不是任何人:生活状况通过抑郁症状间接与认知障碍有关
Chin Hong Tan1, Jacinth J X Tan2
1Psychology, School of Social Sciences, Nanyang Technological University, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Journal of affective disorders
|January 22, 2026
概括
与配偶生活可能会提高认知功能,而与亲戚生活可能会对认知产生负面影响,特别是在女性身上. 抑郁症调解了这些影响,强调了社会动态在认知衰老中的重要性.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 社会心理学 社会心理学
背景情况:
- 社会隔离是认知能力下降的已知危险因素.
- 具体生活环境对认知健康的影响需要进一步研究.
研究的目的:
- 检查生活情况 (独自一人,与配偶/伴侣,与亲戚/朋友) 如何影响认知正常 (CN) 和轻度认知障碍 (MCI) 个体的认知功能.
- 调查抑郁症在生活环境和认知表现之间的关系中扮演的调解角色.
主要方法:
- 来自国家阿尔茨海默氏症协调中心的10,545名CN和9,334名MCI参与者的横截面分析.
- 认知功能和抑郁症状使用标准化的神经心理测试和老年抑郁量表来评估.
- 基于回归的路径分析被用来测试横截面调解.
主要成果:
- 与配偶/伴侣一起生活与其他安排相比,与CN个体的更好的认知表现有关.
- 与亲戚/朋友一起生活与CN和MCI个体,特别是女性的认知表现较差有关.
- 抑郁症状介于与亲属/朋友生活的负面认知影响,占该协会的7% (CN) 和10% (MCI).
结论:
- 生活方式通过社会和心理途径显著影响认知衰老.
- 配偶共同生活可能会提供认知性,而与亲戚生活可能会带来风险,可能是由于抑郁症状增加.
- 独自生活对认知能力的保护可能比与亲戚/朋友生活更有益,特别是对于CN女性和MCI患者.
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