Positive Psychosocial Factors and Cognition in Ethnically Diverse Older Adults

Zahodne, Laura B.; Watson, Caitlin; Seehra, Sonia; Martínez, María Saquero

doi:10.1017/s1355617717000935

Cited by 36 publications

(44 citation statements)

References 42 publications

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“…Older adults can enjoy close communication, interaction, and companionship of neighbors and generate positive emotions, friendship and a sense of meaning and reduce their loneliness. Studies have shown that these positive emotions can help prevent depressive symptoms in the elderly [43,44].…”

Section: Association Between Functional Disability and Depressive Symmentioning

confidence: 99%

Association between functional disability and depressive symptoms among older adults in rural China: a cross-sectional study

Rong

Wang

et al. 2020

Preprint

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Background: The association between functional disability and depressive symptoms among elderly people in rural China is not clear. This study explored the relationship between functional disability and depressive symptoms, focusing on whether an interactive association between functional disability, demographic characteristics and depressive symptoms exists among older adults in rural Anhui, China.Methods: A cross-sectional survey study was conducted with multi-stage stratified random sampling. The 30-item Geriatric Depression Scale and WHO Disability Assessment Schedule 2.0 were used to evaluate depressive symptoms and functional disability, respectively. The data were analyzed using SPSS statistics 25.0 program with chi-square test, Mann-Whitney U test, binary logistic regression analysis, and classification and regression tree model.Results: The prevalence of depressive symptoms in 3336 older people was 52.94%. After adjustment, subjects who had problems in participation (adjusted odds ratio [AOR]=3.499, 95% confidence interval [CI]: 2.385-4.987), life activities (AOR=1.683, 95% CI: 1.370-2.066), getting along (AOR=1.616, 95% CI: 1.299-2.010), and mobility (AOR=1.842, 95% CI: 1.503-2.258) had an increased depressive symptoms risk. However, cognition (AOR=0.785, 95% CI: 0.647-0.953) negatively correlated with depressive symptoms. Additionally, the interactive association between functional disability dimensions, various variables and depressive symptoms were identified for the first time. Those who had problems in mobility, getting along and were unemployed, the possibility of having depressive symptoms was the highest.Conclusions: Special attention should be paid to unemployed older adults, and those with problems in participation, life activities, getting along, and mobility and no problems in cognition to maintain a good psychological state. Our findings may be greatly significant for developing more targeted and effective mental health prevention and intervention measures for older adults in rural areas.

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Section: Association Between Functional Disability and Depressive Symmentioning

confidence: 99%

Association between functional disability and depressive symptoms among older adults in rural China: a cross-sectional study

Rong

Wang

et al. 2020

Preprint

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“…However, fewer epidemiological studies have considered the effects of positive psychosocial factors on cognitive aging outcomes. In previous cross-sectional studies, we documented positive associations between cognitive functioning and both self-efficacy and social support above and beyond other negative and positive psychosocial factors (Zahodne, Nowinski, Gershon, & Manly, 2014;Zahodne, Watson, Seehra, & Martinez, 2018). While longitudinal evidence is even more scarce, available data from the MacArthur Studies of Successful Aging support a prospective association of both self-efficacy and social support with later cognitive performance (Seeman, Lusignolo, Albert, & Berkman, 2001;Seeman, McAvay, Merrill, Albert, & Rodin, 1996).…”

Section: Introductionmentioning

confidence: 62%

“…Such detailed information is needed to determine the specificity and potential generalizability of effects, which is critical if the ultimate goal is to target specific positive psychosocial factors for prevention or intervention research in cognitive aging. For example, cross-sectional associations between certain positive psychosocial factors (e.g., social support) and cognition may differ across racial and ethnic groups (Zahodne et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Positive Psychosocial Factors and Cognitive Decline in Ethnically Diverse Older Adults

Zahodne

Sharifian

Kraal

et al. 2020

J Int Neuropsychol Soc

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Objectives: Previous cross-sectional studies have documented associations between positive psychosocial factors, such as self-efficacy and emotional support, and late-life cognition. Further, the magnitudes of concurrent associations may differ across racial and ethnic groups that differ in Alzheimer’s disease risk. The goals of this longitudinal study were to characterize prospective associations between positive psychosocial factors and cognitive decline and explicitly test for differential impact across race and ethnicity. Methods: 578 older adults (42% non-Hispanic Black, 31% non-Hispanic White, and 28% Hispanic) in the Washington Heights-Inwood Columbia Aging Project completed cognitive and psychosocial measures from the NIH Toolbox and standard neuropsychological tests over 2.4 years. Latent difference scores were used to model associations between positive psychosocial factors and cognitive decline controlling for baseline cognition, sociodemographics, depressive symptoms, physical health, and other positive psychosocial factors. Multiple-group modeling was used to test interactions between the positive psychosocial factors and race/ethnicity. Results: Higher NIH Toolbox Friendship scores predicted less episodic memory decline. One standard deviation increase in friendship corresponded to 6 fewer years of memory aging. This association did not significantly differ across racial/ethnic groups. Conclusions: This longitudinal study provides support for the potential importance of friendships for subsequent episodic memory trajectories among older adults from three ethnic groups. Further study into culturally informed interventions is needed to investigate whether and how friend networks may be targeted to promote cognitive health in late life.

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“…Cognitive intervention will include restorative and compensatory cognitive stimulation, learning mnemonics strategies and music therapy, and will be carried out by two trained psychologists and a music therapist. Intervention will use a metacognitive and a motivational approach applied to subjects with MCI, as described in previous studies [43,44]. Participants will be also required to perform home exercises, which will include some cognitive stimulation exercises, assigned at the end of each class.…”

Section: Interventionmentioning

confidence: 99%

Study of the effects of adapted Tango and multidimensional intervention in pREvention of dementia in agiNG: developing healTHy lifestyle programs (STRENGTH Project)—the experimental protocol of a prospective randomised controlled trial

et al. 2020

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Background Dementia represents a key health issue for older adults, with negative consequences on psycho-social and functional status. Treatments that counteract cognitive deficits in mild cognitive impairment (MCI) are needed to prevent or delay it. Aim To describe the experimental protocol of the STRENGTH Project. This study investigates a multimodal intervention in older adults with MCI to improve cognitive, functional, biochemical and psycho-social aspects. Methods The prospective randomised controlled trial will enrol 300 subjects with MCI (age ≥ 60 years). Participants will be randomly assigned to: (a) the experimental group, which will undergo sessions of adapted tango, music therapy, engagement in social activities, cognitive intervention and psycho-education for 6 months or (b) the control group, which will receive psycho-education and advice on healthy lifestyle for 6 months. All outcomes will be analysed before intervention (baseline), immediately after termination (follow-up 1), after 6 months (follow-up 2) and after 2 years (follow-up 3). Discussion We expect that the findings of this multidisciplinary study will be useful to optimize clinical and psycho-social interventions for improving cognitive and functional status of subjects with MCI. Conclusions This project could have a meaningful impact on National Health Systems by providing clues on multidisciplinary management of older adults affected by cognitive decline to prevent dementia.

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Positive Psychosocial Factors and Cognition in Ethnically Diverse Older Adults

Cited by 36 publications

References 42 publications

Association between functional disability and depressive symptoms among older adults in rural China: a cross-sectional study

Association between functional disability and depressive symptoms among older adults in rural China: a cross-sectional study

Positive Psychosocial Factors and Cognitive Decline in Ethnically Diverse Older Adults

Study of the effects of adapted Tango and multidimensional intervention in pREvention of dementia in agiNG: developing healTHy lifestyle programs (STRENGTH Project)—the experimental protocol of a prospective randomised controlled trial

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