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对衰老态度的变化:认知主诉比客观表现更重要。

Change in attitudes toward aging: Cognitive complaints matter more than objective performance.

机构信息

Department of Psychological Aging Research, Heidelberg University.

Institute of Psychology, Universität der Bundeswehr München.

出版信息

Psychol Aging. 2020 May;35(3):357-368. doi: 10.1037/pag0000451. Epub 2020 Mar 5.

Abstract

Converging longitudinal research suggests that more negative views on aging predict accelerated cognitive decline. Although conceptually suggested, reciprocal relationships between cognitive functioning and attitudes toward aging have remained less clear empirically. We used the 20-year data from the Interdisciplinary Longitudinal Study of Adult Development (ILSE) to better understand such potential bidirectionality. Drawing on 1,002 baseline participants from 2 age groups, a midlife (Mage = 43.7 at baseline) and an old age group (Mage = 62.5 at baseline), we examined longitudinal trajectories between attitude toward own aging, performance-based cognitive measures, and subjective cognitive complaints. Findings from multigroup latent growth curve modeling replicated previous findings that attitude toward own aging predicts cognitive change over 20 years in old age with 2 important specifications: We show that this effect (a) does not apply to midlife and (b) disappears in old age after controlling for depression over time. Further, as expected, cognitive complaints but not cognitive performance were related to change in attitude toward own aging in midlife and old age. Results suggest that differentiating between objective cognitive functioning and subjective cognitive complaints is important when investigating relations between cognitive functioning and attitude toward own aging in different age groups. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

汇聚的纵向研究表明,对衰老的负面看法预示着认知衰退的加速。尽管从概念上提出了这一观点,但认知功能与对衰老的态度之间的相互关系在经验上仍然不太清楚。我们使用成人发展跨学科纵向研究(ILSE)的 20 年数据来更好地理解这种潜在的双向关系。该研究基于两个年龄组的 1002 名基线参与者,中年组(基线时平均年龄为 43.7)和老年组(基线时平均年龄为 62.5),我们考察了态度、基于表现的认知测量和主观认知抱怨之间的纵向轨迹。多组潜在增长曲线模型的研究结果复制了先前的发现,即对自身衰老的态度可以预测老年 20 年内的认知变化,有两个重要的特点:我们表明,这种影响(a)不适用于中年期,(b)在考虑到随时间推移的抑郁后,在老年期消失。此外,正如预期的那样,认知抱怨而不是认知表现与中年和老年时期对自身衰老的态度变化有关。结果表明,在不同年龄组中调查认知功能与对自身衰老的态度之间的关系时,区分客观认知功能和主观认知抱怨是很重要的。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。

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