Investigating the trivariate reciprocal longitudinal relationships between purpose, loneliness, and cognitive function
Dados Bibliográficos
Objectives As medical interventions for cognitive decline and dementia continue to evolve, the identification of modifiable psychosocial factors has become increasingly important. Sense of purpose and loneliness represent potential targets for intervention. In this study, we aimed to understand the potentially reciprocal relationship between sense of purpose, loneliness, and cognitive function. Methods The current project draws upon data from the Memory and Aging Project and Minority and Aging Research Study led by the Rush Alzheimer’s Disease Center, 2 longitudinal cohort studies of 3,118 older adults (Mage=78.4 years; 75% female; 31% Black) without dementia at enrollment. Participants completed annual assessments of cognitive function and completed self-report measures on sense of purpose and loneliness every year for up to 12 years. Using trivariate random intercept cross-lagged panel models, we examined between-person, prospective within-person, and concurrent within-person associations among sense of purpose, loneliness, and cognitive function. Results At the between-person level, a higher sense of purpose and lower loneliness were associated with better cognitive function. At the prospective within-person level, decreases in sense of purpose and increases in loneliness predicted subsequent cognitive decline, independent of ApoE genotype, race, sex, education, depressive symptoms, and social activity. Discussion Changes in both sense of purpose and loneliness independently predicted cognitive decline in older adults, suggesting these constructs are unique targets for potential interventions to promote cognitive health
Cognition · Cognitive decline · Dementia · Developmental psychology · Disease · Loneliness · Psychiatry · Psychological intervention · Psychosocial · Aging and Gerontology Research · Health disparities and outcomes · Medicine · Psychological Well-being and Life Satisfaction · Psychology · Clinical Psychology · Gerontology · Social Psychology
Relationship Between Loneliness, Psychiatric Disorders and Physical Health ? A Review on the Psychological Aspects of Loneliness
Purpose in life in emerging adulthood
Thinking Clearly About Correlations and Causation
Perceived Discrimination and Cognition in Older African Americans
The Life Engagement Test
Loneliness and Risk of Alzheimer Disease
Effect size guidelines for cross-lagged effects.
From covariation to causation
A Meta-Analysis of Interventions to Reduce Loneliness
Effect of a Purpose in Life on Risk of Incident Alzheimer Disease and Mild Cognitive Impairment in Community-Dwelling Older Persons
Loneliness and depression in the elderly
Does loneliness contribute to mild cognitive impairment and dementia? A systematic review and meta-analysis of longitudinal studies
The clinical significance of loneliness
Loneliness and cognitive function in the older adult
Loneliness and physical activity
Dementia prevention, intervention, and care
A Reliability Coefficient for Maximum Likelihood Factor Analysis
A critique of the cross-lagged panel model.
The CES-D Scale
Social Isolation and Loneliness
Purpose in Life Is Associated With Mortality Among Community-Dwelling Older Persons
The Problem of Units and the Circumstance for Pomp
Correlated change in sense of purpose and romantic relationship quality
Depression, Loneliness, Social Support, Activities of Daily Living, and Life Satisfaction in Older Adults at High-Risk of Dementia
Associations between social isolation, loneliness, and objective physical activity in older men and women
Well-Being as a Protective Factor Against Cognitive Decline and Dementia
Associations Between Longitudinal Loneliness, DNA Methylation Age Acceleration, and Cognitive Functioning
Purposeful and purposeless aging
Comparative fit indexes in structural models
Happiness is everything, or is it? Explorations on the meaning of psychological well-being
Purpose in life is associated with physical activity measured by accelerometer
Being active for a purpose
Toward a neurology of loneliness
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |