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The Impact of Late-Life Psychological Disorders on the Risk of Cognitive Impairment

Evidence From a 5-Year Prospective Cohort Study

Bibliographic Data

ID12798356
AuthorsYu‐Kai Lin (0000-0002-2668-9833, University of Taipei, corresponding author), Wan‐Yu Lin (0000-0002-3385-4702, Ministry of Health and Welfare), Wan-Yu Lin (0009-0005-2357-4749, University of Taipei)
Year2025
Pages8982643251391892-8982643251391892
Publication date2025-10-25
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/08982643251391892
PMID41138243
OpenAlexW4415548317
LanguageEN
References cited74

BackgroundPsychological disorders and cognitive impairment frequently co-occur in older adults, posing challenges to healthy aging. This study aimed to examine the association between late-life psychological disorders and the risk of developing cognitive impairment.MethodsProspective study analyzed data from 28,706 older adults enrolled in the Taipei City Older Adults Health Examination (2012-2016), among whom 10.3% developed cognitive impairment during follow-up. Psychological disorders were assessed using the five-item Brief Symptom Rating Scale (BSRS-5), and cognitive impairment was evaluated with the Ascertain Dementia eight-item Questionnaire (AD-8). Cox proportional hazards models were applied to estimate the associations.ResultsPsychological disorder severity exhibited a dose-response relationship with cognitive impairment risk. Compared to participants without disorders, those with mild, moderate, and severe symptoms had 2.47-, 3.99-, and 8.60-fold increased risks of cognitive impairment, respectively.ConclusionEarly identification and targeted interventions for psychological disorders may mitigate the risk of cognitive decline and promote healthy aging

Cognition · Cognitive decline · Cognitive impairment · Cohort study · Dementia · Prospective cohort study · Psychological intervention · Rating scale · Dementia and Cognitive Impairment Research · Health disparities and outcomes · Sleep and related disorders

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