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为什么认知变化随着年龄的增长而变得更加负面?

Why is cognitive change more negative with increased age?

机构信息

University of Virginia.

出版信息

Neuropsychology. 2018 Jan;32(1):110-120. doi: 10.1037/neu0000397. Epub 2017 Sep 28.

Abstract

OBJECTIVE

The primary goal of the current study was to investigate factors contributing to more negative cognitive change at older ages.

METHOD

Longitudinal data on 12 cognitive tests were examined in 2,637 adults ranging from 18 to 85 years of age. Because both the intervals between measurement occasions and the number of occasions varied across participants, it was possible to investigate effects of interval and number of measurement occasions on cognitive change in adults of different ages. In addition, about 1/2 of the participants performed alternate versions of the tests on a second and third session on the first occasion, which allowed change to be monitored over intervals of less than 1 week.

RESULTS

Regression analyses revealed that cognitive change was more negative with increases in the interval between occasions but was more positive with additional measurement occasions. Both the effects of interval and of number of measurement occasions were similar across adulthood. Increased age was associated with more positive gains over a period of a few days but was associated with more negative declines when the intervals between occasions averaged about 3 years.

CONCLUSIONS

This combination of results suggests that longitudinal change in cognitive functioning is more negative at older ages not because of greater declines with increases in the interval between measurement occasions, or because of smaller gains with additional measurements. Instead most of the age differences in change may be due to greater losses of benefits associated with the initial assessment over intervals of months or more from the initial assessment. (PsycINFO Database Record

摘要

目的

本研究的主要目的是探究导致老年人认知能力负向变化的因素。

方法

对 2637 名年龄在 18 至 85 岁之间的成年人进行了 12 项认知测试的纵向数据分析。由于测量时间间隔和测量次数在不同参与者之间存在差异,因此可以研究间隔和测量次数对不同年龄段成年人认知变化的影响。此外,大约有 1/2 的参与者在第一次测量时的第二次和第三次会议上完成了测试的交替版本,这使得可以在不到 1 周的时间间隔内监测变化。

结果

回归分析显示,随着测量时间间隔的增加,认知变化更为负面,但随着测量次数的增加,认知变化更为积极。间隔和测量次数的影响在成年期是相似的。在几天的时间内,年龄的增加与更积极的收益相关,但当测量时间间隔平均约为 3 年时,与更负面的衰退相关。

结论

这些结果表明,老年人的认知功能纵向变化更为负面,并不是因为在测量时间间隔增加时下降更为明显,或者因为在增加测量次数时收益更小。相反,变化中的大部分年龄差异可能是由于与初始评估相关的收益在数月或更长时间的间隔内从初始评估中逐渐丧失所致。

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本文引用的文献

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Aging Cognition Unconfounded by Prior Test Experience.衰老认知不受先前测试经验的干扰。
J Gerontol B Psychol Sci Soc Sci. 2016 Jan;71(1):49-58. doi: 10.1093/geronb/gbu063. Epub 2014 Sep 2.
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Frequent assessments may obscure cognitive decline.频繁评估可能掩盖认知能力下降。
Psychol Assess. 2014 Dec;26(4):1063-9. doi: 10.1037/pas0000007. Epub 2014 May 19.
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Selectivity of attrition in longitudinal studies of cognitive functioning.认知功能纵向研究中的损耗选择性。
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