Association of social participation and psychological resilience with adverse cognitive outcomes among older Chinese adults: A national longitudinal study

Lou, Yiling; Irakoze, Shani; Jiang, Qingqing; Huang, Shen; You, Qiqi; Wang, Shiqi; Xu, Minzhi; Gan, Yong; Lu, Zuxun; Cao, Shiyi

doi:10.1016/j.jad.2023.01.112

Cited by 15 publications

(15 citation statements)

References 64 publications

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“…Future studies should further investigate the association between trajectories of different types of perceived unmet HCBS needs (with regard to the services provided) and life satisfaction. Fourth, although the five-item scale of psychological resilience is acceptable and reliable (Lou et al, 2023, Yang & Wen, 2015), developing a psychological resilience scale targeting older adults is needed to further explore the role of psychological resilience in this association.…”

Section: Discussionmentioning

confidence: 99%

“…In line with previous studies (Lou et al, 2023, Yang & Wen, 2015), psychological resilience was measured in the 2018 wave by a scale based on five items, including ‘Do you feel the older you get, the more useless you are?’; ‘Do you always look on the bright side of things?’; ‘Do you often feel fearful or anxious?’; ‘Do you often feel lonely and isolated?’; and ‘Can you make your own decisions concerning your personal affairs?’. Each item was assessed on a five-point Likert scale ranging from 1 (always) to 5 (never), with items 2 and 5 reversely recoded.…”

Section: Methodsmentioning

confidence: 99%

“…Psychological Resilience. In line with previous studies (Lou et al, 2023, Yang & Wen, 2015, psychological resilience was measured in the 2018 wave by a scale based on five items, including 'Do you feel the older you get, the more useless you are? '; 'Do you always look on the bright side of things?…”

Section: Measurementmentioning

confidence: 99%

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The Association Between Trajectories of Perceived Unmet Needs for Home and Community-Based Services and Life Satisfaction Among Chinese Older Adults: The Moderating Effect of Psychological Resilience

Wang,

Liu,

et al. 2023

Res Aging

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This study examined whether trajectories of perceived unmet needs for Home and Community-Based Services (HCBS) were associated with life satisfaction among Chinese older adults and whether the association was moderated by psychological resilience. Data came from five waves (2005-2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Latent class growth analysis revealed three distinct trajectories of perceived unmet HCBS needs: “increasing” ( n = 977, 36.24%), “persistent” ( n = 570, 21.14%), and “decreasing” ( n = 1149, 42.62%). Multiple regression estimates showed that the increasing group was associated with lower life satisfaction, and the association was moderated by psychological resilience, especially for older adults who were male, living in rural, and oldest-old. Results indicate that inequalities in cumulative exposure to perceived unmet HCBS needs may further lead to increasing inequalities in life satisfaction. Interventions focused on minimizing the provision-need gap of HCBS and enhancing personal resilience should be considered to improve the life satisfaction of older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The Association Between Trajectories of Perceived Unmet Needs for Home and Community-Based Services and Life Satisfaction Among Chinese Older Adults: The Moderating Effect of Psychological Resilience

Wang,

Liu,

et al. 2023

Res Aging

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“…We controlled for potential confounding variable related to psychological resilience or cognitive function in our analyses, including age, sex, education years, smoking status, hypertension, diabetes mellitus and depression (5,8,9,(15)(16)(17). Information on sociodemographic characteristics, life style and health status were collected through face-to-face interview in 2018/2019.…”

Section: Other Covariatesmentioning

confidence: 99%

“…Two studies from Korea (7,8) found significant positive correlation between psychological resilience and overall cognitive function in middle-aged Korean population, but those studies were cross-sectional and did not include older adults. Similarly, Lou et al showed that older adults with high psychological resilience had a lower risk for cognitive decline in a prospective cohort study, but this study used only MMSE for cognitive function measurement (9).…”

Section: Introductionmentioning

confidence: 99%

The Association between Resilience and Cognitive function in community-dwelling older adults: the Korean Frailty and Aging Cohort study (KFACS)

Kim

Won

Kim

et al. 2023

Preprint

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Objective: Chronic stress is associated with increased risk of cognitive impairment and Alzheimer’s disease. The objective of this study is to assess whether better stress coping is associated with slower rate of cognitive decline in community-dwelling older adults. Design: Longitudinal cohort study Setting: Community-dwelling older adults were recruited from 10 centers in South Korea Participants: 1826 older adults who completed the Korean version of Brief Resilience Scale (BRS) and CERAD-K (Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Battery) and the Korean version of the Frontal Assessment Battery (FAB) Measurements: Resilience was measured by BRS. Cognitive function was assessed by using scores from CERAD-K and FAB from 2018/2019 and 2-year follow-up. Cognitive function change was calculated by subtracting the scores of CERAD-K and FAB in 2018/2019 from scores of CERAD-K and FAB in 2020/2021. Multivariable linear regression analysis was used to investigate the association between resilience and cognitive function change. Results: Higher BRS score at baseline was associated with lesser decline in MMSE score after adjusting for age, sex, education years, smoking status, hypertension, diabetes and depression (B,0.175; 95%CI, 0.025 - 0.325) for 2 years, which represents global cognitive function. Other cognitive function measurements (word list memory, word list recall, world list recognition, digit span, trail making test-A, and FAB) did not change significantly in association with BRS score at baseline. Conclusion: These findings suggest that better stress coping ability, meaning faster termination of the stress response, may limit the decline in cognitive function.

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Effects of biopsychosocial approach on cognition among Parkinson's population

Elango,

Abathsagayam,

Vishnuram

et al. 2024

Physiotherapy Res Intl

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BackgroundCognitive decline is a debilitating symptom in Parkinson's disease (PD). Cognitive impairment in PD has a significant impact on many aspects of an individual's life, social interactions, and overall quality of life (QOL). It is also associated with a faster disease progression and an increased risk of developing dementia. A biopsychosocial approach is likely to address not only the underlying biological mechanisms of cognitive impairment in PD but also the psychological and social factors that can contribute to cognitive decline and influence treatment outcomes.MethodThis experimental study was conducted on 60 older adults with PD at Saveetha medical college and hospital. Participants who met the inclusion criteria were randomly allocated into two groups of Biopsychosocial (n = 30) and conventional (n = 30). Participants in the intervention group received the multiple interventions based on the biopsychosocial approach with a duration of 60 min per session. Pre and post‐test evaluation conducted using Scales for Outcomes in PD‐cognition (SCOPA‐cog) and Parkinson disease QOL Questionnaire (PDQ‐8).ResultThe results of the study showed that there is a statistically significant difference in the median scores within the Groups for the outcome measures SCOPA‐cog and PDQ‐8 (p < 0.001). For SCOPA‐cog, the BPS group median score increased from 30 to 36, while the Conventional group median score increased from 31 to 33. For PDQ‐8, the BPS group median reduced from 27 to 14, compared to the Conventional group's reduced from 30 to 24. On comparison between the post‐test values, the biopsychosocial approach group showed more improvement in cognition and QOL with (p < 0.001).ConclusionThe findings of this study concluded that the biopsychosocial approach is effective in improving cognition and QOL among the Parkinson population.

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Association of social participation and psychological resilience with adverse cognitive outcomes among older Chinese adults: A national longitudinal study

Cited by 15 publications

References 64 publications

The Association Between Trajectories of Perceived Unmet Needs for Home and Community-Based Services and Life Satisfaction Among Chinese Older Adults: The Moderating Effect of Psychological Resilience

The Association Between Trajectories of Perceived Unmet Needs for Home and Community-Based Services and Life Satisfaction Among Chinese Older Adults: The Moderating Effect of Psychological Resilience

The Association between Resilience and Cognitive function in community-dwelling older adults: the Korean Frailty and Aging Cohort study (KFACS)

Effects of biopsychosocial approach on cognition among Parkinson's population

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