Association between apathy and satisfaction with meaningful activities in older adults with mild cognitive impairment: A?population‐based cross‐sectional study
Association between apathy and satisfaction with meaningful activities in older adults with mild cognitive impairment: A?population‐based cross‐sectional study
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患有轻度认知障碍的老年人对有意义的活动的冷漠和满意度之间的关联：基于人群的横断面研究
DOI：
10.1002/gps.5544
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发表时间：
2022
影响因子：
4
通讯作者：
Tabira Takayuki
中科院分区：
文献类型：
--
作者：
Maruta Michio;Makizako Hyuma;Ikeda Yuriko;Miyata Hironori;Nakamura Atsushi;Han Gwanghee;Shimokihara Suguru;Tokuda Keiichiro;Kubozono Takuro;Ohishi Mitsuru;Tabira Takayuki
本研究旨在明确轻度认知障碍老年人对这类活动的冷漠、有意义的活动与其满意度之间的关系。方法对参加社区健康体检调查的235名轻度认知障碍老年人(≥65岁，平均年龄：76.9±66.4岁，女性：63.4%)进行分析。MCI被定义为在一项或多项计算机化认知测试中，低于参考阈值(年龄和教育调整后的分数)至少1.5SD，包括记忆、注意力、执行功能和处理速度。用老年抑郁量表15个条目中的3个条目评估冷漠症状。受试者从95项职业选择辅助决策活动中挑选有意义的活动，并对其满意度和绩效进行评估。有意义的活动的类别没有显示出有无冷漠的差异。Logistic回归分析显示，在调整了年龄、性别、教育程度、日常生活工具能力、抑郁症状和MCI亚型后，活动满意度与冷漠显著相关(OR，0.62；95%CI，0.44~0.88，p=0.008)。结论社区老年人对有意义的活动的满意与冷漠有关。
ObjectivesThis cross‐sectional study aimed to clarify the relationship between apathy, meaningful activities, and satisfaction with such activities of older adults with mild cognitive impairment (MCI).MethodsWe analyzed 235 older adults with MCI (≥65 years, mean age: 76.9 ± 6.4 years, women: 63.4%) who participated in a community‐based health check survey (Tarumizu Study 2018). MCI was defined as at least 1.5 SD below the reference threshold (age‐ and education‐adjusted score) on one or more of the computerized cognitive test including memory, attention, executive functions, and processing speed. Apathy symptoms were assessed using three of the 15 items of Geriatric Depression Scale. Participants selected meaningful activities from the 95 activities of the Aid for Decision‐Making in Occupation Choice and evaluated their satisfaction and performance.ResultsApathy in MCI was prevalent by 23.8%. The categories of meaningful activities revealed no difference, with, or without apathy. Logistic regression analysis showed that activity satisfaction was significantly associated with apathy after adjusting for age, sex, education, instrumental activities of daily living, depressive symptoms, and MCI subtype (OR, 0.62; 95% CI, 0.44–0.88,p= 0.008).ConclusionsSatisfaction with the activities that are deemed meaningful is associated with apathy among community‐dwelling older adults with MCI.