工作压力与认知衰退：弗雷明汉后代队列的前瞻性研究
Job strain and cognitive decline: a prospective study of the framingham offspring cohort.
作者信息
Agbenyikey W, Karasek R, Cifuentes M, Wolf P A, Seshadri S, Taylor J A, Beiser A S, Au R
机构信息
Department of Environmental and Occupational Health, Drexel University, Philadelphia, PA, USA.
出版信息
Int J Occup Environ Med. 2015 Apr;6(2):79-94. doi: 10.15171/ijoem.2015.534.
BACKGROUND
Workplace stress is known to be related with many behavioral and disease outcomes. However, little is known about its prospective relationship with measures of cognitive decline.
OBJECTIVE
To investigate the association of job strain, psychological demands and job control on cognitive decline.
METHODS
Participants from Framingham Offspring cohort (n=1429), were assessed on job strain, and received neuropsychological assessment approximately 15 years and 21 years afterwards.
RESULTS
High job strain and low control were associated with decline in verbal learning and memory. Job strain was associated with decline in word recognition skills. Active job and passive job predicted decline in verbal learning and memory relative to low strain jobs in the younger subgroup. Active job and demands were positively associated with abstract reasoning skills.
CONCLUSIONS
Job strain and job control may influence decline in cognitive performance.
背景
已知工作场所压力与许多行为和疾病结果相关。然而，关于其与认知能力下降指标的前瞻性关系却知之甚少。
目的
研究工作压力、心理需求和工作控制与认知能力下降之间的关联。
方法
弗雷明汉后代队列研究的参与者（n = 1429）接受了工作压力评估，并在大约15年后和21年后接受了神经心理学评估。
结果
高工作压力和低控制与言语学习和记忆能力下降有关。工作压力与单词识别技能下降有关。相对于年轻亚组中的低压力工作，主动工作和被动工作预示着言语学习和记忆能力下降。主动工作和需求与抽象推理技能呈正相关。
结论
工作压力和工作控制可能会影响认知表现的下降。
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