Examining the Role of Aging Perceptions in Subjective Cognitive Decline

被引:4
作者
Chapman, Silvia [1 ]
Weiss, David [5 ]
Broulikova, Hana M. [6 ,7 ]
Sunderaraman, Preeti [9 ]
Barker, Megan S. [1 ]
Joyce, Jillian L. [1 ]
Azar, Martina [8 ]
McKeague, Ian [2 ]
Kriesl, William C. [1 ,3 ,4 ]
Cosentino, Stephanie [1 ,3 ,4 ]
机构
[1] Columbia Univ, Irving Med Ctr, Taub Inst Res Alzheimers Dis & Aging Brain, New York, NY 10032 USA
[2] Columbia Univ, Dept Biostat, Mailman Sch Publ Hlth, Irving Med Ctr, New York, NY 10032 USA
[3] Columbia Univ, Irving Med Ctr, Dept Neurol, New York, NY 10032 USA
[4] Columbia Univ, Irving Med Ctr, Gertrude H Sergievsky Ctr, New York, NY 10032 USA
[5] Martin Luther Univ Halle Wittenberg, Halle, Germany
[6] Vrije Univ Amsterdam, Fac Sci, Dept Hlth Sci, Amsterdam, Netherlands
[7] Natl Inst Mental Hlth, Dept Publ Mental Hlth, Klecany, Czech Republic
[8] VA Boston Hlth Care Syst, Boston, MA USA
[9] Boston Univ, Framingham Heart Study Brain Aging Program, Framingham, MA USA
关键词
subjective cognitive decline; subjective age; age stereotypes; essentialist beliefs; depressive symptoms; cognitive functioning; DEPRESSIVE SYMPTOMS; ALZHEIMERS-DISEASE; MEMORY COMPLAINTS; AGE; COMMUNITY; IMPAIRMENT; FRAMEWORK; ATTITUDES; CORTISOL; MARKERS;
D O I
10.1097/WAD.0000000000000518
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: While subjective cognitive decline (SCD) is gaining ground as a "preclinical" risk state for Alzheimer disease, its utility depends on our understanding of the factors linked to SCD. Rarely examined sociocultural factors including perceptions of aging may relate to the subjective experience of cognitive aging. Identifying such associations will help to refine the utility of SCD as an early marker of AD while setting the stage for addressing modifiable factors contributing to SCD. Methods: The study consisted of N = 136 participants (68% female; 73% White; 22% Black race, age(mean) = 74.72; educationmean = 16.01). Questionnaires assessed SCD, depressive symptoms, and age perceptions (essentialist aging beliefs, subjective age, age group identification, and explicit/implicit age stereotypes). Cognitive functioning was measured with a semantic interference and learning task. Results: SCD was correlated with essentialist aging beliefs, age identification, and depressive symptoms [r(range) = 0.18 to 0.22, P-range = 0.009 to 0.02, confidence interval (CI)(range) = 0.00-0.39]. Essentialist aging beliefs were correlated with subjective age and age group identification (r(range) = 0.22 to 0.42, P-range < 0.001 to 0.003, CIrange = 0.08-0.57). Both age group identification and essentialism were correlated with depressive symptoms (r(range) = 0.22, P-range = 0.009 to 0.01, CIrange = 0.04-0.39). In the adjusted regression model including depressive symptoms, age perceptions, and SCD, only SCD was associated with cognition (b = -0.31, P < 0.001). Conclusion: Although correlated with SCD, perceptions of aging do not explain the relationship between SCD and performance on a sensitive cognitive test among older adults.
引用
收藏
页码:288 / 294
页数:7
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