社区居住中老年人认知能力下降与痴呆风险降低行为动机的关系中,痴呆相关恐惧的调节作用

IF 2.8 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Rose Lin, Sara Laureen Bartels, Ladislav Batalik, Jing Jing Su
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引用次数: 0

摘要

目的随着痴呆症发病率的增加,生活方式干预是降低长期风险的关键。了解影响生活方式改变动机的心理因素对于制定减少痴呆症风险的有效政策策略至关重要。本研究探讨了痴呆症相关恐惧在认知能力下降和参与痴呆症风险降低行为之间的关系中的调节作用。方法对200名居住在社区的中国中老年进行横断面研究。采用层次回归和简单斜率分析来评估痴呆相关恐惧对认知能力下降与参与痴呆风险降低行为动机之间关系的调节作用。结果发现认知能力下降与参与痴呆症风险降低行为的动机增加之间存在显著相关性(r = 0.44)。与痴呆症相关的恐惧起到了重要的调节作用;动机与低至中等水平的恐惧呈正相关,而这种关联在较高水平的恐惧中减弱并变得不显著。研究结果表明,虽然与痴呆症相关的恐惧水平较低可能与参与降低风险行为的动机增加有关,但恐惧水平升高似乎并不支持这种参与。公共卫生战略不应强调痴呆症的负面影响,而应向个人提供可操作的信息,使其参与减少痴呆症风险的行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Moderating Role of Dementia-Related Fear in the Relationship Between Perceived Cognitive Decline and Motivation for Dementia Risk Reduction Behaviors in Community-Dwelling Middle-Aged and Older Adults

Objective

With the increasing incidence of dementia, lifestyle interventions are key for long-term risk reduction. Understanding the psychological factors affecting lifestyle change motivation is crucial to developing effective policy strategies for dementia risk reduction. This study explores the moderating role of dementia-related fear on the relationship between perceived cognitive decline and engagement in dementia risk reduction behaviors.

Methods

A cross-sectional study was conducted among 200 Chinese community-dwelling middle-aged and older adults. Hierarchical regression and simple slope analysis were used to assess the moderating effect of dementia-related fear on the relationship between perceived cognitive decline and motivation to engage in dementia risk reduction behaviors.

Results

A significant correlation was found between perceived cognitive decline and increased motivation to engage in dementia risk reduction behaviors (r = 0.44). Dementia-related fear acted as a significant moderator; motivation was positively associated with low to moderate levels of fear, whereas this association diminished and became non-significant at higher levels of fear.

Conclusions

The findings suggest that while lower levels of dementia-related fear may be linked to increased motivation for engaging in risk reduction behaviors, elevated levels of fear do not appear to support such engagement. Rather than emphasizing the negative impacts of dementia, public health strategies should empower individuals with actionable messages to engage in dementia risk reduction behaviors.

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来源期刊
CiteScore
6.10
自引率
2.50%
发文量
168
审稿时长
4-8 weeks
期刊介绍: The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.
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