MIDUS成年期认知分散特征及其相关因素。

IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Laura M Klepacz, Eric S Cerino, Jeremy M Hamm
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引用次数: 0

摘要

目的:尽管研究表明,临床样本中认知任务中较高水平的人内变异性(离散度)与认知能力下降有关,但对相对年轻、非临床和国家样本中的离散度知之甚少。需要更好地了解离散度,以阐明在何种情况下离散度可以作为认知健康的可靠指标。方法:我们使用了美国中年人研究(MIDUS;N = 2229;法师= 56岁,射程= 33-83;(56%女性)来:(a)表征离散度及其在非临床成年寿命样本中的横断面相关性;(b)检查离散度随时间的变化,以确定离散度的变化可能反映认知衰老的好坏。结果:相关性显示,在两个波中,较高水平的分散与较高水平的平均表现相关(rs = 0.28 - 0.29)。自回归主效应模型显示,在两波9年随访期间,离散度的增加与平均表现的较小下降相关(β = 0.17, p < 0.001)。适度模型显示,在年龄较大的成年人(β = 0.28)、女性(β = 0.27)、受教育程度较低的个体(β = 0.23)和收入较低的个体(β = 0.23)中,分散度变化与平均表现变化之间的联系较为明显(所有ps < 0.001)。讨论:研究结果表明,在规范的成年寿命样本中,离散度的增加可能并不总是适应不良,可能反映出认知障碍风险较高的个体的认知状况更健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characterizing Cognitive Dispersion and its Correlates Across the Adult Lifespan in MIDUS.

Objectives: Although research has shown that higher levels of within-person variability across cognitive tasks (dispersion) are associated with cognitive decline in clinical samples, little is known about dispersion in comparatively younger, non-clinical, and national samples. A better understanding of dispersion is needed to elucidate for whom and under what circumstances dispersion can be used as a reliable indicator of cognitive health.

Method: We used data from the Midlife in the United States Study (MIDUS; n = 2,229; Mage = 56 years, range = 33-83; 56% female) to: (a) characterize dispersion and its cross-sectional correlates in a non-clinical, adult lifespan sample and (b) examine changes in dispersion over time to determine for whom changes in dispersion may reflect better or worse cognitive aging.

Results: Correlations showed higher levels of dispersion were associated with higher levels of mean performance at both waves (rs = .28-.29). Autoregressive main effect models showed that increases in dispersion were associated with less decline in mean performance over the two-wave, 9-year follow-up period (β = .17, p < .001). Moderation models showed that the link between change in dispersion and change in mean performance was pronounced in comparatively older adults (β = .28), women (β = .27), individuals with less education (β = .23), and those with lower income (β = .23) (all ps < .001).

Discussion: Findings suggest that increases in dispersion may not always be maladaptive in normative, adult lifespan samples and may reflect healthier cognitive profiles in individuals who are at greater risk for cognitive impairment.

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来源期刊
CiteScore
11.60
自引率
8.10%
发文量
178
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.
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