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利他行为,而不是志愿服务,与社区居住的老年人的认知表现有关。

Altruistic behaviour, but not volunteering, has been associated with cognitive performance in community-dwelling older persons.

机构信息

Division of Geriatrics, Department of Medicine, School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.

出版信息

Psychogeriatrics. 2019 Mar;19(2):117-125. doi: 10.1111/psyg.12372. Epub 2018 Sep 26.

Abstract

AIM

Studies have indicated that altruistic behaviour may be associated with better health. Nevertheless, it has not been determined if volunteering acts as a protective factor against cognitive decline or if a person's altruistic character does so. This study aims to evaluate whether altruistic behaviour and volunteering are associated with better cognitive function in active community-dwelling older persons.

METHODS

This was a cross-sectional study in healthy older persons. Sociodemographics, altruistic behaviour (self-report altruism scale), volunteering (days volunteered), cognitive state (cognitive assessment battery), and factors associated with cognition (e.g. depression, social support, functional status, and religiosity) were evaluated. Adjusted and non-adjusted models were created in order to understand the relationship of altruistic behaviour and volunteering with cognitive performance.

RESULTS

A total of 312 older adults were evaluated; 89.4% were women, and the mean age was 69.6 years. In the linear regression models, greater altruistic behaviour was associated with higher scores on the Mini-Mental State Examination (β = 0.148, P < 0.05) and the verbal fluency test (β = 0.219, P < 0.001), even after adjustments. In contrast, volunteering was not associated with any of the cognitive tests used.

CONCLUSION

Altruistic behaviour seems to have a role in older persons' cognition, with more altruistic people tending to have greater cognitive performance. These findings can assist in developing mechanisms that can help keep older people more cognitively active and serve as the foundation for future interventions and studies in this area.

摘要

目的

研究表明,利他行为可能与更好的健康状况有关。然而,目前尚不清楚志愿服务是否是认知能力下降的保护因素,或者是否是一个人的利他性格导致了这种情况。本研究旨在评估利他行为和志愿服务是否与积极参与社区活动的老年人的更好认知功能有关。

方法

这是一项针对健康老年人的横断面研究。评估了社会人口统计学特征、利他行为(自我报告利他主义量表)、志愿服务(志愿服务天数)、认知状态(认知评估电池)以及与认知相关的因素(如抑郁、社会支持、功能状态和宗教信仰)。为了理解利他行为和志愿服务与认知表现的关系,建立了调整和未调整的模型。

结果

共评估了 312 名老年人;89.4%为女性,平均年龄为 69.6 岁。在线性回归模型中,更多的利他行为与简易精神状态检查(β=0.148,P<0.05)和言语流畅性测试(β=0.219,P<0.001)的得分更高相关,即使在调整后也是如此。相比之下,志愿服务与使用的任何认知测试均无关。

结论

利他行为似乎在老年人的认知中起着作用,更利他的人往往具有更好的认知表现。这些发现可以帮助开发有助于使老年人保持更活跃的认知的机制,并为该领域的未来干预和研究奠定基础。

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