Cognitive Aging with Dementia, Mild Cognitive Impairment, or No Impairment: A Comparison of Same- and Mixed-Sex Couples.

BACKGROUND: Lesbian and gay older adults have health disparities that are risk factors for Alzheimer's disease, yet little is known about the neurocognitive aging of sexual minority groups. OBJECTIVE: To explore cross-sectional and longitudinal dementia outcomes for adults in same-sex relationships (SSR) and those in mixed-sex relationships (MSR). METHODS: This prospective observational study utilized data from the National Alzheimer's Coordinating Center Uniform Data Set (NACC UDS) collected from contributing Alzheimer's Disease Research Centers. Participants were adults aged 55+ years at baseline with at least two visits in NACC UDS (from September 2005 to March 2021) who had a spouse, partner, or companion as a co-participant. Outcome measures included CDR® Dementia Staging Instrument, NACC UDS neuropsychological testing, and the Functional Activities Questionnaire. Multivariable linear mixed-effects models accounted for center clustering and repeated measures by individual. RESULTS: Both MSR and SSR groups experienced cognitive decline regardless of baseline diagnosis. In general, MSR and SSR groups did not differ statistically on cross-sectional or longitudinal estimates of functioning, dementia severity, or neuropsychological testing, with two primary exceptions. People in SSR with mild cognitive impairment showed less functional impairment at baseline (FAQ M = 2.61, SD = 3.18 vs. M = 3.97, SD = 4.53, respectively; p < 0.01). The SSR group with dementia had less steep decline in attention/working memory (ß estimates = -0.10 versus -0.18; p < 0.01). CONCLUSION: Participants in SSR did not show cognitive health disparities consistent with a minority stress model. Additional research into protective factors is warranted.

Physiological Synchronization and Subjective Workload in a Competitive Emergency Response Task.

Human dyads and larger teams tend to acquire synchronized movements and autonomic arousal levels while working together or simply socializing. The synchronization of arousal patterns is of theoretical interest for group dynamics because they may add predictive value to the dynamics of group cohesion and team performance. This study examined the four-way relationship among experimental conditions: team size, task difficulty, time pressure (between-subjects) and subsequent experimental sessions (within-subjects). Previously, we have shown these conditions affect subjective ratings of workload that come from individual and group-level sources, synchronization of arousal, and team performance. In an experiment involving an emergency response (ER) simulation, 360 undergraduates, who were wearing electrodermal sensors, were organized into 44 teams of various sizes. Workload was experimentally varied by team size (three, four, seven or eight members), number of opponents (one or two), and time pressure; the latter was introduced sooner or later across two experimental sessions. Results showed that the experimental conditions affected synchronization levels, either at the beginning of a session or in the middle; synchronization and experimental conditions were not directly related to team performance. Subjective group workload ratings of the coordination demand of the task correlated with synchronization at the beginning of a session while team satisfaction was correlated with greater synchrony at the end of a session. The competitive nature of the ER task, as compared to strictly cooperative tasks, could be responsible for the complexity of these empirical relationships.