The Impact of Change in Cognitive Functioning and Cognitive Decline on Disability, Well-Being, and the Use of Healthcare Services in Older Persons

2005 ◽  
Vol 19 (5-6) ◽  
pp. 316-323 ◽  
Author(s):  
Hannie C. Comijs ◽  
Miranda G. Dik ◽  
Marja J. Aartsen ◽  
Dorly J.H. Deeg ◽  
Cees Jonker
Keyword(s):  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Older Persons ◽  
Well Being ◽  
Healthcare Services ◽  
The Impact

scholarly journals Does Late-Life Depression Counteract the Beneficial Effect of Physical Activity on Cognitive Decline? Results From the NESDO Study

2021 ◽  
pp. 089198872110026
Author(s):  
Marieke Henstra ◽  
Erik Giltay ◽  
Roos van der Mast ◽  
Nathalie van der Velde ◽  
Didi Rhebergen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Working Memory ◽  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Older Persons ◽  
Older Age ◽  
Late Life Depression ◽  
Age Related ◽  
The Impact

Objectives: Depression both affects physical activity (PA) and cognition in older persons, yet its impact on the association between PA and cognitive decline is to be determined. We aimed to investigate the association between baseline PA and cognitive functioning over time, stratified for depression. Methods: We used data of the Netherlands Study of Depression in Older persons (NESDO), a multi-site cohort study with 6-years follow-up. Patients with complete data on PA and cognitive functioning at baseline were included, yielding 394 participants for the analyses of whom 297 were depressed and 97 non-depressed. PA (continuous) was measured with the International Physical Activity Questionnaire. Linear mixed models were used to determine differential effects of baseline PA on the rate of decline of 5 standardized outcomes of cognitive functioning over 6-year follow-up. For this purpose, we examined the significance of the interaction-term (PA*time) in both basic and adjusted models. We also assessed the association between time and cognitive functioning. All analyses were stratified for depression. Results: In both groups, no robust significant interactions of PA with time were found. Furthermore, only decline in working memory was significantly worse in the depressed compared to the non-depressed. Conclusion: At older age, the impact of a more inactive lifestyle on cognitive decline was shown to be limited, irrespective of depression that appeared to worsen age-related decline of working memory only. As a higher PA-level at older age has a positive effect on a multitude of other health outcomes, PA should still be encouraged in this population.

scholarly journals The Impact of SARS-CoV-2 (COVID-19) and its Lockdown Measures on the Mental and Functional Health of Older Individuals

2021 ◽  
Author(s):  
Maria Chiara Fastame ◽  
Ilaria Mulas ◽  
Valeria Putzu ◽  
Gesuina Asoni ◽  
Daniela Viale ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Wearable Sensors ◽  
Well Being ◽  
Functional Health ◽  
Cognitive Deterioration ◽  
Older Individuals ◽  
Physical And Mental Health ◽  
Psychological Well Being ◽  
The Impact ◽  
Healthy Participants

AbstractThe effect of the COVID-19 on the physical and mental health of Italian older individuals displaying signs of cognitive deterioration has not been deeply investigated. This longitudinal study examined the impact of COVID-19 lockdown measures on the psychological well-being and motor efficiency of a sample of Italian community-dwellers with and without cognitive decline. Forty-seven participants underwent instrumental gait analysis performed in ecological setting using wearable sensors, and completed a battery of tasks assessing cognitive functioning and psychological well-being, before and after the full lockdown due to the COVID-19 spreading. A series of Multivariate Analyses of Variance (MANOVAs) documented that the superior gait performance of the cognitively healthy participants exhibited before the COVID-19 spread, vanished when they were tested at the end of the lockdown period. Moreover, before the outbreak of the COVID-19, cognitively healthy participants and those with signs of cognitive decline reported similar levels of psychological well-being, whereas, after the lockdown, the former group reported better coping, emotional competencies, and general well-being than the participants displaying signs of cognitive decline. In conclusion, the full COVID-19 outbreak had a significant impact on the mental and motor functioning of older individuals with and without signs of cognitive deterioration living in Italy.

scholarly journals Spousal Loss and Cognitive Functioning: Do Pre-Loss Marital Quality and Gender Matter?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 366-366
Author(s):  
Joohong Min ◽  
Jieun Song
Keyword(s):  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Marital Quality ◽  
The United States ◽  
Cognitive Change ◽  
Life Transitions ◽  
Cognitive Changes ◽  
Spousal Loss ◽  
And Gender ◽  
The Impact

Abstract Prior research has found that the risk of cognitive decline increases after the death of a spouse. In general, the impact of life transitions is contingent on contextual factors such as socio-demographic characteristics or relationship quality. However, there is limited research on how marital quality before spousal loss and gender influence the association between spousal loss and cognitive change. The current study examines the effects of spousal loss on change in cognitive functioning as well as the moderating effects of pre-loss marital quality and gender. Data from two waves of the Midlife in the United States (MIDUS) study were analyzed (MIDUS2: 2004-05, MIDUS3: 2013-14). The analytic sample consists of two groups: (1) 179 bereaved adults who were age 54 or older at MIDUS2 (M = 65.2, SD = 9.5) and whose spouses died between MIDUS2 and MIDUS3, and (2) 179 non-bereaved adults, matched with the bereaved group on age and gender, who did not experience spousal loss between the two waves. Cognitive function was assessed via BTACT (Brief Telephone Adult Cognition Test) at both waves. Regression results show that both pre-loss marital quality and gender significantly moderate the association between spousal loss and change in cognitive functioning. Specifically, relative to their counterparts, men and those who reported better marital relationships prior to spousal death had a greater risk of cognitive decline after a spouse’s death. The findings suggest the significance of pre-loss marital quality and gender for cognitive changes in widowhood and have implications for the development of efficient interventions

scholarly journals Psychological distress during COVID-19 pandemic in low-income and middle-income countries: a cross-sectional study of older persons in Thailand

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e047650
Author(s):  
Wiraporn Pothisiri ◽  
Paolo Miguel Manalang Vicerra
Keyword(s):  
Psychological Distress ◽  
Low Income ◽  
Older Persons ◽  
Online Survey ◽  
Well Being ◽  
Secondary Outcome ◽  
Ageing Society ◽  
Psychological Well Being ◽  
Middle Income ◽  
The Impact

ObjectiveThe COVID-19 situation in Thailand was controlled with various social measures. Much of the information covered in the media and in studies focused on the public health and economic aspects of the pandemic. This study aimed to explore the psychological well-being of older people, which is important especially in an ageing society categorised as low income or middle income due to the limits of economic and healthcare resources.SettingThe impact of COVID-19 on older persons in Thailand, an online survey, taken across nine provinces within the five regions of the country.ParticipantsInformation was collected from 1230 adults aged at least 60 years old.If an older person was illiterate, unable to access the internet or had a disability preventing them from responding to the survey, an intermediary residing in the community conducted the survey interview.Primary and secondary outcome measuresThe analysis focused on the worries of older adults and the factors associated with psychological distress experienced during the pandemic using logistic regression analysis.ResultsThe majority of people aged at least 60 years old experienced psychological distress during COVID-19. Employment loss (OR 1.08, 95% CI 0.78 to 1.38), inadequate income (OR 1.77, 95% CI 1.28 to 2.44) and debt incursion (OR 2.74, 95% CI 1.57 to 4.80) were detrimental to psychological well-being. The negative changes in the perception of their health status (OR 1.92, 95% CI 1.23 to 2.99) and decreased life satisfaction (OR 1.49, 95% CI 0.45 to 1.87) also weighed on older Thais. The protective factors for psychological well-being were residing in rural areas (OR 0.46, 95% CI 0.35 to 0.61) and being married (OR 0.75, 95% CI 0.55 to 1.01).ConclusionObserving the concerns of the older population is important for introducing policies that can alleviate their precarious financial and health statuses.

Cognitive Decline and the Changing Self in Relationship

2015 ◽  
pp. 61-75
Author(s):  
Darby Morhardt ◽  
Marcia Spira
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Decline ◽  
Family Member ◽  
Family Members ◽  
Well Being ◽  
Family Roles ◽  
The Family ◽  
Person With Dementia ◽  
The Impact

When a member of a family is diagnosed with Alzheimer's disease, the impact of the disease reverberates throughout the relationships within the family. This paper explores the challenges and strengths within one family as members manage and cope with Alzheimer's disease. The person with dementia and his family members are individually interviewed and each person explores the consequences of the disease on personal well-being as well as the relationships within the family. The family demonstrates how dementia in one family member demands flexibility in family roles as they navigate life through the challenges of living with dementia.

Theorising the impact of COVID-19 on the fraud victimisation of older persons

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Cassandra Cross
Keyword(s):  
Social Isolation ◽  
Older Persons ◽  
Design Methodology ◽  
Empirical Work ◽  
Well Being ◽  
Current Response ◽  
Content Type ◽  
Fraud Risk ◽  
The Impact ◽  
Practical Implications

Purpose The purpose of this paper is to understand how COVID-19 may alter the vulnerability levels of older persons, and how this may change their potential for fraud victimisation. This is particularly focused on the government’s use of isolation, restrictions on activity and physical distancing to combat the virus. Design/methodology/approach In the absence of statistics, this paper examines what is currently known about older persons and fraud, as well as the recent knowledge of COVID-19-related fraud. On this basis, the paper hypothesises the conceivable changes to vulnerability that potentially expose older persons to fraud. Findings This paper argues that COVID-19 has not seen “new” fraudulent approaches, rather offenders have used COVID-19 as a context to their existing schemes. Further, the current response to COVID-19 can substantially increase the number of older persons experiencing levels of vulnerability, and therefore increase their fraud risk. Research limitations/implications The current paper applies existing knowledge into the current circumstances of COVID-19 and lays the foundations for empirical work to be conducted in this area. Practical implications This paper provides an impetus to target the well-being and connectivity of older persons, (regardless of the COVID-19 context), to reduce their vulnerability to fraud victimisation. Social implications This paper highlights the importance of connectivity for older persons, and the need to focus on overcoming social isolation and loneliness. Originality/value This paper is the first to hypothesise the effects of COVID-19 and its associated government responses to the overall vulnerability of older persons, with a focus on the potential for fraud victimisation.

Do Worries About Cognitive Functioning and Concerns About Developing Alzheimer’s Disease Affect Psychological Well-Being?

2016 ◽  
Vol 29 (8) ◽  
pp. 1271-1287 ◽  
Author(s):  
Stephen J. Cutler ◽  
Corina Brăgaru
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Functioning ◽  
Structural Equation ◽  
Older Persons ◽  
Structural Equation Models ◽  
Well Being ◽  
Psychological Well Being ◽  
Lagged Effects

Objective: The objective of this study is to determine if cognitive worries affect psychological well-being, if these effects are long-term, and if such concerns affect well-being more so among persons with a parent having Alzheimer’s disease (AD). Method: We used structural equation models with three waves of data collected from persons ages 40 to 60 at T1. We created summative scores on five indicators of concerns about cognitive functioning and worries about dementia. Well-being measures included depression, life satisfaction, stress, and mastery. Results: We found (a) cognitive worries at Waves 1, 2, and 3 were generally associated with lower levels of psychological well-being at each of these waves; (b) there was no evidence of long-term, lagged effects, and (c) these relationships were statistically similar across groups of adult children and controls. Discussion: Because concerns about cognitive functioning and developing AD are pervasive among middle-aged and older persons, practitioners should be aware of their potentially deleterious effect on psychological well-being.

BDNF serum levels are not related to cognitive functioning in older depressed patients and controls

2014 ◽  
Vol 27 (4) ◽  
pp. 649-656 ◽  
Author(s):  
Annemiek Dols ◽  
Carisha S. Thesing ◽  
Filip Bouckaert ◽  
Richard C. Oude Voshaar ◽  
Hannie C. Comijs ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Older Persons ◽  
Serum Levels ◽  
Analysis Of Covariance ◽  
Cognitive Domain ◽  
Depressed Patients ◽  
Serum Bdnf ◽  
Low Serum

ABSTRACTBackground:Depression and cognitive decline are highly prevalent in older persons and both are associated with low serum brain derived neurotrophic factor (BDNF). Mutual pathways of depression and cognitive decline in older persons may explain the overlap in symptoms and low serum BDNF. We hypothesized that serum BDNF levels are lower in depressed elderly with poor cognitive performance (global or specifically in working memory, speed of information processing, and episodic memory) compared to depressed elderly without cognitive impairment or non-depressed controls.Methods:BDNF Serum levels and cognitive functioning were examined in 378 depressed persons and 132 non-depressed controls from a large prospective study on late-life depression. The association between BDNF levels and each cognitive domain among the depressed patients was tested by four separate linear regression models adjusted for relevant covariates. An analysis of covariance (ANCOVA) was performed to compare BDNF serum levels in three groups (depression with cognitive impairment, depression without cognitive impairment, and non-depressed controls), when adjusted for potential confounders.Results:No significant linear association was found between BDNF and any of the four cognitive domains tested. There are no differences in BDNF levels between controls and depressed patients with or without cognitive impairment global or in specific domains after controlling for confounders.Conclusions:BDNF serum levels in this cohort of older depressed patients and controls are not related to cognitive functioning. As BDNF is essential for the survival and functioning of neurons, its levels may remain normal in stages of disease where remission is achievable.

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