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认知功能中的二元传染:一项针对美国老年夫妇的全国代表性纵向研究。

Dyadic contagion in cognitive function: A nationally-representative longitudinal study of older U.S. couples.

作者信息

Das Aniruddha

机构信息

Department of Sociology, McGill University, Montreal, Quebec, Canada.

出版信息

Soc Sci Res. 2024 May;120:103011. doi: 10.1016/j.ssresearch.2024.103011. Epub 2024 Apr 5.

Abstract

Later-life cognitive function is strongly influenced by one's environment. At this life stage, a partner's behaviors and attributes-including their own cognitive status-are a key environmental determinant. A recent "social allostasis" theory also yields specific predictions on patterns of mutual influence-or "contagion"-in cognitive function. Yet, no population representative studies have examined these coupled dynamics. Using recently developed fixed-effects cross-lagged panel modeling (FE-CLPM) methods and ten-year data from the Health and Retirement Study-nationally-representative of U.S. adults over 50-the current study filled this gap. Results supported dyadic cognitive contagion over the long- but not short-run. Short-term associations suggested intriguing "cognitive cycling" possibilities among both men and women that need further investigation. Overall, results supported a theoretical model of coupled "cognitive careers," and relational inducement of allostatic load. Especially among men, recurrent impulses also cumulatively induced substantial path-dependent cognitive improvements, supporting the added value of repeated over one-time interventions. Theoretical and substantive implications are discussed.

摘要

晚年认知功能受个人所处环境的影响很大。在这个人生阶段,伴侣的行为和特质——包括他们自身的认知状况——是环境的一个关键决定因素。最近的“社会稳态”理论也对认知功能的相互影响模式——即“传染”——做出了具体预测。然而,尚无具有人口代表性的研究考察过这些耦合动态。本研究采用最近开发的固定效应交叉滞后面板模型(FE-CLPM)方法,并利用来自健康与退休研究(对美国50岁以上成年人具有全国代表性)的十年数据,填补了这一空白。结果支持了长期而非短期的二元认知传染。短期关联表明,男性和女性中都存在有趣的“认知循环”可能性,有待进一步研究。总体而言,结果支持了“认知生涯”耦合以及关系诱导的稳态负荷的理论模型。特别是在男性中,反复出现的冲动也会累积地引发大量路径依赖的认知改善,这支持了重复干预相对于一次性干预的附加价值。本文讨论了理论和实质意义。

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