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1.
Psychol Aging ; 39(3): 262-274, 2024 May.
Article En | MEDLINE | ID: mdl-38829339

The redundancy hypothesis proposes that older listeners need a larger array of acoustic cues than younger listeners for effective speech perception. This research investigated this hypothesis by examining the aging effects on the use of prosodic cues in speech segmentation in Mandarin Chinese. We examined how younger and older listeners perceived prosodic boundaries using three main prosodic cues (pause, final lengthening, and pitch change) across eight conditions involving different cue combinations. The stimuli consisted of syntactically ambiguous phrase pairs, each containing two or three objects. Participants (22 younger listeners and 22 older listeners) performed a speech recognition task to judge the number of objects they heard. Both groups primarily relied on the pause cue for identifying prosodic boundaries, using final lengthening and pitch change as secondary cues. However, older listeners showed reduced sensitivity to these cues, compensating by integrating the primary cue pause with the secondary cue pitch change for more precise segmentation. The present study reveals older listeners' integration strategy in using prosodic cues for speech segmentation, supporting the redundancy hypothesis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Aging , Cues , Speech Perception , Humans , Speech Perception/physiology , Female , Male , Young Adult , Aged , Adult , Middle Aged , Aging/physiology , Aging/psychology , Pitch Perception/physiology , Age Factors
2.
Psychol Aging ; 39(3): 288-298, 2024 May.
Article En | MEDLINE | ID: mdl-38829340

Emotional properties of words can profoundly affect their processing, depending on both the valence (pleasantness) and the degree of arousal (excitation) that the word elicits. Words that are strongly emotionally arousing (such as taboo words) can interfere with subsequent language processing (White & Abrams, 2021). However, little is known about whether or how aging affects the processing of highly arousing language. The present study provides a characterization of how adults across the lifespan evaluate highly arousing language with a simple rating task that included taboo words, which have previously been used to examine lexical interference caused by arousal, and humorous words, which are also highly arousing without being negatively valenced. While arousal ratings were strongly positively correlated with both tabooness and humor ratings for young adults, these relationships weakened with age and overall arousal ratings were lower for middle-aged and older adults compared to young adults. Age effects cannot be readily accounted for by age-related differences in psychosocial variables such as self-reported profanity avoidance or religiosity. The effect of age on arousal should be considered in the design of studies examining age-related changes in emotional language processing. Furthermore, age differences in arousal should be considered as a potential mechanism in studies exploring emotional language processing across adulthood. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Aging , Arousal , Emotions , Language , Humans , Female , Male , Adult , Young Adult , Arousal/physiology , Middle Aged , Aged , Emotions/physiology , Aging/physiology , Aging/psychology , Adolescent , Age Factors , Aged, 80 and over
3.
Psychol Aging ; 39(3): 299-312, 2024 May.
Article En | MEDLINE | ID: mdl-38829341

Emotional content, specifically negative valence, can differentially influence speech production in younger and older adults' autobiographical narratives, which have been interpreted as reflecting age differences in emotion regulation. However, age differences in emotional reactivity are another possible explanation, as younger and older adults frequently differ in their affective responses to negative and positive pictures. The present experiment investigated whether a picture's valence (pleasantness) and arousal (intensity) influenced older adults' production of narratives about those pictures. Thirty younger and 30 older participants produced narratives about pictures that varied in valence (positive, negative, and neutral) and arousal (high, low). Narratives were recorded via Zoom, transcribed, and analyzed with Linguistic Inquiry and Word Count-22 to get measures of emotional word use, disfluencies, and linguistic distance. Results showed that negative valence increased age differences in speech production independent of picture arousal: Relative to younger adults, older adults used more positive words, fewer negative words, and had more silent pauses when telling narratives about negative pictures. In contrast, high arousal decreased age differences such that older adults used fewer positive words in narratives about positive pictures and more linguistically distant words evidenced by fewer present-tense verbs, relative to narratives about low-arousal pictures. Contrary to an explanation of enhanced regulation or control over emotions in older adulthood, these findings support the idea that older adults' speech production is influenced by their reactivity or affective response to emotional stimuli even when the task is not to communicate one's emotions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Arousal , Emotions , Narration , Humans , Arousal/physiology , Aged , Female , Male , Emotions/physiology , Young Adult , Adult , Middle Aged , Aging/psychology , Aging/physiology , Age Factors , Aged, 80 and over , Speech , Photic Stimulation , Adolescent
4.
Psychol Aging ; 39(3): 209-214, 2024 May.
Article En | MEDLINE | ID: mdl-38829338

This is an introduction to the special issue "Adult Age Differences in Language, Communication, and Learning from Text." These articles illustrate the great variety of language use through the adult lifespan, tell us a little more-and invite further inquiry. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Communication , Language , Learning , Humans , Adult , Learning/physiology , Aging/physiology , Aging/psychology , Age Factors , Aged , Young Adult , Middle Aged
5.
Psychol Aging ; 39(3): 324-336, 2024 May.
Article En | MEDLINE | ID: mdl-38829343

Judging the perspective of others often requires ignoring one's own accessible knowledge. Aging increases reliance on the most available knowledge and may decrease the adjustment of this knowledge to adopt another perspective. Using a dominant language also decreases control demands, while using a nondominant language promotes deliberation. We examined whether aging and language dominance shape the way in which individuals judge someone else's interpretation of ambiguous messages. Russian-Hebrew bilinguals (N = 237, ages 19-80) read 20 ambiguous messages and judged how a recipient would interpret them. Half of the texts contained information that suggested that the message was sincere, and half of the texts contained information that implied that the message was sarcastic. This information was available only to the participant and should not have affected the recipient's interpretation. An egocentric bias emerged in both languages since participants could not ignore their own knowledge when judging the recipient's perspective. Aging was associated with a greater bias, but the results were similar in both languages. A second study included 60 younger (ages 18-39) and 62 older (ages 60-80) Israeli-born participants, who performed the same task as well as a flanker task (i.e., judging the direction of a central arrow flanked by congruent and incongruent distractors). Age interacted with the egocentric bias, but there was no correlation between the flanker effect and perspective judgment. Thus, decreased inhibition, as measured by the flanker task, cannot account for the egocentric bias. We suggest that the findings reflect difficulty in overriding highly accessible information, especially in older age. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Aging , Judgment , Multilingualism , Humans , Aged , Adult , Middle Aged , Female , Male , Young Adult , Aged, 80 and over , Aging/psychology , Aging/physiology , Adolescent , Israel , Russia , Social Perception
6.
Psychol Aging ; 39(3): 313-323, 2024 May.
Article En | MEDLINE | ID: mdl-38829342

We often seek information without any explicit incentives or goals (i.e., noninstrumental information seeking, often noted as a manifestation of curiosity). Does noninstrumental information-seeking change with age? We tried to answer the question by making a critical distinction between two information-seeking behaviors: diversive information seeking (i.e., information seeking for topics a person knows little about) and specific information seeking (i.e., information seeking to deepen a person's existing knowledge of a topic). Five hundred participants (age range: 12-79 years old) spontaneously read new facts about different topics. After reading each fact, participants were given the choice to read more facts about the current topic or return to the selection menu to learn about a new topic. We found that with increasing age, participants chose to explore more facts within a topic (i.e., increased specific information seeking) and switched less frequently to new topics (i.e., decreased diversive information seeking). These results indicate that while young people seek out a broader range of information, as people grow older, they develop a preference to deepen their existing knowledge. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Information Seeking Behavior , Humans , Adult , Middle Aged , Adolescent , Young Adult , Male , Aged , Female , Child , Age Factors , Aging/psychology , Aging/physiology
7.
Tidsskr Nor Laegeforen ; 144(7)2024 Jun 04.
Article Nor | MEDLINE | ID: mdl-38832621

Good sexual health promotes quality of life and coping skills, and this also applies to older adults. This clinical review article presents updated knowledge on older adults' sexuality, normal challenges related to ageing and conjugal relationships, and sexual challenges caused by chronic diseases, adverse effects of medications, and cognitive failure. The review describes measures to improve sexual health. Healthcare personnel should take the initiative to talk about sexual health with older adults.


Aging , Sexual Health , Humans , Aged , Aging/physiology , Aging/psychology , Female , Male , Quality of Life , Sexual Behavior , Sexual Dysfunction, Physiological , Chronic Disease , Sexuality
8.
J Med Internet Res ; 26: e49450, 2024 Jun 05.
Article En | MEDLINE | ID: mdl-38838308

BACKGROUND: Construction and nursing are critical industries. Although both careers involve physically and mentally demanding work, the risks to workers during the COVID-19 pandemic are not well understood. Nurses (both younger and older) are more likely to experience the ill effects of burnout and stress than construction workers, likely due to accelerated work demands and increased pressure on nurses during the COVID-19 pandemic. In this study, we analyzed a large social media data set using advanced natural language processing techniques to explore indicators of the mental status of workers across both industries before and during the COVID-19 pandemic. OBJECTIVE: This social media analysis aims to fill a knowledge gap by comparing the tweets of younger and older construction workers and nurses to obtain insights into any potential risks to their mental health due to work health and safety issues. METHODS: We analyzed 1,505,638 tweets published on Twitter (subsequently rebranded as X) by younger and older (aged <45 vs >45 years) construction workers and nurses. The study period spanned 54 months, from January 2018 to June 2022, which equates to approximately 27 months before and 27 months after the World Health Organization declared COVID-19 a global pandemic on March 11, 2020. The tweets were analyzed using big data analytics and computational linguistic analyses. RESULTS: Text analyses revealed that nurses made greater use of hashtags and keywords (both monograms and bigrams) associated with burnout, health issues, and mental health compared to construction workers. The COVID-19 pandemic had a pronounced effect on nurses' tweets, and this was especially noticeable in younger nurses. Tweets about health and well-being contained more first-person singular pronouns and affect words, and health-related tweets contained more affect words. Sentiment analyses revealed that, overall, nurses had a higher proportion of positive sentiment in their tweets than construction workers. However, this changed markedly during the COVID-19 pandemic. Since early 2020, sentiment switched, and negative sentiment dominated the tweets of nurses. No such crossover was observed in the tweets of construction workers. CONCLUSIONS: The social media analysis revealed that younger nurses had language use patterns consistent with someone experiencing the ill effects of burnout and stress. Older construction workers had more negative sentiments than younger workers, who were more focused on communicating about social and recreational activities rather than work matters. More broadly, these findings demonstrate the utility of large data sets enabled by social media to understand the well-being of target populations, especially during times of rapid societal change.


COVID-19 , Social Media , Humans , COVID-19/psychology , COVID-19/epidemiology , Middle Aged , Adult , Nurses/psychology , Nurses/statistics & numerical data , Mental Health , Pandemics , Aging/psychology , Linguistics , Occupational Health , Burnout, Professional/psychology , Burnout, Professional/epidemiology , Male , SARS-CoV-2 , Natural Language Processing
9.
J Aging Stud ; 69: 101225, 2024 Jun.
Article En | MEDLINE | ID: mdl-38834245

Drawing on qualitative data from a study of older adults' participation in a contemporary dance group, this paper asks what can be gained from new materialist concepts of the older body, and how they can expand cultural gerontological thinking about embodiment. This paper examines the connections between the older body, movement, thoughts, words and spaces, arguing that dance demonstrates that there is a spatial dimension to embodiment. In drawing from models of materiality emerging in gerontology, this paper provides insights about the experience of age, questioning fundamental categorizations promoted in Western culture, and re-thinks agency in relation to the body and space. Emphasising the importance of the material world in the production of the social has important implications in terms of understanding the experience of ageing within an ageist society.


Aging , Dancing , Humans , Dancing/psychology , Aged , Aging/psychology , Female , Male , Aged, 80 and over , Ageism/psychology , Qualitative Research
10.
J Aging Stud ; 69: 101228, 2024 Jun.
Article En | MEDLINE | ID: mdl-38834251

Torrey Peters' debut novel Detransition, Baby from 2021, a Women's Prize for Fiction nominee, problematizes gender norms by telling the story of three main characters: Reese, a trans woman, Ames, who de-transitioned to live as a man again, and Katrina, a Chinese and Jewish cis woman who is also Ames' lover and boss. Ames and Katrina are expecting a child and are testing the possibilities of having a non-conventional family together with Reese. Parenthood is, thus, the central theme of the novel which structures also the sections of book into the time before the conception and the weeks after it. By doing so, the temporal framework of the novel queers the linearity of heteronormative life courses on the form as well as the content level. Therefore, the interplay of form and content invites to critically investigate how the concept of trans time that challenges linearity and normative conformity (Halberstam, 2005) may provide useful insights into trans aging and the life course through this literary representation. Following, contemporary feminist theorists' commitments to negotiate what makes "life more livable for those whose gender presentation, identity, or bodily experience have been judged abnormal, nonexistent, or impossible" (Karhu, 2022, 304-305), this paper aims at carrying out a critical feminist literary analysis of trans aging, queer life courses and the thereof related gendered norms in Peters' novel. By relying predominantly on feminist poststructuralist theories (Butler 2004) and cultural aging studies (Maierhofer, 2019), it is the aim to challenge normativity and limited social norms through this critical literary reading.


Aging , Sexual and Gender Minorities , Humans , Female , Sexual and Gender Minorities/psychology , Male , Aging/psychology , Gender Identity , Literature, Modern
11.
J Aging Stud ; 69: 101236, 2024 Jun.
Article En | MEDLINE | ID: mdl-38834255

What can caring for, and being cared for by, a garden teach us about aging well? This article is a narrative exploration of care, aging, and wellbeing in later life through conversations with an older woman and her garden in Toronto, Canada during the months of the COVID-19 pandemic. The focus is on the interconnectedness of care across generations and species. Moving away from conventional generational scripts, the article expands notions of care and aging with an intersectional, feminist and decolonial approach to relationality across time and space. The article uses interviews, photovoice-inspired sessions, and autoethnography, to look at aging and wellbeing as relational and more-than-human relationality. It extends the ethics of care beyond traditional boundaries, embracing perspectives that challenge normative assumptions of gender, age, and interspecies relations. The article aims to contribute to the current debates around colonial research logics, though a critical feminist understanding of relationality and embodied learning. It emphasizes the importance of connecting across generations, seeing land as a way to restore human and more-than-human relations while prefiguring a more care-full present.


Aging , COVID-19 , Humans , Female , COVID-19/psychology , Aged , Aging/psychology , Gardens , Intergenerational Relations , Canada , Gardening , Feminism , SARS-CoV-2
12.
Rev Med Suisse ; 20(877): 1107-1110, 2024 Jun 05.
Article Fr | MEDLINE | ID: mdl-38836392

The age of retirement until old age are driving on same important changes for physical health, mental health and decreasing social or working environment. The prevalence of alcohol addiction increases in this age group and is often underestimated by caregivers. Retirement is given as a risk factor to develop an alcohol addiction (late onset). It's also a worsening factor, when an alcohol addiction is already present (early onset). The consequences on physical health, mental health and psychosocial problems requires plural skills and coordination between the different stakeholders in the health, social and family sectors in order to find need- adapted solutions and treatments.


La phase de transition entre 55 ans et l'âge avancé amène de nombreux changements pour les personnes concernées, que ce soit au niveau psychique, physique ou socioprofessionnel. Dans le contexte du vieillissement de la population, les prises en charge des personnes souffrant de problèmes d'alcoolodépendance dans cette tranche d'âge prennent plus d'importance et sont souvent sous-estimées. Le passage à la retraite constitue un facteur de risque de développement d'une alcoolodépendance et un facteur d'aggravation quand celle-ci est déjà installée. L'intrication des problèmes (addictologiques, psychiques, somatiques, psychosociaux) exige des compétences plurielles et une coordination entre les différents intervenants des domaines de la santé, du social et de l'entourage familial afin de trouver des solutions adaptées aux besoins de la personne concernée.


Alcoholism , Humans , Alcoholism/epidemiology , Alcoholism/psychology , Alcoholism/therapy , Aged , Risk Factors , Aging/physiology , Aging/psychology , Prevalence , Retirement/psychology
13.
BMC Geriatr ; 24(1): 481, 2024 Jun 01.
Article En | MEDLINE | ID: mdl-38824528

BACKGROUND: Successful ageing is the term often used for depicting exceptional ageing and can be measured with multidimensional models including physical, psychological and social wellbeing. The aim of this study was to test multidimensional successful ageing models to investigate whether these models can predict successful ageing, and which individual subcomponents included in the models are most significantly associated with successful ageing. METHODS: Successful ageing was defined as the ability to live at home without daily care at the age of 84 years or over. Data on the participants' physical, psychological and social wellbeing were gathered at baseline and the follow-up period was 20 years. Four successful ageing models were constructed. Backward stepwise logistic regression analysis was used to identify the individual subcomponents of the models which best predicted successful ageing. RESULTS: All successful ageing models were able to predict ageing successfully after the 20-year follow-up period. After the backward stepwise logistic regression analysis, three individual subcomponents of four models remained statistically significant and were included in the new model: having no heart disease, having good self-rated health and feeling useful. As a model, using only these three subcomponents, the association with successful ageing was similar to using the full models. CONCLUSIONS: Multidimensional successful ageing models were able to predict successful ageing after a 20-year follow-up period. However, according to the backward stepwise logistic regression analysis, the three subcomponents (absence of heart disease, good self-rated health and feeling useful) significantly associated with successful ageing performed as well as the multidimensional successful ageing models in predicting ageing successfully.


Aging , Humans , Male , Female , Aged, 80 and over , Aging/psychology , Aging/physiology , Follow-Up Studies , Healthy Aging/physiology , Healthy Aging/psychology , Time Factors , Forecasting , Geriatric Assessment/methods , Aged , Health Status
14.
PLoS One ; 19(5): e0299791, 2024.
Article En | MEDLINE | ID: mdl-38728261

BACKGROUND: Depression is one of the most common mental health disorders among older people. Depressive symptoms are often overlooked and untreated in primary care settings. This study aims to assess the prevalence of depressive symptoms and associated factors among older people in Vietnam. METHOD: The study analyzed data from the Vietnam National Aging Survey (VNAS) conducted in 2022 with a nationally representative sample of 3,006 older people aged 60 and over in 12 provinces. The 15-item Geriatric Depression Scale (GDS-15) was used to assess depressive symptoms. Bivariate and multiple logistic regression analyses were used to explore the association between depressive symptoms and other related factors such as sociodemographic and economic characteristics, social support, health status, Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) limitations, chronic diseases, cigarette smoking status, alcoholic drinking, and domestic violence. RESULTS: The prevalence of depressive symptoms among older people was 20.2%. The associated factors that increase the odds of having depression among older people were female gender (OR = 2.21, 95% CI 1.34-3.62), living in rural areas (OR = 1.83, 95% CI 1.15-2.89), the poorest quintile (OR = 2.26, 95% CI 1.39-3.66), self-rated poor health (OR = 11.68, 95% CI 4.96-27.49), ADL limitations (OR = 2.12, 95% CI 1.51-2.99), IADL limitation (OR = 1.61 95% CI 1.16-2.25), and experiencing domestic violence in the last 12 months (OR = 6.66, 95% CI 4.00-11.05). CONCLUSION: Depression symptoms were prevalent among older people in Vietnam. Depression screening for older people should be included in primary care settings for early identification and treatment of depression.


Activities of Daily Living , Depression , Humans , Male , Female , Aged , Vietnam/epidemiology , Depression/epidemiology , Middle Aged , Prevalence , Aged, 80 and over , Aging/psychology , Risk Factors , Health Surveys , Health Status
15.
J Gerontol Nurs ; 50(5): 27-34, 2024 May.
Article En | MEDLINE | ID: mdl-38691114

PURPOSE: To determine older adults' metaphorical perceptions of the concept of aging. METHOD: Participants in this qualitative study comprised 57 older adults as determined using convenience and criterion sampling methods. Data were obtained using a personal data form and the metaphor form and analyzed with descriptive and content analysis techniques. RESULTS: Fifty-seven metaphors were identified within three themes: 24 within Mental Aspect, 18 within Physical Aspect, and 15 within Psychosocial Aspect. CONCLUSION: The fact that most metaphors appeared within the Mental Aspect theme was interpreted as an indication that participants felt the effects of aging more in the mental dimension. Results of the research show that aging is perceived as experience and accumulation mentally, as inadequacy physically, and as the end or loneliness psychosocially. [Journal of Gerontological Nursing, 50(5), 27-34.].


Aging , Metaphor , Humans , Aged , Female , Male , Aging/psychology , Turkey , Aged, 80 and over , Middle Aged , Qualitative Research
16.
BMC Geriatr ; 24(1): 393, 2024 May 03.
Article En | MEDLINE | ID: mdl-38702602

BACKGROUND: Depression is a multifaceted condition with a high prevalence and burden to society. Handgrip strength (HGS) and gait speed (GS) are indices of physical health, which is linked to mental health. Previous studies have shown heterogeneity among countries in the association of physical parameters and depression. In this study, we aimed to investigate the association of HGS and GS with depressive symptoms in older adults. METHODS: This is a cross-sectional study analyzing data from the Birjand Longitudinal Aging Study, a cohort of community-dwelling older adults (≥ 60 years old). Depressive symptoms were assessed by the nine-item Patient Health Questionnaire. HGS was measured with a hand dynamometer in a sitting position, and GS was estimated by a 15-foot walk test at usual pace. RESULTS: Compared to participants in the first quartile, those in the second quartile of HGS had significantly lower odds of suffering from depressive symptoms, while GS was not significantly associated with depressive symptoms. A higher HGS was associated with a lower risk of moderate depressive symptoms, while a higher GS was related to a lower risk of moderately severe and severe symptoms. CONCLUSIONS: Our findings suggest that older people residing in Birjand, Iran with a moderate HGS are less likely to suffer from depressive symptoms than those with lower HGS.


Depression , Hand Strength , Independent Living , Walking Speed , Humans , Male , Aged , Female , Depression/epidemiology , Depression/psychology , Depression/physiopathology , Depression/diagnosis , Walking Speed/physiology , Hand Strength/physiology , Longitudinal Studies , Cross-Sectional Studies , Middle Aged , Iran/epidemiology , Aged, 80 and over , Aging/physiology , Aging/psychology
17.
Sci Rep ; 14(1): 10405, 2024 05 06.
Article En | MEDLINE | ID: mdl-38710809

As the most popular sport among middle-aged and elderly women in China, square dancing has both physical and psychological benefits for menopausal women. Previous studies have shown that square dance exercises can promote the physical health of older women, but there is a lack of research on the influence of middle-aged and elderly women on mental health and mediating variables. Therefore, this study starts with one of the important indicators of mental health-positive affects, aiming to explore the impact of square dance on the positive emotions of elderly women and further explore the mediating mechanisms involved. We send out The Physical Activity Rating Scale, the Positive and Negative Affect Scale, the Connor-Davidson Resilience Scale, and the Satisfaction With Life Scale to a total of 2311 middle-aged and elderly women. SPSS 23 software and PROCESS were used to perform regression analysis and establish mediation models. Modeling results show square dance exercises could positively predict positive affect through the chain mediating effect of psychological resilience and life satisfaction. The results of this study are of great significance for promoting the extensive participation of middle-aged and elderly women in sports and protecting their mental health.


Dancing , Mental Health , Personal Satisfaction , Humans , Female , Dancing/psychology , Middle Aged , Aged , Aging/psychology , Exercise/psychology , China , Resilience, Psychological , Quality of Life , Psychological Well-Being
18.
J Acoust Soc Am ; 155(5): 2990-3004, 2024 May 01.
Article En | MEDLINE | ID: mdl-38717206

Speakers can place their prosodic prominence on any locations within a sentence, generating focus prosody for listeners to perceive new information. This study aimed to investigate age-related changes in the bottom-up processing of focus perception in Jianghuai Mandarin by clarifying the perceptual cues and the auditory processing abilities involved in the identification of focus locations. Young, middle-aged, and older speakers of Jianghuai Mandarin completed a focus identification task and an auditory perception task. The results showed that increasing age led to a decrease in listeners' accuracy rate in identifying focus locations, with all participants performing the worst when dynamic pitch cues were inaccessible. Auditory processing abilities did not predict focus perception performance in young and middle-aged listeners but accounted significantly for the variance in older adults' performance. These findings suggest that age-related deteriorations in focus perception can be largely attributed to declined auditory processing of perceptual cues. Poor ability to extract frequency modulation cues may be the most important underlying psychoacoustic factor for older adults' difficulties in perceiving focus prosody in Jianghuai Mandarin. The results contribute to our understanding of the bottom-up mechanisms involved in linguistic prosody processing in aging adults, particularly in tonal languages.


Aging , Cues , Speech Perception , Humans , Middle Aged , Aged , Male , Female , Aging/psychology , Aging/physiology , Young Adult , Adult , Speech Perception/physiology , Age Factors , Speech Acoustics , Acoustic Stimulation , Pitch Perception , Language , Voice Quality , Psychoacoustics , Audiometry, Speech
19.
Lancet Healthy Longev ; 5(5): e356-e369, 2024 May.
Article En | MEDLINE | ID: mdl-38705153

BACKGROUND: Social health markers, including marital status, contact frequency, network size, and social support, have been shown to be associated with cognition. However, the mechanisms underlying these associations remain poorly understood. We investigated whether depressive symptoms and inflammation mediated associations between social health and subsequent cognition. METHODS: In the English Longitudinal Study of Ageing (ELSA), a nationally representative longitudinal study in England, UK, we sampled 7136 individuals aged 50 years or older living in private households without dementia at baseline or at the intermediate mediator assessment timepoint, who had recorded information on at least one social health marker and potential mediator. We used four-way decomposition to examine to what extent depressive symptoms, C-reactive protein, and fibrinogen mediated associations between social health and subsequent standardised cognition (verbal fluency and delayed and immediate recall), including cognitive change, with slopes derived from multilevel models (12-year slope). We examined whether findings were replicated in the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K), a population-based longitudinal study in Sweden, in a sample of 2604 individuals aged 60 years or older living at home or in institutions in Kungsholmen (central Stockholm) without dementia at baseline or at the intermediate mediator assessment timepoint (6-year slope). Social health exposures were assessed at baseline, potential mediators were assessed at an intermediate timepoint (wave 2 in ELSA and 6-year follow-up in SNAC-K); cognitive outcomes were assessed at a single timepoint (wave 3 in ELSA and 12-year follow-up in SNAC-K), and cognitive change (between waves 3 and 9 in ELSA and between 6-year and 12-year follow-ups in SNAC-K). FINDINGS: The study sample included 7136 participants from ELSA, of whom 3962 (55·5%) were women and 6934 (97·2%) were White; the mean baseline age was 63·8 years (SD 9·4). Replication analyses included 2604 participants from SNAC-K, of whom 1604 (61·6%) were women (SNAC-K did not collect ethnicity data); the mean baseline age was 72·3 years (SD 10·1). In ELSA, we found indirect effects via depressive symptoms of network size, positive support, and less negative support on subsequent verbal fluency, and of positive support on subsequent immediate recall (pure indirect effect [PIE] 0·002 [95% CI 0·001-0·003]). Depressive symptoms also partially mediated associations between less negative support and slower decline in immediate recall (PIE 0·001 [0·000-0·002]) and in delayed recall (PIE 0·001 [0·000-0·002]), and between positive support and slower decline in immediate recall (PIE 0·001 [0·000-0·001]). We did not observe mediation by inflammatory biomarkers. Findings of mediation by depressive symptoms in the association between positive support and verbal fluency and between positive support and change in immediate recall were replicated in SNAC-K. INTERPRETATION: The findings of this study provide new insights into mechanisms linking social health with cognition, suggesting that associations between interactional aspects of social health, especially social support, and cognition are partly underpinned by depressive symptoms. FUNDING: EU Joint Programme-Neurodegenerative Disease Research (JPND) and Alzheimer's Society. TRANSLATION: For the Swedish translation of the abstract see Supplementary Materials section.


Biomarkers , Cognition , Depression , Humans , Female , Longitudinal Studies , Male , Depression/epidemiology , Depression/blood , Middle Aged , Aged , Cognition/physiology , Biomarkers/blood , Inflammation/blood , Inflammation/epidemiology , England/epidemiology , Aging/psychology , Aging/immunology , Aged, 80 and over , Sweden/epidemiology , Social Support
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