Social Disengagement and Incident Cognitive Decline in Community-Dwelling Elderly Persons

Bassuk, Shari S.; Glass, Thomas A.; Berkman, Lisa F.

doi:10.7326/0003-4819-131-3-199908030-00002

Cited by 838 publications

(677 citation statements)

References 35 publications

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“…Group participation was associated with better SAH in a subgroup of older adults in a small Canadian study (Veenstra 2000). Social disengagement was associated with increased cognitive decline in a longitudinal study of older adults (Bassuk et al 1999). …”

Section: Group Participationmentioning

confidence: 94%

“…Increased social ties, defined as a composite of marital status, contact with friends/ relatives, church and group attendance, were associated with reduced mortality in some cohorts of older adults (Seeman et al 1987(Seeman et al , 1993. Social support has also been associated with decreased 5-year mortality among community-dwelling older adults (Blazer 1982), and social disengagement has been linked to increased odds of incident cognitive decline (Bassuk et al 1999). However, most studies have been done in community settings, and thus residents of care homes have not been widely studied.…”

Section: Introductionmentioning

confidence: 99%

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Social capital, health, and care home residence among older adults: a secondary analysis of the Health Survey for England 2000

Andrew

2005

Eur J Ageing

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This secondary analysis of the Health Survey for England 2000 aimed to investigate whether individual-level social capital is associated with care home residence and with function, mental health, and self-assessed health in older adults. Older adults in both care home and community residential settings were included. Two indicators of social capital, perceived social support and group participation, were considered for both care home and community-dwelling respondents. Amongst community dwellers, trust in others was considered as a third indicator. Functional impairment, psychiatric morbidity, and self-assessed health were used as indicators of health. Multivariable modelling was undertaken using logistic or ordinal logistic regression. The results show that severe lack of social support was associated with over twice the odds of care home residence, with increased odds of psychiatric morbidity in both care home and community settings, and with more severe functional impairment and worse self-assessed health in the community but not in care homes. Participation in more groups was associated with lower odds of functional impairment in both settings, and with lower odds of psychiatric morbidity and better self-assessed health among community but not among care home respondents. High levels of trust were associated with lower severity of functional impairment, reduced odds of psychiatric morbidity, and better self-assessed health. It is concluded that individual-level social capital was associated with care home residence and with indicators of physical, mental and self-assessed health. These associations differed between community and care home settings, and were generally stronger in the community.

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Section: Group Participationmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Social capital, health, and care home residence among older adults: a secondary analysis of the Health Survey for England 2000

Andrew

2005

Eur J Ageing

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“…Like personality, social engagement is a broad construct, comprising diverse elements, such as interpersonal attention, communication, imagination, and general social skills and experience. In some studies, individuals with KS have been shown to exhibit significant deficits in each of these areas of social engagement (van Rijn et al., 2008; Skakkebaek et al., 2013), which are in turn associated with poorer performance on tasks involving working memory and executive function, both in young adults (Seeman et al., 2011) and among the elderly (Bassuk, Glass, & Berkman, 1999; Krueger et al., 2009). …”

Section: Introductionmentioning

confidence: 99%

The role of genes, intelligence, personality, and social engagement in cognitive performance in Klinefelter syndrome

et al. 2017

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IntroductionThe determinants of cognitive deficits among individuals with Klinefelter syndrome (KS) are not well understood. This study was conducted to assess the impact of general intelligence, personality, and social engagement on cognitive performance among patients with KS and a group of controls matched for age and years of education.MethodsSixty‐nine patients with KS and 69 controls were assessed in terms of IQ, NEO personality inventory, the Autism Spectrum Quotient (AQ) scale, and measures of cognitive performance reflecting working memory and executive function.ResultsPatients with KS performed more poorly on memory and executive‐function tasks. Patients with KS also exhibited greater neuroticism and less extraversion, openness, and conscientiousness than controls. Memory deficits among patients with KS were associated with lower intelligence, while diminished executive functioning was mediated by both lower intelligence and less social engagement.ConclusionOur results suggest that among patients with KS, memory deficits are principally a function of lower general intelligence, while executive‐function deficits are associated with both lower intelligence and poorer social skills. This suggests a potential influence of social engagement on executive cognitive functioning (and/or vice‐versa) among individuals with KS, and perhaps those with other genetic disorders. Future longitudinal research would be important to further clarify this and other issues discussed in this research.

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“…Evidence on this issue is scant, but it appears that such benefits decrease among those over 80 (Fabrigoule et al 1995;Bassuk et al 1999). In particular, Avlund and colleagues report that the associations between social networks and disability are no longer significant in either men or women over 80 (Avlund et al 2004b).…”

Section: Introductionmentioning

confidence: 99%

Disability and social ties: comparative findings of the CLESA study

et al. 2005

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The associations between prevalence, incidence and recovery from activities of daily living (ADL) disability and social ties among community-dwelling persons over 65 in Finland, The Netherlands and Spain are examined. Data were harmonized in the CLESA study. The baseline sample was composed of 3,648 subjects between 65 and 85 years old, living in Finland, The Netherlands and Spain. Disability in four activities of daily living was determined at baseline and at follow-up. Social participation, number of family ties and presence of friends were added to obtain a social ties index. Logistic regressions were fitted to the prevalence, incidence and recovery data to estimate the associations between disability and social ties, adjusting for education, comorbidity and self-rated health. The modifying effects of country, age and sex were tested in all models. For every country, the social ties index, having friends and social participation were negatively associated with ADL disability prevalence. ADL incidence was negatively related to the number of family ties, with a stronger relationship in Spain than in The Netherlands or Finland. ADL recovery was associated with the social ties index. No age or gender differences in these associations were found. Social ties appear to generate a beneficial effect on the maintenance and restoration of ADL function. While social ties play an important role in maintaining and restoring function in all three countries, family ties appear to generate a stronger effect on protection from disability incidence than does social participation, and the strength of this effect varies by culture.

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Social Disengagement and Incident Cognitive Decline in Community-Dwelling Elderly Persons

Abstract: Social disengagement is a risk factor for cognitive impairment among elderly persons.

Cited by 838 publications

References 35 publications

Social capital, health, and care home residence among older adults: a secondary analysis of the Health Survey for England 2000

Social capital, health, and care home residence among older adults: a secondary analysis of the Health Survey for England 2000

The role of genes, intelligence, personality, and social engagement in cognitive performance in Klinefelter syndrome

Disability and social ties: comparative findings of the CLESA study

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