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社会支持在老年人的外向性、神经质与认知功能之间的关系中起中介作用。

Social support mediates the relationships between extraversion, neuroticism, and cognitive function in older adults.

作者信息

McHugh Power J E, Lawlor B A, Kee F

机构信息

UK CRC Centre of Excellence for Public Health, Institute of Clinical Sciences Block B, Grosvenor Road, Queen's University Belfast, Royal Victoria Hospital, Belfast BT12 6BJ, UK; Institute of Neuroscience, Lloyd Institute, Trinity College, Dublin 2, Ireland.

Institute of Neuroscience, Lloyd Institute, Trinity College, Dublin 2, Ireland.

出版信息

Public Health. 2017 Jun;147:144-152. doi: 10.1016/j.puhe.2017.02.015. Epub 2017 Apr 8.

Abstract

OBJECTIVES

We supplement existing findings on a link between social support and cognitive function in later life by considering the role of personality as an antecedent to both, and of social support as a mediator of the link between personality and cognitive function.

STUDY DESIGN

An observational cohort study.

METHODS

We evaluated social support using the Lubben Social Network Scale, across 624 adults aged over 60 years, and investigated this measure as a mediator of the relationships between extraversion and neuroticism at baseline 2007-2009, and cognitive function at follow-up, 2 years later. A half-longitudinal mediation design, within a structural equation modelling framework, was used.

RESULTS

There was a direct effect of extraversion, such that lower levels were related to higher scores of cognitive function. There was no significant direct effect of neuroticism on cognitive function at follow-up. Social support partially mediated the paths between both extraversion and neuroticism and cognitive function at follow-up. Decomposing the mediation effects by using social support subscales (measuring support from friends, relatives and neighbours) showed meaningful indirect effects for both predictors.

CONCLUSION

Results suggest that social support may offer a target for interventions for cognitively at-risk older adults and add to the existing empirical evidence describing the link between personality and cognitive function.

摘要

目的

我们通过考虑人格作为社会支持和认知功能两者的前因,以及社会支持作为人格与认知功能之间联系的中介作用,来补充关于晚年社会支持与认知功能之间联系的现有研究结果。

研究设计

一项观察性队列研究。

方法

我们使用鲁本社会网络量表对624名60岁以上成年人的社会支持进行了评估,并将该测量作为2007 - 2009年基线时外向性与神经质之间关系以及两年后随访时认知功能之间关系的中介进行研究。采用了结构方程建模框架内的半纵向中介设计。

结果

外向性有直接效应,即较低水平与较高的认知功能得分相关。在随访时,神经质对认知功能没有显著的直接效应。社会支持部分中介了外向性和神经质与随访时认知功能之间的路径。通过使用社会支持子量表(测量来自朋友、亲戚和邻居的支持)分解中介效应,显示两个预测变量都有有意义的间接效应。

结论

结果表明,社会支持可能为认知功能处于风险中的老年人提供干预靶点,并补充了描述人格与认知功能之间联系的现有实证证据。

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