Hartmans Carien, Comijs Hannie, Jonker Cees
GGZ Altrecht, Institute for Clinical and Outpatient Mental Health Care, Den Dolder, The Netherlands.
GGZ InGEEST, Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands.
Am J Geriatr Psychiatry. 2015 Mar;23(3):243-52. doi: 10.1016/j.jagp.2013.04.003. Epub 2013 Jul 23.
Investigating whether cognitive functioning is associated with the perception of one's sexuality in old age.
Cross-sectional analysis, using observation cycle 2005/2006 of the population-based prospective cohort of the Longitudinal Aging Study Amsterdam.
Municipal registries in three Dutch regions.
1,908 older adults (mean [standard deviation] age: 71 [8.87] years; 54% women).
Sexuality and intimacy were assessed using four questions. Four cognitive domains were assessed: general cognitive functioning (Mini-Mental State Examination), memory performance (Auditory Verbal Learning Test), processing speed (Coding Task), and fluid intelligence (Raven's Coloured Progressive Matrices). Multinomial regression analysis was used, with sexuality as outcome. The interaction effect between gender and sexuality was also tested.
Lower fluid intelligence was associated with perceiving sexuality as unimportant; lower general cognitive functioning was associated with perceiving sexuality as unimportant; and lower immediate memory recall was associated with evaluating sexual life as unpleasant. Associations were also found between lower fluid intelligence, processing speed, and general cognitive functioning, and agreeing with sexuality no longer being important. Lower processing speed, general cognitive functioning, and delayed memory recall were associated with disagreeing with a remaining need for intimacy when getting older. Finally, the association between fluid intelligence and perceiving sexuality as important, and the association between immediate memory recall score and evaluating sexual life as pleasant, was only significant in women. The association between lower general cognitive functioning and perceiving sexuality as unimportant seemed stronger in women compared with men.
Higher cognitive functioning was associated with the way in which older people perceive their current sexuality.
调查认知功能是否与老年人对自身性取向的认知有关。
横断面分析，使用阿姆斯特丹纵向老龄化研究基于人群的前瞻性队列2005/2006观察周期。
荷兰三个地区的市政登记处。
1908名老年人（平均[标准差]年龄：71[8.87]岁；54%为女性）。
使用四个问题评估性取向和亲密关系。评估了四个认知领域：一般认知功能（简易精神状态检查表）、记忆表现（听觉词语学习测试）、处理速度（编码任务）和流体智力（瑞文彩色渐进矩阵测验）。以性取向为结果进行多项回归分析。还测试了性别与性取向之间的交互作用。
较低的流体智力与认为性取向不重要有关；较低的一般认知功能与认为性取向不重要有关；较低的即时记忆回忆与将性生活评价为不愉快有关。在较低的流体智力、处理速度和一般认知功能与认同性取向不再重要之间也发现了关联。较低的处理速度、一般认知功能和延迟记忆回忆与不同意随着年龄增长仍有亲密关系需求有关。最后，流体智力与认为性取向重要之间的关联，以及即时记忆回忆分数与将性生活评价为愉快之间的关联，仅在女性中显著。与男性相比，女性中较低的一般认知功能与认为性取向不重要之间的关联似乎更强。
较高的认知功能与老年人对自身当前性取向的认知方式有关。
