Kelly Michelle E
National College of Ireland, Mayor Street Lower, IFSC, Dublin, Ireland.
Behav Anal Pract. 2020 Jul 1;13(3):684-697. doi: 10.1007/s40617-020-00415-0. eCollection 2020 Sep.
Behavioral gerontology rarely focuses on improving older adults' cognitive function. This gap in the literature should be addressed, as our aging population means that greater numbers of older adults are experiencing cognitive decline and reduced functional independence. If cognitive training interventions are to be socially significant, they should target improvements in core executive functions (EFs) that are critical for everyday cognition and functioning independence. Evidence from the cognitive sciences suggests that a cognitive training intervention targeting "relational knowledge" and "cognitive flexibility," which are core EFs, could translate to improvements in cognition and functioning for older adults. Behavioral researchers, interested in the effects of relational training on cognition, have shown a relationship between complex and flexible arbitrarily applicable relational responding (AARRing) and improved performance on measures of intelligence in children and young adults. However, data examining the impact of AARRing on the cognition of older adults are lacking. This article suggests that complex and flexible AARRing may be synonymous with the aforementioned EFs of relational knowledge and cognitive flexibility, and that a behaviorally oriented relational training intervention might improve cognition and functioning for healthy older adults or those experiencing cognitive decline. The article initially presents a brief overview of research in behavioral gerontology and older adult cognition, followed by a detailed explanation of how training complexity and flexibility in AARRing could result in improvements in core EFs. Specific suggestions for designing a relational training intervention and assessing relevant outcomes are provided.
行为老年学很少关注改善老年人的认知功能。文献中的这一空白应该得到填补,因为我们的老龄化人口意味着越来越多的老年人正在经历认知衰退和功能独立性下降。如果认知训练干预要具有社会意义,就应该针对对日常认知和功能独立性至关重要的核心执行功能(EFs)的改善。认知科学的证据表明,针对作为核心EFs的“关系知识”和“认知灵活性”的认知训练干预,可能会转化为老年人认知和功能的改善。对关系训练对认知的影响感兴趣的行为研究人员已经表明,复杂且灵活的任意适用关系反应(AARRing)与儿童和年轻人智力测量指标上的表现改善之间存在关联。然而,缺乏检验AARRing对老年人认知影响的数据。本文表明,复杂且灵活的AARRing可能与上述关系知识和认知灵活性的EFs同义,并且以行为为导向的关系训练干预可能会改善健康老年人或认知衰退老年人的认知和功能。本文首先简要概述行为老年学和老年人认知方面的研究,然后详细解释在AARRing中训练复杂性和灵活性如何能够带来核心EFs的改善。还提供了设计关系训练干预和评估相关结果的具体建议。