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健康的照料者?美国中年研究中非正式照料者身份随时间推移对认知功能的积极影响。

The Healthy Caregiver? A Positive Impact of Informal Caregiving Status on Cognitive Functions Over Time From the Midlife in the United States Study.

作者信息

Bhattacharyya Kallol Kumar, Liu Yin, Das Gupta Debasree, Molinari Victor, Fauth Elizabeth B

机构信息

Alzheimer's Disease and Dementia Research Center, Utah State University, Logan, UT, USA.

Department of Human Development and Family Studies, Utah State University, Logan, UT, USA.

出版信息

J Aging Health. 2024 Dec;36(10):631-641. doi: 10.1177/08982643231209482. Epub 2023 Oct 21.

Abstract

OBJECTIVES

The current study examined whether informal caregivers performed worse, better, or similar to non-caregivers on cognitive tests of executive functioning and episodic memory over 10 years. Data were from waves 2 (2003-04) and 3 (2013-14) of the Midlife in the United States (MIDUS) study ( = 2086). Multiple linear regression models examined whether caregiving at both waves 2 and 3 predicted better cognitive functioning at wave 3, than caregiving at only one time point or no caregiving (reference) while controlling for baseline covariates (i.e., sociodemographic, health, and functional status).

RESULTS

After controlling for covariates, caregiving at both waves was independently associated with better performance in episodic memory ( = .24, = .10, = .013) but not executive function ( = -.06, = .05, = .246). The findings partially supported both healthy caregiver and stress process models, indicating caregiving may be associated with better episodic memory but not executive functioning over time among the middle-aged and older adults.

摘要

目的

本研究探讨了在10年期间,非正式照料者在执行功能和情景记忆的认知测试中表现是否比非照料者差、好或相似。数据来自美国中年(MIDUS)研究的第2波(2003 - 2004年)和第3波(2013 - 2014年)(= 2086)。多元线性回归模型检验了在控制基线协变量(即社会人口统计学、健康和功能状况)的情况下,第2波和第3波时的照料情况是否比仅在一个时间点进行照料或不进行照料(参照)更能预测第3波时更好的认知功能。

结果

在控制协变量后,两波时的照料情况均与情景记忆方面更好的表现独立相关(= 0.24,= 0.10,= 0.013),但与执行功能无关(= -0.06,= 0.05,= 0.246)。这些发现部分支持了健康照料者模型和压力过程模型,表明随着时间推移,照料行为可能与中年及老年人更好的情景记忆相关,但与执行功能无关。

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