Fastame Maria Chiara, Mulas Ilaria, Putzu Valeria, Asoni Gesuina, Viale Daniela, Mameli Irene, Pau Massimiliano
Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy.
Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Cagliari, Italy.
Anxiety Stress Coping. 2022 Nov;35(6):687-700. doi: 10.1080/10615806.2021.2004398. Epub 2021 Nov 23.
A body of studies suggests that coping resources may represent a protective factor against functional and cognitive losses associated with advanced ageing. This study intended to examine the contributions of global cognition, functional mobility, and muscular strength on self-reported coping strategies in late adulthood.
One hundred and thirty-seven community-based older individuals (M = 77.2 years, SD = 5.8 years, age range: 63-92 years), 48 males and 89 females with and without signs of cognitive decline completed a battery of tools assessing global cognitive function, problem-focused coping, muscular strength (assessed by handgrip strength, HGS) and functional mobility (assessed using the instrumented Timed-Up-and-Go test).
Significant associations were found between problem-focused coping, global cognitive function, HGS, functional mobility parameters, age, and education. Moreover, when the effects of education and gender were controlled for, HGS, functional mobility, and global cognitive function scores accounted for 44% of the variance in coping.
In clinical practice, the use of functional mobility and muscular strength measures to screen the physical health of older individuals should be encouraged.
一系列研究表明，应对资源可能是抵御与衰老相关的功能和认知衰退的保护因素。本研究旨在探讨整体认知、功能活动能力和肌肉力量对成年晚期自我报告的应对策略的影响。
137名社区老年人（平均年龄M = 77.2岁，标准差SD = 5.8岁，年龄范围：63 - 92岁），其中48名男性和89名女性，有或无认知衰退迹象，完成了一系列评估整体认知功能、问题聚焦应对、肌肉力量（通过握力HGS评估）和功能活动能力（使用仪器化的定时起立行走测试评估）的工具测试。
发现问题聚焦应对、整体认知功能、握力、功能活动能力参数、年龄和教育程度之间存在显著关联。此外，在控制教育程度和性别的影响后，握力、功能活动能力和整体认知功能得分占应对差异的44%。
在临床实践中，应鼓励使用功能活动能力和肌肉力量测量方法来筛查老年人的身体健康状况。
