Da Silva Coelho Chloé, Joly-Burra Emilie, Ihle Andreas, Ballhausen Nicola, Haas Maximilian, Hering Alexandra, Künzi Morgane, Laera Gianvito, Mikneviciute Greta, Tinello Doriana, Kliegel Matthias, Zuber Sascha
Centre for the Interdisciplinary Study of Gerontology and Vulnerabilities (CIGEV), University of Geneva, Boulevard du Pont d'Arve 28, 1205 Geneva, Switzerland.
Department of Psychology, University of Geneva, Geneva, Switzerland.
Eur J Ageing. 2021 Dec 16;19(3):633-649. doi: 10.1007/s10433-021-00665-z. eCollection 2022 Sep.
Neuroticism has been associated with individual differences across multiple cognitive functions. Yet, the literature on its specific association with executive functions (EF) in older adults is scarce, especially using longitudinal designs. To disentangle the specific influence of neuroticism on EF and on coarse cognitive functioning in old adulthood, respectively, we examined the relationship between neuroticism, the Trail Making Test (TMT) and the Mini-Mental State Examination (MMSE) in a 6-year longitudinal study using Bayesian analyses. Data of 768 older adults ( = 73.51 years at Wave 1) were included in a cross-lagged analysis. Results showed no cross-sectional link between neuroticism and TMT performance at Wave 1 and no longitudinal link between neuroticism at Wave 1 and MMSE at Wave 2. However, neuroticism at Wave 1 predicted TMT performance at Wave 2, indicating that the more neurotic participants were, the lower they performed on the TMT six years later. Additional analyses showed that this relation was fully mediated by participants' perceived stress. Our results suggest that the more neurotic older adults are the more stress they may perceive six years later, which in turn negatively relates to their EF. In sum, this study demonstrates that neuroticism may lead to lower EF in older age across six years. It further suggests older adults' perceived stress as mediator, thereby providing novel insights into the mechanisms underlying this relation. Possible intervention approaches to counter these effects are discussed.
神经质与多种认知功能的个体差异有关。然而,关于其与老年人执行功能(EF)具体关联的文献很少,尤其是采用纵向设计的研究。为了分别厘清神经质对老年人执行功能和整体认知功能的具体影响,我们在一项为期6年的纵向研究中,使用贝叶斯分析方法,考察了神经质、连线测验(TMT)和简易精神状态检查表(MMSE)之间的关系。对768名老年人(第1波时平均年龄为73.51岁)的数据进行了交叉滞后分析。结果显示,在第1波时,神经质与TMT表现之间没有横断面联系,在第1波时的神经质与第2波时的MMSE之间也没有纵向联系。然而,第1波时的神经质预测了第2波时的TMT表现,这表明神经质程度越高的参与者,六年后在TMT上的表现就越低。进一步的分析表明,这种关系完全由参与者感知到的压力介导。我们的结果表明,神经质程度越高的老年人,六年后可能感知到的压力就越大,而这反过来又与他们的执行功能呈负相关。总之,这项研究表明,神经质可能导致老年人在六年内执行功能下降。它还表明老年人感知到的压力起到了中介作用,从而为这一关系背后的机制提供了新的见解。文中还讨论了应对这些影响的可能干预方法。