Brouwer Jelle, van den Berg Floor, Knooihuizen Remco, Loerts Hanneke, Keijzer Merel
Department of Linguistics & English as a Second Language, University of Groningen, 9712 EK Groningen, The Netherlands.
Department of Minorities and Multilingualism, University of Groningen, 9712 EK Groningen, The Netherlands.
Behav Sci (Basel). 2020 Aug 31;10(9):132. doi: 10.3390/bs10090132.
Late-life depression (LLD) affects about an eighth of community-dwelling seniors. LLD impacts well-being, with loneliness and small social networks being typical. It has also been linked to cognitive dysfunction and an increased risk of developing dementia. Safety and efficacy of pharmacological treatments for LLD have been debated, and cognitive dysfunction often persists even after remission. Various cognitive interventions have been proposed for LLD. Among these, one has received special attention: foreign language learning could serve as a social intervention that simultaneously targets brain structures affected in LLD. Lifelong bilingualism may significantly delay the onset of cognitive impairment symptoms by boosting cognitive reserve. Even late-life foreign language learning without lifelong bilingualism can train cognitive flexibility. It is then counterintuitive that the effects of language learning on LLD have never been examined. In order to create a theoretical basis for further interdisciplinary research, this paper presents a status quo of current work through two meta-analyses investigating cognitive functioning in LLD on the one hand and in senior bilinguals or seniors following a language course on the other hand. While LLD was consistently associated with cognitive dysfunction, inconsistent results were found for bilingualism and language learners. Possible reasons for this and suggestions for future research are subsequently discussed.
老年期抑郁症(LLD)影响着约八分之一居住在社区的老年人。LLD会影响幸福感,孤独感和社交圈子小是其典型特征。它还与认知功能障碍以及患痴呆症的风险增加有关。针对LLD的药物治疗的安全性和有效性一直存在争议,而且即使在症状缓解后认知功能障碍通常仍会持续。针对LLD已经提出了各种认知干预措施。其中,有一种受到了特别关注:外语学习可以作为一种社会干预措施,同时针对受LLD影响的脑结构。终身掌握双语可能会通过增强认知储备显著延迟认知障碍症状的出现。即使是没有终身掌握双语的晚年外语学习也可以训练认知灵活性。然而,语言学习对LLD的影响从未被研究过,这是有悖常理的。为了为进一步的跨学科研究奠定理论基础,本文通过两项荟萃分析呈现了当前研究的现状,一方面调查LLD患者的认知功能,另一方面调查双语老年人或参加语言课程的老年人的认知功能。虽然LLD始终与认知功能障碍相关,但关于双语和语言学习者的研究结果并不一致。随后讨论了造成这种情况的可能原因以及对未来研究的建议。