play a major role in subsequent control beliefs development across 20 years. However, investigations measuring control beliefs as well as work characteristics continuously over a long period of time are necessary to shed light on reciprocal influences between work and personality. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"672-687"},"PeriodicalIF":3.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to "Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment? A comprehensive systematic review and meta-analysis" by Cheng et al. (2022). Correction to "Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment?Cheng等人(2022年)所作的 "全面系统回顾和荟萃分析"。
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1037/pag0000840
{"title":"Correction to \"Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment? A comprehensive systematic review and meta-analysis\" by Cheng et al. (2022).","authors":"","doi":"10.1037/pag0000840","DOIUrl":"10.1037/pag0000840","url":null,"abstract":"<p><p>Reports an error in \"Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment? A comprehensive systematic review and meta-analysis\" by Sheung-Tak Cheng, Kin-Kit Li, Peggy P. L. Or and Andrés Losada (<i>Psychology and Aging</i>, 2022[Dec], Vol 37[8], 929-953). In the original article, two of the labels in the first column of Table 6 were incorrect. The first Recommended intervention should have been \"Education with psychotherapeutic components (psychoeducation-b),\" and the first Moderately recommended intervention should have been \"Education with probable psychological components (psychoeducation-a).\" Despite the misnomers, the nature of the intervention type can be clearly discerned from the description in the far-right column. The online version of this article has been corrected. (The following abstract of the original article appeared in record 2022-76749-001). Some reviews suggest benefits of nonpharmacological interventions for informal caregivers of people with dementia and mild cognitive impairment. These benefits may transfer to the care-recipients (CRs) through increased caregiving capability, reduced burden and depression among caregivers, and decreased negative mood contagion. However, large-scale review on these effects on the CRs is lacking. We searched PsycINFO, CINAHL with Full Text, MEDLINE, and PubMed from inception to end of 2020 and found 142 articles that reported randomized controlled trials (RCTs) of caregiver interventions using CR outcomes. Interventions were found to reduce neuropsychiatric symptoms (NPS) in general and behavioral and mood disturbance specifically, enhance cognition and quality of life, and delay institutionalization and mortality, with care coordination/case management, educational intervention with psychotherapeutic components (psychoeducation-b), and direct training of the CR (with caregiver involvement) being the more potent interventions. The kinds of benefit depend on the types of intervention. NPS was reduced by psychoeducation-b, care coordination/case management, and CR training. Cognition and quality of life were enhanced by CR training and care coordination/case management, respectively. Institutionalization was delayed by multicomponent interventions and respite (based on one study). However, the effects were generally small to very small. Together with existing findings on caregiver outcomes, a tripartite scaffolding model of caregiver support is proposed. The model is composed of three components: (a) care coordination/case management (i.e., enhanced usual care), (b) psychoeducation-b, and (c) CR training. Future directions in terms of developing consensual guidelines, a registry of intervention manuals, and family-centered programs with flexibility in delivery are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"643"},"PeriodicalIF":3.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social and general cognition are uniquely associated with social connectedness in later life. 社会认知和一般认知与晚年的社会联系有着独特的联系。
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-09-01 Epub Date: 2024-06-20 DOI: 10.1037/pag0000831
Anne C Krendl, Siyun Peng, Lucas J Hamilton, Brea L Perry
{"title":"Social and general cognition are uniquely associated with social connectedness in later life.","authors":"Anne C Krendl, Siyun Peng, Lucas J Hamilton, Brea L Perry","doi":"10.1037/pag0000831","DOIUrl":"10.1037/pag0000831","url":null,"abstract":"<p><p>The mechanisms by which older adults maintain large, complex social networks are not well understood. Prior work has primarily focused on general cognitive ability (e.g., executive function, episodic memory), largely overlooking social cognition-the ability to process, store, and remember social information. Because social cognition plays a key role in navigating social interactions and is distinct from general cognition, we examined whether general and social cognition uniquely predicted the nature of older adults' personal social networks. Our study leveraged comprehensive measures of general cognition (executive function, episodic memory), social cognition (face memory and dynamic measures of cognitive and affective theory of mind), and a rigorous measure of personal social networks from 143 community-dwelling older adults. We found that, when modeled together and controlling for sociodemographic variables, only executive function and dynamic cognitive theory of mind positively predicted having social networks with relatively unfamiliar, loosely connected others, accounting for 17% of the unique variance in older adults' social connectedness. Interestingly, having a social network comprised primarily of close, tightly knit relationships was negatively associated with affective theory of mind performance. Findings are discussed in the context of the social-cognitive resource framework-which suggests that social cognition may be more engaged in relatively unfamiliar, versus close, interactions. Specifically, our results show that social-cognitive processes may be relatively automatic for individuals whose primary social relationships are very close but may be more strongly engaged for individuals whose interactions include at least some relatively less close relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"644-657"},"PeriodicalIF":3.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Age-based stereotype threat in the workplace: A daily diary study of antecedents and mechanisms. 工作场所中基于年龄的刻板印象威胁:关于前因和机制的每日日记研究。
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1037/pag0000839
Sophie Coulon, Courtney von Hippel, Kim Peters
{"title":"Age-based stereotype threat in the workplace: A daily diary study of antecedents and mechanisms.","authors":"Sophie Coulon, Courtney von Hippel, Kim Peters","doi":"10.1037/pag0000839","DOIUrl":"10.1037/pag0000839","url":null,"abstract":"<p><p>Both older and younger employees are stereotyped at work, making them susceptible to age-based stereotype threat or the concern about being negatively stereotyped based on their age. To date, there is limited understanding of the workplace events that spark age-based stereotype threat and the mechanisms through which they do so. The current daily diary study aimed to assess the frequency with which older and younger employees experience various events that have been identified as potential antecedents of age-based stereotype threat (e.g., being overlooked for training or development opportunities, feeling excluded from informal socializing) as well as their association with experiences of stereotype threat. As predicted, we found that employees who reported more frequent experiences of these events subsequently reported greater feelings of stereotype threat. This association was partially mediated by the capacity of these events to increase the salience of a participant's age. There was also evidence of reciprocal association, whereby employees who felt more stereotype threat were also more likely to subsequently report experiencing these events. Employee age did not moderate the relationship between daily feelings of stereotype threat and daily outcomes, suggesting that everyday feelings of stereotype threat may be equally problematic for both older and younger employees. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"688-699"},"PeriodicalIF":3.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Weight gain in anorexia nervosa across age groups in higher levels of care. 不同年龄组神经性厌食症患者在较高护理级别下的体重增加情况。
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-08-29 DOI: 10.1037/pag0000849
Renee D Rienecke, Daniel Le Grange, Alan Duffy, Philip S Mehler, Dan V Blalock
{"title":"Weight gain in anorexia nervosa across age groups in higher levels of care.","authors":"Renee D Rienecke, Daniel Le Grange, Alan Duffy, Philip S Mehler, Dan V Blalock","doi":"10.1037/pag0000849","DOIUrl":"https://doi.org/10.1037/pag0000849","url":null,"abstract":"<p><p>Eating disorders (EDs) have historically been thought of as afflictions of younger women, but EDs do occur in midlife/older adults, and the incidence of EDs among older women may be increasing. The present study sought to examine outcomes for patients with anorexia nervosa needing to weight restore across four age groups: under 18, 18-25, 26-39, and 40+. Based on prior research, it was hypothesized that there would be no differences between the age groups in percent of expected body weight (%EBW) gained during treatment. Participants were 2,491 patients receiving treatment for an ED at a large multisite treatment facility offering higher levels of care. At this treatment facility, EBW is individualized for each patient, considering a patient's premorbid body weight and historical weight trends. Adult patients ages 26-39 (<i>t</i> = -3.58, <i>p</i> < .001) and ages 40+ (<i>t</i> = -4.70, <i>p</i> < .001) had significantly lower improvements in %EBW compared to adult patients ages 18-25. Child and adolescent patients (under 18) had significantly greater improvements in %EBW than adult patients (<i>t</i> = 14.30, <i>p</i> < .001). Findings from the present study suggest that targeted treatments may need to be developed to increase weight gain in midlife/older adults. In addition, efforts may need to be strengthened to keep adults in treatment longer than they may initially want to, particularly when treatment and weight gain become difficult. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When and how perceived control buffers against cognitive declines: A moderated mediation analysis. 感知控制何时以及如何缓冲认知能力的下降?调节中介分析
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-08-12 DOI: 10.1037/pag0000841
Jeremy M Hamm, Margie E Lachman, Katherine A Duggan, Jacqueline A Mogle, Ryan McGrath, Kelly Parker, Laura M Klepacz
{"title":"When and how perceived control buffers against cognitive declines: A moderated mediation analysis.","authors":"Jeremy M Hamm, Margie E Lachman, Katherine A Duggan, Jacqueline A Mogle, Ryan McGrath, Kelly Parker, Laura M Klepacz","doi":"10.1037/pag0000841","DOIUrl":"10.1037/pag0000841","url":null,"abstract":"<p><p>Although perceived control is a well-established predictor of cognitive aging, less is known about how and under what developmental circumstances these beliefs about personal influence may protect against cognitive declines. Our study examined light physical activity (LPA) as an unexplored mechanism that may link changes in two facets of perceived control (personal mastery, perceived constraints) to longitudinal trajectories of cognitive functioning. We also examined whether mediated pathways were moderated by age (i.e., differed across the adult lifespan). We analyzed two-wave, 9-year data from the national Midlife in the United States Study (<i>n</i> = 2,456; <i>M</i><sub>age</sub> = 56 years, range = 30-84; 56% female) using autoregressive mediation and moderated mediation models. Mediation models showed that changes in personal mastery and perceived constraints predicted episodic memory and executive functioning via self-reported change in LPA. Only the mediated effects of constraints remained significant in a model that included both mastery and constraints as predictors. Moderated mediation models showed that, for episodic memory, the mediated pathways were strongest in old age and emerged only for constraints: For older but not younger adults, declines in constraints were associated with less decline in episodic memory, as mediated by increases in LPA. Results were consistent in sensitivity analyses that controlled for levels and change in moderate-to-vigorous physical activity. Findings inform lifespan theories of control and provide initial evidence that change in a largely overlooked health behavior (LPA) may underlie the link between perceived constraints and cognitive functioning, with this pathway becoming more pronounced in late life. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Flynn effect and cognitive decline among americans aged 65 years and older. 弗林效应与 65 岁及以上美国人的认知能力下降。
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-08-01 DOI: 10.1037/pag0000833
Yun Zhang, Joseph Lee Rodgers, Patrick O'Keefe, Wei Hou, Stacey Voll, Graciela Muniz-Terrera, Linda Wänström, Frank Mann, Scott M Hofer, Sean A P Clouston
{"title":"The Flynn effect and cognitive decline among americans aged 65 years and older.","authors":"Yun Zhang, Joseph Lee Rodgers, Patrick O'Keefe, Wei Hou, Stacey Voll, Graciela Muniz-Terrera, Linda Wänström, Frank Mann, Scott M Hofer, Sean A P Clouston","doi":"10.1037/pag0000833","DOIUrl":"10.1037/pag0000833","url":null,"abstract":"<p><p>To contribute to our understanding of cohort differences and the Flynn effect in the cognitive decline among older Americans, this study aims to compare rates of cognitive decline between two birth cohorts within a study of older Americans and to examine the importance of medical and demographic confounders. Analyses used data from the National Health and Aging Trends Study (2011-2019), which recruited older Americans in 2011 and again in 2015 who were then followed for 5 years. We employed mixed-effect models to examine the linear and quadratic main and interaction effects of year of birth while adjusting for covariates such as annual round, sex/gender, education, race/ethnicity, heart disease, hypertension, diabetes, test unfamiliarity, and survey design. We analyzed data from 11,167 participants: 7,325 from 2011 to 2015 and 3,842 from 2015 to 2019. The cohort recruited in 2015 was born, on average, 5.33 years later than that recruited in 2011 and had higher functioning than the one recruited in 2011 across all observed cognitive domains that persisted after adjusting for covariates. In multivariable-adjusted analyses, a 1-year increase in year of birth was associated with increased episodic memory (β = 0.045, SE = 0.001, p < .001), orientation (β = 0.034, SE = 0.001, p < .001), and executive function (β = 0.036, SE = 0.001, p < .001). Participants born 1 year later had slower rates of decline in episodic memory (β = 0.004, SE = 0.000, p < .001), orientation (β = 0.003, SE = 0.000, p < .001), and executive function (β = 0.001, SE = 0.000, p = .002). Additionally, sex/gender modified this relationship for episodic memory (-0.007, SE = 0.002, p < .001), orientation (-0.005, SE = 0.002, p = .008), and executive function (-0.008, SE = 0.002, p < .001). These results demonstrate the persistence of the Flynn effect in old age across cognitive domains and identified a deceleration in the rate of cognitive decline across cognitive domains. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":"39 5","pages":"457-466"},"PeriodicalIF":3.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of the residential care transition module: A telehealth intervention for dementia family caregivers of relatives living in residential long-term care settings. 住院护理过渡模块的功效:针对居住在长期护理机构的痴呆症家庭照顾者的远程医疗干预。
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-08-01 Epub Date: 2024-05-16 DOI: 10.1037/pag0000820
Joseph E Gaugler, Robyn W Birkeland, Elizabeth A Albers, Colleen M Peterson, Katie Louwagie, Zachary Baker, Mary S Mittelman, Kenneth Hepburn, David L Roth
{"title":"Efficacy of the residential care transition module: A telehealth intervention for dementia family caregivers of relatives living in residential long-term care settings.","authors":"Joseph E Gaugler, Robyn W Birkeland, Elizabeth A Albers, Colleen M Peterson, Katie Louwagie, Zachary Baker, Mary S Mittelman, Kenneth Hepburn, David L Roth","doi":"10.1037/pag0000820","DOIUrl":"10.1037/pag0000820","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the efficacy of the Residential Care Transition Module, a six-session, psychosocial, and psychoeducational telehealth intervention for family caregivers of cognitively impaired relatives living in a residential long-term care setting. Eligible participants (including care recipients, regardless of time since admission) were randomized to treatment or usual care control conditions. Survey data were collected at baseline, 4 months, 8 months, and 12 months (<i>N</i> = 240). Primary analytic outcomes included caregiver subjective stress (a stress process mechanism) and depressive symptoms (a measure of global well-being). Secondary analytic outcomes included secondary role strains, residential care stress, caregiver sense of competence, and self-efficacy (additional mechanisms of action). General linear models tested for the main effects of the intervention at 4 months, and longitudinal mixed models examined the 12-month effects of the intervention. Post hoc analyses also examined the influence of moderators. No significant differences between the treatment and control groups for any primary analytic outcome were apparent. Caregivers in the treatment group whose relatives were admitted to residential long-term care in the prior 3 months were more likely to indicate reductions in depressive symptoms over the first 4 months of participation. Over the 12-month study period, caregivers in the treatment group who were employed reported increased self-efficacy over time. The heterogeneity of dementia care requires a broader consideration of key contextual factors that may influence the efficacy of nonpharmacological interventions. Aligning measures with the preferences, goals, and values of dementia caregivers may further demonstrate the direct benefits of interventions such as the Residential Care Transition Module. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"565-577"},"PeriodicalIF":3.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of cognitive aging profiles over 15 years: A longitudinal population-based study. 15 年认知老化特征的预测因素:基于人口的纵向研究
IF 3.7 1区 心理学
Psychology and Aging Pub Date : 2024-08-01 Epub Date: 2024-05-16 DOI: 10.1037/pag0000807
Ingrid Ekström, Maria Josefsson, Lars Bäckman, Erika J Laukka
{"title":"Predictors of cognitive aging profiles over 15 years: A longitudinal population-based study.","authors":"Ingrid Ekström, Maria Josefsson, Lars Bäckman, Erika J Laukka","doi":"10.1037/pag0000807","DOIUrl":"10.1037/pag0000807","url":null,"abstract":"<p><p>The present study aimed to characterize profiles of cognitive aging and how these can be predicted from interindividual differences in demographic, lifestyle, health, and genetic factors. The participants were 1,966 older adults (mean baseline age = 71.6 years; 62.9% female), free from dementia at baseline and with at least two cognitive assessments over the 15-year follow-up, from the population-based Swedish National Study on Aging and Care in Kungsholmen. The cognitive assessment comprised tests of semantic and episodic memory, letter and category fluency, perceptual speed, and executive function. First, we estimated the level and change within each of the cognitive domains with linear mixed effect models, based on which we grouped our sample into participants with \"maintained high cognition,\" \"moderate cognitive decline,\" or \"accelerated cognitive decline.\" Second, we analyzed determinants of group membership within each cognitive domain with multinomial logistic regression. Third, group memberships within each cognitive domain were used to derive general cognitive aging profiles with latent class analysis. Fourth, the determinants of these profile memberships were analyzed with multinomial logistic regression. Follow-up analyses targeted profiles and predictors specifically related to the rate of cognitive change. We identified three latent profiles of overall cognitive performance during the follow-up period with 31.6% of the sample having maintained high cognition, 50.6% having moderate cognitive decline, and 17.8% having accelerated cognitive decline. In multiadjusted analyses, maintained high cognition was predicted by female sex, higher education, and faster walking speed. Smoking, loneliness, and being an ε4 carrier were associated with a lower likelihood of maintained high cognition. Higher age, diagnosis of diabetes, depression, and carrying the apolipoprotein E ε4 allele increased the likelihood of accelerated cognitive decline. Factors at baseline that could significantly predict profile membership within the specific cognitive domains included age, sex, years of education, walking speed, diabetes, and the ε4 allele. Of note, these factors differed across cognitive domains. In sum, we identified demographic, lifestyle, health, and genetic factors of interindividual differences in domain-specific and general cognitive aging profiles, some of which are modifiable. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"467-483"},"PeriodicalIF":3.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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