Department of Psychological and Brain Sciences, Washington University, St. Louis, MO, USA.
Int Psychogeriatr. 2022 Dec;34(12):1045-1055. doi: 10.1017/S1041610222000680. Epub 2022 Sep 16.
Purposeful adults may experience greater cognitive resilience because sense of purpose may help buffer against the effects of depressive symptoms and loneliness. We also evaluated whether these associations differed by race.
This study uses a wave of self-report data from the SPAN study of psychosocial aging.
Participants come from a representative sample of older adults in St. Louis.
Participants ( = 595) ages range from 65 to 78 ( = 71.46), with 18.3% of participants identifying as Black/African-American.
Sense of purpose was assessed with the Life Engagement Test, depressive symptoms with the Beck Depression Inventory-II, loneliness with the UCLA Loneliness Scale, and subjective cognitive decline with the AD-8.
Correlational analyses supported predictions that sense of purpose was negatively related to subjective cognitive decline, whereas depressive symptoms and loneliness were positively related (||s > .30, s < .001). For loneliness, but not depression, this association was moderated by sense of purpose ( = -0.43, < .001). A relatively high sense of purpose attenuated associations between loneliness and subjective cognitive decline. A three-way race × purpose × loneliness interaction ( = -0.25, = .021) revealed that the buffering effects of sense of purpose on subjective cognitive decline were stronger for Black adults.
This study provided partial support for the buffering hypothesis, showing that sense of purpose may help mitigate the cognitive decrements associated with loneliness. Future research needs to consider how purpose-promoting programs may support healthy cognitive aging, particularly among Black older adults and those who experience greater social isolation.
有目标的成年人可能会经历更大的认知弹性,因为目标感可能有助于缓冲抑郁症状和孤独感的影响。我们还评估了这些关联是否因种族而异。
本研究使用了 SPAN 心理社会老化研究的一波自我报告数据。
参与者来自圣路易斯的一个具有代表性的老年人群体样本。
参与者年龄在 65 至 78 岁之间(平均年龄为 71.46 岁),其中 18.3%的参与者为黑人/非裔美国人。
目的感用生活参与测试评估,抑郁症状用贝克抑郁量表二评估,孤独感用加州大学洛杉矶分校孤独量表评估,主观认知下降用 AD-8 评估。
相关分析支持了以下预测:目标感与主观认知下降呈负相关,而抑郁症状和孤独感呈正相关(||s >.30,s <.001)。对于孤独感,但不是抑郁感,这种关联受到目标感的调节( = -0.43,<.001)。较高的目标感减弱了孤独感与主观认知下降之间的关联。种族×目的×孤独的三向交互作用( = -0.25,<.021)表明,目标感对主观认知下降的缓冲作用在黑人成年人中更强。
本研究部分支持了缓冲假说,表明目标感可能有助于减轻与孤独感相关的认知衰退。未来的研究需要考虑如何促进目标感的项目可能支持健康的认知老化,特别是在黑人老年人和那些经历更大社交隔离的人中。