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Published on: January 24, 2020
Association Between Different Forms of Elder Mistreatment and Cognitive Change
Mengting Li1,2, XinQi Dong1
1Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
Elder mistreatment (EM) negatively impacts cognitive function, leading to faster decline in global cognition and memory over time. Early intervention for psychological, physical mistreatment, and neglect is crucial for maintaining cognitive health in older adults.
Area of Science:
- Gerontology
- Neuroscience
- Public Health
Background:
- Elder mistreatment (EM) is linked to adverse physical and psychological outcomes.
- Cognitive consequences of EM remain under-researched, particularly concerning different mistreatment types.
Purpose of the Study:
- To investigate the association between various forms of elder mistreatment and cognitive function.
- To examine the longitudinal impact of EM on cognitive decline in older adults.
Main Methods:
- Longitudinal analysis of 2713 older adults from the T1-T2 PINE study.
- Assessment of psychological, physical, sexual mistreatment, financial exploitation, and caregiver neglect.
- Evaluation of global cognition, episodic memory, working memory, processing speed, and Mini-Mental State Examination using linear regression.
Main Results:
- Physical mistreatment and caregiver neglect correlated with lower baseline global cognition and specific cognitive domains.
- Psychological mistreatment was paradoxically associated with higher initial cognitive function.
- Incident psychological mistreatment, physical mistreatment, and caregiver neglect predicted a faster rate of cognitive decline over two years.
Conclusions:
- Different forms of elder mistreatment have distinct associations with cognitive function and change.
- Findings highlight the need for targeted interventions addressing EM to preserve cognitive health in diverse older populations, including ethnic minorities.
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