scholarly journals LONGITUDINAL INTERRELATIONSHIP BETWEEN SENSORY LOSS, SOCIAL SUPPORT, LONELINESS, AND COGNITION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S818-S818
Author(s):  
Shaoqing Ge ◽  
Wei Pan ◽  
Bei Wu ◽  
Brenda Plassman ◽  
Eleanor S McConnell

Abstract This study aims to understand the roles that psychosocial factors play on the longitudinal associations between sensory (including hearing and vision) loss and cognitive decline. Specifically, we hypothesized that (1) loneliness mediates the associations between sensory loss and cognitive decline; and (2) social support moderates the associations between sensory loss and cognitive decline. We used longitudinal parallel process (LPP) modeling with data from the Health and Retirement Study (HRS) and the Aging, Demographics, and Memory study (ADAMS). Age variable centered at its mean age of 82. In the most parsimonious model, loneliness fully mediated the associations between vision loss and the average cognitive status at age 82 (p < .05). Social support moderated the associations between vision loss and the average cognitive status at age 82 (β= .14, p < .05). No moderation or mediation effect was found for the psychosocial factors on the associations between hearing loss and cognition.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 926-927
Author(s):  
Shaoqing Ge ◽  
Wei Pan ◽  
Bei Wu ◽  
Brenda Plassman ◽  
XinQi Dong ◽  
...  

Abstract Multiple studies have reported that hearing and vision loss are linked to cognitive decline. Yet little is known about factors that may influence the association between sensory loss and cognitive decline. This study examined if loneliness mediates or moderates the impact of sensory loss on cognitive decline as individuals age. This was a longitudinal study using data (N = 243) from the Health and Retirement Study (HRS) (2006 – 2014) and its supplement: The Aging, Demographics, and Memory Study (ADAMS) (Wave C). Hearing loss was defined by an inability to hear pure-tone stimuli of 25 dB at frequencies between 0.5 – 4.0 kHz in either ear. Vision loss was defined as having corrected binocular vision worse than 20/40. Loneliness was measured by the 3-item UCLA Loneliness Scale. Longitudinal parallel-process (LPP) analysis was conducted at a significance level of α = .05 (one-tailed). Loneliness moderated but did not mediate the associations between vision loss and the rate of cognitive decline (standardized β = -.108, p < .05). No moderation or mediation effect of loneliness was found for the association between hearing loss and cognitive decline. Both hearing and vision loss were significantly associated with increased severity of loneliness. Vision loss combined with an elevated level of loneliness may produce a more synergistic, deleterious impact on older adults’ cognitive function than vision loss alone. This study highlights the importance of promoting a healthy social and psychological status for older adults with vision loss.


2019 ◽  
Author(s):  
Shahab Papi ◽  
Maria Cheraghi

Abstract Background: The older adults are a part of society whose population is increasing as science progresses and health conditions improve. Social, psychological and behavioral factors will be influenced on life satisfaction in older adults. We aimed to predictive role of psychosocial factors in life satisfaction older adults. Methods: It was a descriptive-analytical study which has conducted on 679 older adults through convenience sampling from Qom city during 2018. The data were collected using demographic characteristics, life satisfaction, well-being, cognitive status, social support, and daily activities of life. Data were analyzed by SPSS software version 22 and independent t-test, ANOVA, Pearson’s correlation coefficient and multiple regression analysis. Results: The mean and standard deviation of older adults age was 70.43 ± 7.62 years. The mean life satisfaction score was 13.77 ± 3.73. The results showed a significant relationship between job and education with life satisfaction (P <0.001). The results also showed that social support (P= 0.001) and daily activities (P= 0.017) significantly predict the level of life satisfaction, and the dimensions of health (P= 0.001) and cognitive status (P= 0.007) have a larger share in predicting the satisfaction of older adults life. Conclusion: We found that some parts of life changes in older adults can be predicted with the help of social support, health status, cognitive status, and everyday life activities. Therefore, in order to increase the level of satisfaction of older adults life, it is suggested that the field of promotion of social support, health status, and cognitive status be provided.


2018 ◽  
Vol 32 (1-2) ◽  
pp. 52-60 ◽  
Author(s):  
Sarah C. Griffin ◽  
Briana Mezuk ◽  
Allison Baylor Williams ◽  
Paul B. Perrin ◽  
Bruce D. Rybarczyk

Objective: To jointly examine isolation, loneliness, and cynical hostility as risk factors for cognitive decline in older adults. Method: Data came from the 2006 to 2012 waves of the Health and Retirement Study (HRS), a longitudinal study of U.S. older adults (age ⩾ 65 years, n = 6,654). Measures included frequency of contact with social network (objective isolation), the Hughes Loneliness Scale (loneliness), a modified version of the Cook–Medley Hostility Inventory (cynical hostility), and a modified version of the Telephone Interview for Cognitive Status (cognitive function). Multilevel modeling (random slope + intercept) was used to examine the association between these factors and trajectories of cognitive function. Results and Discussion: After controlling for demographic characteristics, self-reported health, and functional limitations, loneliness (β = −.34, 95% confidence interval [CI] = [−0.56, −0.11), and cynical hostility (β = −.14, 95% CI = [−0.24, −0.04) correlated with lower cognitive function, but none predicted change in cognitive function. Objective social isolation was associated with lower cognitive function (β = −.27, 95% CI = [−0.41, −0.12]) and steeper decline in cognitive function (β = −.09, 95% CI = [−0.16, −0.01]).


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 359-360
Author(s):  
Taylor Atkinson ◽  
Dylan Jester ◽  
William Haley

Abstract Caregiving is often considered stressful, even more so if the care recipient has been diagnosed with dementia. The current study examines the rate of cognitive decline of spousal caregivers of persons with dementia (CG-D) when compared to spousal caregivers of persons without dementia (CG) before and after the death of the care recipient. Health and Retirement Study (HRS) data from 1998-2016 were used to examine cognitive trajectories of CG-D (n=364) and CG (n=1,649) before and after the care recipient death. Cognition was measured through the HRS’s shortened Telephone Interview of Cognitive Status and separated into measures of total cognition and memory. Covariates included age, education, sex, race, ethnicity, care hours, frailty, socioeconomic status, nursing home placement of the recipient, and whether the death was expected. Piecewise mixed models were constructed to examine two two-year periods of decline leading up to the death of the care recipient, and two two-year periods of decline after the death of the care recipient. CG-D and CG declined at equivalent rates on measures of total cognition and memory (ps &gt; .05). In all caregivers, total cognition and memory declined at a stable rate before the death of the care recipient. However, an accelerated decline was evident after the death of the care recipient (ps &lt; .001). Our results suggest that cognitive decline is not differentially affected by care recipient dementia diagnosis. We find evidence that the death of a spousal care recipient is accompanied by hastened cognitive decline in our population-based sample.


2021 ◽  
Author(s):  
Xiaolei Liu ◽  
Xin Xia ◽  
Fengjuan Hu ◽  
Qiukui Hao ◽  
Lisha Hou ◽  
...  

Abstract ObjectivesAssociations between cognitive decline and depression have been inconclusive. We examined 1) whether sleep quality mediates these relationships and 2) which factor of sleeping quality mediates these relationships.MethodsThis study utilized baseline data from the 2018 West China Health and Aging Trend study (WCHAT), a large cohort data-set that including participants aged over 50 years old. We defined depression using the 15-item Geriatric Depression Scale (GDS-15). Cognitive status was measured using the Short Portable Mental Status Questionnaire (SPMSQ) and sleeping quality was assessed using the Pittsburgh sleep quality index (PSQI). Direct relationships between cognitive decline, sleep quality and depression were assessed using multiple linear regression. Mediation models and structural equation model (SEM) pathway analysis were used to test the mediating role of specific aspects of sleep (e.g., quality, duration) in the relationship between cognitive decline and depression.ResultsOf 6828 participants aged 50 years old or older, the proportion of depression was 17.4%. Regression analysis indicated a direct association between cognitive scores (β= 0.251, 95% CI 0.211 to 0.29, p < 0.001) and depression status. After adjusted PSQI scores, the association between cognitive scores and depression status was still significant (β= 0.242, 95% CI 0.203 to 0.281, p < 0.001), indicating a partial mediation effect of sleeping quality. Mediation analysis verified sleep quality partially mediate the associations between cognitive decline and depression (indirect effect estimate = 0.0308, bootstrap 95% CI 0.0231 to 0.04; direct effect estimate = 0.3124, bootstrap 95% CI 0.2692 to 0.35). And daytime dysfunction had a highest mediation effect with a proportion of mediation up to 14.56%. Conclusions Sleep quality partially mediated the relationship between cognitive decline and depression. Daytime dysfunction had a highest mediation effect. Further research is necessary to examine the effects of sleep quality on the relationship of cognitive decline and depression.


2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.


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