The NIH Cognitive and Emotional Health Project. Report of the Critical Evaluation Study Committee.
The NIH Cognitive and Emotional Health Project. Report of the Critical Evaluation Study Committee.
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DOI：
10.1016/j.jalz.2005.11.004
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发表时间：
2006-01-01
期刊：
影响因子：
--
通讯作者：
Wagster, Molly V
中科院分区：
文献类型：
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作者：
Hendrie, Hugh C;Albert, Marilyn S;Wagster, Molly V
背景技术背景：认知和情绪健康项目（CEHP）旨在确定老年人认知和情绪健康的人口统计学，社会和生物学决定因素。作为CEHP的一部分，成立了一个批判性评估研究委员会，以评估认知和情绪健康的人口统计学、社会学和生物学决定因素的流行病学研究状况。调查的纳入标准是大型队列研究，纵向设计，参与者主要是65岁或以上，测量认知和情感，以及各种人口统计信息，心理社会和生物因素。符合这些标准的北美和欧洲研究被选中进行审查。结果测量包括认知、认知下降和认知功能。情绪，症状包括抑郁和焦虑，积极和消极的影响，主观幸福感，掌握，和resilience.RESULTS：96篇论文被确定为解决认知和情绪的结果。各种各样的风险因素与认知结果一致，特别是那些以前与心血管疾病风险增加有关的因素。认知和情绪outcome.CONCLUSION：本次审查确定了大量的生活方式和健康行为，改变认知和情绪健康的维护风险之间的风险因素有相当大的重叠。大型纵向队列研究是探索与认知和情绪健康相关因素的独特来源。应鼓励对这些研究进行二次分析，并应制定标准化问卷，以衡量认知和情绪健康。在这一领域的未来研究应该同时研究认知和情绪健康。
BACKGROUND: The Cognitive and Emotional Health Project (CEHP) seeks to identify the demographic, social, and biological determinants of cognitive and emotional health in the older adult. As part of the CEHP, a critical evaluation study committee was formed to assess the state of epidemiological research on demographic, social, and biological determinants of cognitive and emotional health.METHODS: Criteria for inclusion in the survey were large cohort studies, longitudinal in design, participants predominantly 65 years or older, with measurements of both cognition and emotion, and information on a wide variety of demographic, psychosocial, and biological factors. North American and European studies, which met these criteria, were selected for the review. Outcome measures included cognition, cognitive decline, and cognitive function. For emotion, symptoms included depression and anxiety, positive and negative affect, subjective well being, mastery, and resilience.RESULTS: Ninety-six papers were identified that addressed cognitive and emotional outcomes. A large variety of risk factors were consistently identified with cognitive outcomes, particularly those previously associated with increased risk of cardiovascular disease. There was considerable overlap between risk factors for cognitive and emotional outcomes.CONCLUSION: This review identifies a large number of lifestyle and health behaviors that alter the risk for maintenance of cognitive and emotional health. Large longitudinal cohort studies are a unique source to explore factors associated with cognitive and emotional health. Secondary analyses of these studies should be encouraged as should the development of standardized questionnaires to measure cognitive and emotional health. Future research in this field should study cognitive and emotional health simultaneously.