The differential relationships of dimensions of perceived social support with cognitive function among older adults

Research has extensively examined the relationship of social support and cognition. Theories on social support suggest that it is a multidimensional construct including perceptions, actual assistance, and level of integration into a social network. Little is known, however, about the differential associations between distinct dimensions of perceived social support and cognition. This study examined whether four empirically validated dimensions of perceived social support were differentially related to cognitive function in aging, and whether this association was moderated by gender.

The sample included 355 community-residing older adults (mean age = 77 years; %female = 55) enrolled in a longitudinal cohort study. Social support was assessed using the Medical Outcomes Study-Social Support Survey. Cognition was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).

Principal component analysis yielded four factors capturing different dimensions of social support: emotional/informational support, positive social interaction, tangible support, and affectionate support. Linear regression analyses revealed that both perceived emotional/informational support (beta = 1.41, p = 0.03; 95% Confidence Interval (CI) = .156-2.669) and positive social interaction (beta = 1.71, p = 0.01; 95% CI = .428-2.988) were significantly associated with RBANS total index score. Further analyses revealed that gender moderated the relationship between emotional/informational support (beta = 1.266, p = 0.04), demonstrating that higher levels of perceived emotional support were associated with higher index scores in females but not in males.

The associations between perceived emotional/informational support and positive social interaction suggest that social engagement may be an important target for intervention procedures for individuals at risk of cognitive decline and dementia.