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生活目的可预防老年人认知能力下降。

Purpose in Life Protects Against Cognitive Decline Among Older Adults.

机构信息

Department of Psychology (GK), Chung-Ang University, Seoul, South Korea.

Department of Consumer Sciences (SHS), University of Alabama, Tuscaloosa, AL.

出版信息

Am J Geriatr Psychiatry. 2019 Jun;27(6):593-601. doi: 10.1016/j.jagp.2019.01.010. Epub 2019 Jan 19.

Abstract

OBJECTIVE

This study examined whether having a sense of purpose in life protects against cognitive decline among older adults and whether purpose in life moderates the relationship between selected risk factors (age, sex, and race/ethnicity) and cognitive abilities.

METHODS

This was a longitudinal analysis of existing secondary data of adults (N = 11,557) aged 50 or older using the 2006-2012 waves of the Health and Retirement Study. The study measured purpose in life, cognitive functioning score, and various covariates.

RESULTS

Growth curve modeling revealed that, after adjusting for covariates, purpose in life was positively associated with participants' total cognition scores. Purpose in life significantly moderated the relationship between age and race/ethnicity and cognitive decline. Further, purpose in life was a protective factor against cognitive decline for those who were older and black. There was no significant interaction between purpose in life and sex.

CONCLUSION

Having a purposeful life protects against cognitive decline in older adults, and the associations varied by age and race/ethnicity, but not by sex. Potential ways to increase purpose in life are discussed in a clinical context.

摘要

目的

本研究旨在探讨生活意义感是否能预防老年人认知能力下降,以及生活意义感是否能调节某些风险因素(年龄、性别和种族/民族)与认知能力之间的关系。

方法

这是一项对现有成年人(N=11557 人,年龄 50 岁或以上)的二次数据分析,使用的是 2006-2012 年健康与退休研究的数据。该研究测量了生活意义感、认知功能评分和各种协变量。

结果

增长曲线模型显示,在调整了协变量后,生活意义感与参与者的总认知评分呈正相关。生活意义感显著调节了年龄和种族/民族与认知能力下降之间的关系。此外,对于年龄较大和黑人的参与者来说,生活意义感是认知能力下降的保护因素。生活意义感与性别的交互作用不显著。

结论

有目的的生活可以预防老年人的认知能力下降,而且这种关联因年龄和种族/民族而异,但与性别无关。在临床背景下讨论了增加生活意义感的潜在方法。

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