The relationship between social functioning and subjective memory complaints in older persons: a population-based longitudinal cohort study
The relationship between social functioning and subjective memory complaints in older persons: a population-based longitudinal cohort study
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DOI：
10.1002/gps.4567
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发表时间：
2017-10-01
影响因子：
4
通讯作者：
Smidt, Nynke
中科院分区：
文献类型：
--
作者：
Kuiper, Jisca S.;Voshaar, Richard C. Oude;Smidt, Nynke
社交功能不佳与老年人的认知能力下降有关。目前尚不清楚社会功能是否也与主观记忆投诉（SMC）有关。我们调查了社会功能和事件SMC和SMC recovery.MethodsA人群为基础的样本8762老年人（年龄65岁）具有良好的客观认知功能在基线（MMSE 26）从生命线队列研究之间的关联进行了为期1.5年。在基线和随访1.5年后测量自我报告的SMC。社会功能方面包括婚姻状况，家庭组成，社会网络的大小，社会活动，社会关系，社会支持，感情，行为确认，和status.Results13%（513/3963）开发SMC在后续（事件SMC）。多变量logistic回归分析（调整年龄，性别，教育水平，体力活动，饮酒，吸烟状况，抑郁，心律失常，心肌梗死，心力衰竭，中风）显示，情感，行为确认和稳定良好的社会支持的参与者具有较低的SMC事件风险。34%（1632/4799）报告恢复。在所有决定因素的基线上具有良好社会功能的参与者报告了更多的SMC恢复。人们谁保持稳定的关系，稳定的良好质量的社会关系或增加的社会关系的质量更经常报告SMC recovery.ConclusionsGood社会功能与较少的事件SMC和更多的SMC恢复在随访期为1.5years。虽然未来的验证性研究是必要的，我们认为，在设计多领域干预措施，以防止或减缓认知能力下降时，也针对社会功能。版权所有（c）2016约翰威利父子有限公司
ObjectivePoor social functioning is associated with cognitive decline in older adults. It is unclear whether social functioning is also associated with subjective memory complaints (SMC). We investigated the association between social functioning and incident SMC and SMC recovery.MethodsA population-based sample of 8762 older adults (aged 65years) with good objective cognitive functioning at baseline (MMSE 26) from the LifeLines Cohort Study were followed for 1.5years. Self-reported SMC were measured at baseline and after 1.5years follow-up. Aspects of social functioning included marital status, household composition, social network size, social activity, quality of social relationships, social support, affection, behavioral confirmation, and status.ResultsThirteen percent (513/3963) developed SMC during follow-up (incident SMC). Multivariate logistic regression analyses (adjusted for age, gender, education level, physical activity, alcohol use, smoking status, depression, arrhythmia, myocardial infarction, heart failure, stroke) showed that participants with better feelings of affection, behavioral confirmation and stable good social support had a lower risk of incident SMC. Thirty-four percent (1632/4799) reported recovery. Participants with good social functioning at baseline on all determinants reported more SMC recovery. People who remained stable in a relationship, stable in good quality of social relationships or increased in quality of social relationships more often report SMC recovery.ConclusionsGood social functioning is associated with less incident SMC and more SMC recovery over a follow-up period of 1.5years. Albeit future confirmative studies are needed, we argue for targeting also social functioning when designing multidomain interventions to prevent or slow down cognitive decline. Copyright (c) 2016 John Wiley & Sons, Ltd.