Perceived Stress and Cognitive Functions Among Chinese Older Adults: The Moderating Role of Health Status

Chen, Yiwei; Liang, Ying; Sun, Fei; Dong, XinQi

doi:10.1177/2333721418778390

Cited by 17 publications

(16 citation statements)

References 29 publications

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“…Moreover, we found that participants who reported higher levels of perceived stress showed lower performance in the TMT (as measure for cognitive flexibility), which is in favor of our hypothesis H4. This finding fits well into previous research that also found lower cognitive performances for older adults with higher levels of perceived stress (e.g., Aggarwal et al 2014 ; Chen, Wang et al 2018 ; Korten et al 2017 ; Turner et al 2017 ). However, this was not found for the Stroop task as measure for inhibition in our study.…”

Section: Discussionsupporting

confidence: 92%

Associations between social burden, perceived stress, and diurnal cortisol profiles in older adults: implications for cognitive aging

et al. 2021

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Stress can be a risk factor for mental and physical health. We investigated the role of social burden as a potential stressor in older age and its associations with cognitive aging (i.e., within the domains inhibition and cognitive flexibility of executive functioning). Eighty-three older adults (N = 38 male, mean age = 74.0 ± 5.7 years, body-mass index = 25.5 ± 4.1 kg/m2) aged 64 years or older participated. Cognitive flexibility and inhibition were assessed by means of a Trail-Making Test (TMT) and a Stroop task. Perceived levels of social burden and perceived stress in general were assessed via standardized questionnaires. Furthermore, diurnal cortisol profiles were assessed. Overall, older participants showed lower cognitive performance than the younger (both inhibition and cognitive flexibility; p < .044). However, this association did not remain significant when adjusting for multiple comparisons. Social burden was highly correlated with perceived stress, highlighting its importance as a stressor (p < .001). Furthermore, participants who reported higher levels of perceived stress showed lower performance in the TMT as a measure for cognitive flexibility (p < .001). Moreover, social burden was associated with cognitive flexibility, which was assessed by means of the TMT (p = .031). However, this association did not remain significant when using the adjusted α-level. Furthermore, we found that total diurnal cortisol output was a mediator for the relationship between age and inhibition, which was assessed by means of a Stroop task. At last, we found that the mediating role of cortisol interacts with social burden in the way that especially in younger age, high levels of social burden are associated with higher cortisol levels and, therefore, with lower cognitive performance. We conclude that it is important to consider social burden as an additional stressor in older age which is associated with cognitive aging.

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Section: Discussionsupporting

confidence: 92%

Associations between social burden, perceived stress, and diurnal cortisol profiles in older adults: implications for cognitive aging

et al. 2021

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“…Levels of perceived stress are substantially higher in older Chinese‐American adults than in their white counterparts . Older Chinese‐American adults may experience the combination of age‐related decline in physical health and immigration‐related disadvantages in social support and coping resources . It is estimated that more than 80% of the U.S Chinese older adults were born in foreign countries and that 30% immigrated to the United States after the age of 60 .…”

Section: Discussionmentioning

confidence: 99%

Perceived Stress and Cognitive Decline in Chinese‐American Older Adults

Chen

Liang

Zhang³

et al. 2019

J American Geriatrics Society

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OBJECTIVES To examine whether higher levels of perceived stress are associated with lower levels of cognitive function and faster cognitive decline in older Chinese‐American adults. DESIGN Longitudinal. SETTING Population Study of Chinese Elderly in Chicago (PINE). PARTICIPANTS PINE is the largest population‐based epidemiological study of Chinese Americans aged 60 and older in the greater Chicago area. Wave 1 data were collected from 3,159 older adults during 2011 to 2013. Wave 2 data were collected from 2,713 older adults during 2013 to 2015. MEASUREMENTS In addition to sociodemographic and health‐related variables, participants completed the Chinese Perceived Stress Scale and multiple cognitive tasks. Episodic memory was assessed using the East Boston Memory Tests, perceptual speed was assessed using the Symbol Digit Modalities Test, and working memory was assessed using the Digit Span Backwards. RESULTS Controlling for sociodemographic and health‐related variables, mixed‐effects regression models showed that higher levels of perceived stress were associated with poorer episodic memory, perceptual speed, and working memory in older Chinese‐American adults but not with faster cognitive decline over an average 2‐year interval. CONCLUSION The present study is the first population‐based, longitudinal study to examine the relationships between perceived stress and cognitive decline in older Chinese‐American adults. It suggests the importance of researchers, social workers, and policy makers developing programs to reduce stress and improve cognitive function in older Chinese‐American adults. J Am Geriatr Soc 67:S519–S524, 2019.

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“…Regarding psychological well-being, the included six articles detail the potential risk factors and impacts of psychological distress among global Chinese populations and challenge our assumptions about how individual and familial factors relate to psychological distress and well-being in immigrant populations. Specifically, different forms of psychological distress may have negative impacts of cognitive function ( Y. Chen, Wang, Liang, Sun, & Dong, 2018 ; Kong, Davitt, & Dong, 2018 ), but psychological distress may be buffered by individual, social, and familial resources for both Chinese in China and in the United States ( Chao, Zhang, & Dong, 2018 ; M. Li & Dong, 2018 ; Liu et al, 2018 ; Wang & Dong, 2018 ). In addition, articles in this issue examine how neighborhood and community may impact minority immigrant older adult populations.…”

Section: Study Findingsmentioning

confidence: 99%

Achieving Health Equity in Asian Populations

Dong

Simon²

2018

Gerontology and Geriatric Medicine

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Research about Asian Americans and Asian health equity issues have significant gaps, in part, due to lack of funding and support for minority investigators and examinations of health in this population. This special issue is designed to further our understanding of Asian health equity, especially within the context of global Chinese populations to examine how sociocultural contexts impact aging and health. Through the findings reported in this special issue, we call for increased funding and support to minority research scholars to conduct research toward improving Asian health equity, with an emphasis on nuanced cultural contexts of this population.

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Perceived Stress and Cognitive Functions Among Chinese Older Adults: The Moderating Role of Health Status

Cited by 17 publications

References 29 publications

Associations between social burden, perceived stress, and diurnal cortisol profiles in older adults: implications for cognitive aging

Associations between social burden, perceived stress, and diurnal cortisol profiles in older adults: implications for cognitive aging

Perceived Stress and Cognitive Decline in Chinese‐American Older Adults

Achieving Health Equity in Asian Populations

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