Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Johns Hopkins Center for Innovative Care in Aging, Baltimore, MD, USA.
J Appl Gerontol. 2022 Feb;41(2):441-449. doi: 10.1177/0733464821999199. Epub 2021 Mar 18.
Little is known about the impact of engagement in personally meaningful activities for older adults. Thus, this study examines the impact of engagement in one's favorite activity on cognitive, emotional, functional, and health-related outcomes in older adults with and without cognitive impairment. Data were obtained from 1,397 persons living with dementia (PLWD) and 4,719 cognitively healthy persons (CHP) who participated in wave 2 of the National Health and Aging Trends Study (NHATS). Sociodemographic characteristics were examined by cognitive status. A multivariate analysis of variance indicated that, for PLWD, engagement in favorite activity was associated with greater functional independence and decreased depression. For CHP, engagement in favorite activity was associated with greater functional independence, decreased depression and anxiety, and better performance on memory measures. Findings suggest that engagement in valued activities that are considered personally meaningful may have significant and distinct benefits for persons with and without dementia.
对于老年人参与具有个人意义的活动的影响知之甚少。因此，本研究考察了在认知障碍患者和认知健康者中，参与自己喜爱的活动对认知、情绪、功能和健康相关结果的影响。数据来自参加国家健康老龄化趋势研究（NHATS）第二波的 1397 名痴呆症患者（PLWD）和 4719 名认知健康者（CHP）。认知状况检查了社会人口统计学特征。多变量方差分析表明，对于 PLWD，参与喜爱的活动与更高的功能独立性和降低的抑郁有关。对于 CHP，参与喜爱的活动与更高的功能独立性、降低的抑郁和焦虑以及更好的记忆测试表现有关。研究结果表明，参与被认为具有个人意义的有价值的活动可能对有和没有痴呆症的人都有显著和不同的益处。
