Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
Stress Research Institute, Stockholm University, Stockholm, Sweden.
J Gerontol B Psychol Sci Soc Sci. 2021 Aug 13;76(7):1313-1322. doi: 10.1093/geronb/gbab033.
We examined associations between job strain and trajectories of change in cognitive functioning (general cognitive ability plus verbal, spatial, memory, and speed domains) before and after retirement.
Data on indicators of job strain, retirement age, and cognitive factors were available from 307 members of the Swedish Adoption/Twin Study of Aging. Participants were followed up for up to 27 years (mean = 15.4, SD = 8.5).
In growth curve analyses controlling for age, sex, education, depressive symptoms, cardiovascular health, and twinness, greater job strain was associated with general cognitive ability (estimate = -1.33, p = .002), worse memory (estimate = -1.22, p = .007), speed (estimate = -1.11, p = .012), and spatial ability (estimate = -0.96, p = .043) at retirement. Greater job strain was also associated with less improvement in general cognitive ability before retirement and a somewhat slower decline after retirement. The sex-stratified analyses showed that the smaller gains of general cognitive ability before retirement (estimate = -1.09, p = .005) were only observed in women. Domain-specific analyses revealed that greater job strain was associated with less improvement in spatial (estimate = -1.35, p = .010) and verbal (estimate = -0.64, p = .047) ability before retirement in women and a slower decline in memory after retirement in women (estimate = 0.85, p = .008) and men (estimate = 1.12, p = .013). Neither preretirement nor postretirement speed was affected significantly by job strain.
Greater job strain may have a negative influence on overall cognitive functioning prior to and at retirement, while interrupting exposure to job strain (postretirement) may slow the rate of cognitive aging. Reducing the level of stress at work should be seen as a potential target for intervention to improve cognitive aging outcomes.
我们研究了工作压力与认知功能(一般认知能力以及言语、空间、记忆和速度领域)在退休前后变化轨迹之间的关联。
瑞典收养/双胞胎衰老研究中的 307 名成员提供了工作压力、退休年龄和认知因素的相关指标数据。参与者的随访时间最长达 27 年(平均=15.4,SD=8.5)。
在控制年龄、性别、教育程度、抑郁症状、心血管健康和双胞胎情况后,进行增长曲线分析,结果表明,工作压力越大,一般认知能力越差(估计值=-1.33,p=.002),记忆力越差(估计值=-1.22,p=.007),速度越慢(估计值=-1.11,p=.012),空间能力越差(估计值=-0.96,p=.043)。工作压力越大,退休前认知能力改善程度越小,退休后认知能力下降速度也较慢。按性别分层分析显示,退休前一般认知能力的较小提升(估计值=-1.09,p=.005)仅在女性中观察到。特定领域分析显示,工作压力越大,女性退休前空间(估计值=-1.35,p=.010)和言语(估计值=-0.64,p=.047)能力改善程度越小,女性退休后记忆力下降速度较慢(估计值=0.85,p=.008),男性下降速度较慢(估计值=1.12,p=.013)。工作压力对退休前和退休后的速度均无显著影响。
工作压力越大,可能会对退休前和退休时的整体认知功能产生负面影响,而中断工作压力的暴露(退休后)可能会减缓认知衰老的速度。降低工作压力应被视为改善认知衰老结果的潜在干预目标。