Testing Bidirectionality in Associations of Awareness of Age-Related Gains and Losses With Physical, Mental, and Cognitive Functioning Across 1 Year: The Role of Age.
Testing Bidirectionality in Associations of Awareness of Age-Related Gains and Losses With Physical, Mental, and Cognitive Functioning Across 1 Year: The Role of Age.
复制标题
测试与年龄相关的得失意识与身体、心理和认知功能之间的关系的双向性：一年中年龄的作用。
DOI：
10.1093/geronb/gbad150
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发表时间：
2023-12-06
影响因子：
6.2
通讯作者：
Stephan, Blossom C. M.
中科院分区：
文献类型：
--
作者：
Sabatini, Serena;Wahl, Hans-Werner;Diehl, Manfred;Clare, Linda;Ballard, Clive;Brooker, Helen;Corbett, Anne;Hampshire, Adam;Stephan, Blossom C. M.
自我认知的老化和健康相关的结果之间的双向性可能取决于年龄组。因此，我们在中年晚期（50-64岁）、中老年（65-74岁）和老年（75岁以上）的个体中测试了这种双向性，利用了对与疾病相关的变化（AARC）的认识及其在AARC增益和AARC损失方面的二维性。各种概念化的身体，心理和认知功能被用作结果。使用了来自英国BAUCT研究的2次测量时间（2019年和2020年）的数据，分别针对中年晚期（N = 2，385）、中老年（N = 2，430）和老年（N = 539）个体。关于自我报告的功能困难、抑郁、焦虑和四项计算机认知任务（即，言语推理、配对联想学习、自我排序搜索和数字广度），提供言语推理得分和工作记忆得分。在所有3个年龄组中，AARC增益与功能指标的双向关联并不显著，而较高的AARC损失显着预测略大的功能困难和较高的抑郁和焦虑水平。更高的AARC损失预测略差的口头推理只有在老年和较差的工作记忆预测略高的AARC损失只有在老年。其余的AARC损失与认知任务的相关性在统计学上并不显著。根据以前的研究针对其他指标的自我感知的老化，这项研究支持了更强的影响，AARC的损失对身体功能和心理健康的指标，反之亦然，从中年到老年。
The bidirectionality between self-perceptions of aging and health-related outcomes may depend on age group. Therefore, we tested such bidirectionality among individuals in late midlife (50–64 years), young-old age (65-74 years), and old-old age (75+ years), taking advantage of the construct of Awareness of Age-Related Change (AARC) and its 2-dimensionality in terms of AARC-gains and AARC-losses. Various conceptualizations of physical, mental, and cognitive functioning were used as outcomes. Data from 2 measurement occasions (2019 and 2020) from the UK PROTECT study for individuals in late midlife (N = 2,385), young-old age (N = 2,430), and old-old age (N = 539) were used. Data on self-reported functional difficulties, depression, anxiety, and performance on four computerized cognitive tasks (i.e., verbal reasoning, paired associate learning, self-ordered search, and digit span) providing a score for verbal reasoning and a score for working memory were analyzed using cross-lagged panel models. Across all 3 age groups, the bidirectional associations of AARC-gains with indicators of functioning were not significant, whereas higher AARC-losses significantly predicted slightly greater functional difficulties and higher depression and anxiety levels. Higher AARC-losses predicted slightly poorer Verbal Reasoning only in old-old age and poorer Working Memory predicted slightly higher AARC-losses only in young-old age. The remaining associations of AARC-losses with cognitive tasks were not statistically significant. In accordance with previous research targeting other indicators of self-perceptions of aging, this study supported a stronger impact of AARC-losses on indicators of physical functioning and mental health than vice versa from midlife to old-old age.
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DOI：
10.1093/geronb/58.2.s101
发表时间：
2003-03-01
影响因子：
6.2
作者：
Barrett, AE
通讯作者：
Barrett, AE
DOI：
10.1016/j.jamda.2015.06.014
发表时间：
2015-11-01
影响因子：
7.6
作者：
Corbett, Anne;Owen, Adrian;Ballard, Clive
通讯作者：
Ballard, Clive
影响因子：
5.7
作者：
Levy, Becca R.
通讯作者：
Levy, Becca R.
影响因子：
3.7
作者：
Brothers, Allyson;Gabrian, Martina;Wahl, Hans-Werner;Diehl, Manfred
通讯作者：
Diehl, Manfred
DOI：
10.1111/j.1532-5415.1997.tb03089.x
发表时间：
1997-05-01
影响因子：
6.3
作者：
Gallo, JJ;Rabins, PV;Anthony, JC
通讯作者：
Anthony, JC