McHugh Power Joanna E, Feeney Joanne, Fowler Elizabeth, McMichael Alan J, Hyland Philip, Lawlor Brian A, Cruise Sharon, Potter Claire, Young Ian, McGuinness Bernadette, Kee Frank
Department of Psychology, Maynooth University, Education House, Co Kildare, Republic of Ireland.
Centre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Eur J Ageing. 2022 Feb 10;19(4):1099-1109. doi: 10.1007/s10433-022-00683-5. eCollection 2022 Dec.
We investigated the potential impact of a cohort traumatic exposure, the Troubles in Northern Ireland, on memory functioning in later life, and the potential moderating effect of social activity engagement. Using data from 6571 participants aged 60 + in the Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA) cohort, we used a structural equation modelling framework to explore associations between traumatic exposure during the Troubles and memory functioning. As expected, social activity engagement was positively associated with memory functioning, = .102. Traumatic exposure was also positively associated with memory functioning, = .053. This association was stronger at low levels of social activity engagement; among those with higher levels, there was little association, interaction = - 0.054. The positive association between traumatic exposure during the Troubles and memory functioning was not moderated by the age at which the exposures occurred (based on analysis of a subsample with available data), interaction = - 0.015. We conclude that superior memory functioning was associated with higher levels of traumatic exposure during the Troubles, particularly among those with lower levels of social activity engagement, and regardless of the age at which the exposures occurred. Future longitudinal analyses are required to build on these results, which potentially have implications for life-course epidemiology, in relation to critical periods for traumatising experiences.
The online version contains supplementary material available at 10.1007/s10433-022-00683-5.
我们调查了北爱尔兰冲突这一队列创伤暴露对晚年记忆功能的潜在影响,以及社会活动参与的潜在调节作用。利用来自北爱尔兰老龄化纵向研究队列(NICOLA)中6571名60岁及以上参与者的数据,我们使用结构方程建模框架来探索冲突期间的创伤暴露与记忆功能之间的关联。正如预期的那样,社会活动参与与记忆功能呈正相关,β = 0.102。创伤暴露也与记忆功能呈正相关,β = 0.053。在社会活动参与水平较低时,这种关联更强;在参与水平较高的人群中,几乎没有关联,交互作用β = -0.054。冲突期间的创伤暴露与记忆功能之间的正相关不受暴露发生时年龄的调节(基于对有可用数据的子样本的分析),交互作用β = -0.015。我们得出结论,卓越的记忆功能与冲突期间较高水平的创伤暴露有关,特别是在社会活动参与水平较低的人群中,且与暴露发生时的年龄无关。需要未来的纵向分析来基于这些结果进行拓展,这些结果可能对生命历程流行病学在创伤经历关键期方面有启示意义。
在线版本包含可在10.1007/s10433-022-00683-5获取的补充材料。