Department of Psychology, University of Houston, Houston, TX, USA.
Clin Neuropsychol. 2020 May;34(4):755-774. doi: 10.1080/13854046.2019.1637461. Epub 2019 Jul 14.
: Older adults commonly experience declines in everyday functioning, the reasons for which are multifactorial. Prospective memory (PM), or remembering to carry out intended actions, can be an executively demanding cognitive process that declines with older age and is independently associated with a variety of everyday functions (e.g. taking medication). This study examined the hypothesis that PM mediates the relationship between older age and poorer everyday functioning.: A total of 468 community-dwelling adults (ages 18-75) with a range of medical comorbidities (e.g. viral infection) were classified as dependent on four well-validated measures of manifest everyday functioning: activities of daily living, employment status, the Karnofsky Scale of Performance Status, and self-reported cognitive symptoms. Participants completed the Memory for Intentions Test (MIsT) to measure PM, alongside clinical tests of executive functions and retrospective memory.: Controlling for education and comorbidities, bootstrap analysis revealed a significant direct effect of age on everyday functioning and a significant mediated effect of age on everyday functioning through the indirect effect of time-based = .006 [.003, .010] and event-based PM ( = .005, [.002, .009]), as well as slightly smaller effects for executive functions ( = .003, [.001, .005]) and retrospective memory ( = .002, [.001, .005]).: These cross-sectional data suggest that executively demanding aspects of declarative memory play an important partial mediating role between an individual factor (i.e. age) and daily life activities, and highlight the possible benefit of targeting PM for improving everyday functioning in older adults.
老年人的日常功能通常会下降,其原因是多方面的。前瞻性记忆(PM),即记住要执行的意图,可能是一种需要执行能力的认知过程,随着年龄的增长而下降,并且与各种日常功能(例如服药)独立相关。本研究检验了 PM 介导年龄与较差的日常功能之间关系的假设。
共有 468 名居住在社区中的成年人(年龄在 18-75 岁之间)患有各种合并症(例如病毒感染),他们通过四项经过充分验证的日常功能表现衡量标准来确定是否依赖:日常生活活动、就业状况、卡诺夫斯基表现状态量表和自我报告的认知症状。参与者完成了意向记忆测试(MIsT),以衡量 PM,同时还进行了执行功能和回溯记忆的临床测试。
在控制教育和合并症的情况下,自举分析显示年龄对日常功能有显著的直接影响,年龄通过基于时间的间接影响( =.006 [.003,.010])和基于事件的 PM( =.005,[.002,.009])对日常功能产生显著的中介作用,以及对执行功能( =.003,[.001,.005])和回溯记忆( =.002,[.001,.005])的影响略小。
这些横断面数据表明,陈述性记忆中需要执行能力的方面在个体因素(即年龄)和日常生活活动之间起着重要的部分中介作用,并强调了针对 PM 改善老年人日常生活功能的可能益处。