Lam Charlene L M, Yu Junhong, Lee Tatia M C
a Laboratory of Neuropsychology , The University of Hong Kong , Hong Kong.
b Institute of Clinical Neuropsychology , The University of Hong Kong , Hong Kong.
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2017 Sep;24(5):471-480. doi: 10.1080/13825585.2016.1226246. Epub 2016 Sep 7.
The relationship between depression, loneliness, and cognitive functioning among the elderly is not well understood in the literature. In the present study, we tested the moderating influence of depressive symptoms on loneliness and cognitive functioning. We recruited 100 community-dwelling older adults in Hong Kong. Demographic information, perceived loneliness, depressed mood, and general cognitive status were assessed. Results indicated that married participants reported lower levels of perceived loneliness (t (96) = 2.26, p = .03). We found a significant moderating effect of depressive symptoms on the relationship between perceived loneliness and general cognitive status (B = -.05, p = .002). Perceived loneliness correlated negatively with general cognitive status only in participants with higher levels of depressed mood (B = -.16, p = .01). Together, these findings suggest that perceived loneliness combined with depressed mood is related to poorer general cognitive status in older adults. The implications of these findings are discussed.
文献中对老年人抑郁、孤独与认知功能之间的关系尚未有充分理解。在本研究中,我们测试了抑郁症状对孤独感和认知功能的调节作用。我们招募了100名居住在香港社区的老年人。评估了他们的人口统计学信息、感知到的孤独感、抑郁情绪和一般认知状态。结果表明,已婚参与者报告的感知孤独水平较低(t(96)=2.26,p=.03)。我们发现抑郁症状对感知孤独感与一般认知状态之间的关系有显著的调节作用(B=-.05,p=.002)。仅在抑郁情绪水平较高的参与者中,感知孤独感与一般认知状态呈负相关(B=-.16,p=.01)。这些发现共同表明,感知孤独感与抑郁情绪相结合与老年人较差的一般认知状态有关。讨论了这些发现的意义。