高齢者における短期間の認知機能低下と孤独感の関連性(Cognitive decline and loneliness linked in older adults over short time periods)

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2024-11-11 ペンシルベニア州立大学(PennState)

ペンシルベニア州立大学の研究によると、高齢者において孤独感と認知機能の低下が短期間で相互に関連していることが明らかになりました。具体的には、ある日に孤独感が増すと翌日の認知機能が低下し、逆に認知機能が低下すると数時間後に孤独感が増加するという悪循環が観察されました。この研究は、70歳から90歳の313名を対象に、スマートフォンを用いて14日間、1日5回の孤独感と認知機能の評価を行ったものです。研究者は、孤独感がストレス要因として作用し、認知機能に影響を及ぼす可能性を指摘しています。この結果は、高齢者の社会的交流が認知機能の維持に重要であることを示唆しています。

<関連情報>

高齢者の日常生活における孤独感と認知能力の短期的な相関関係 Short-Term Coupling Associations Between State Loneliness and Cognitive Performance in Daily Life Among Older Adults

Jee eun Kang, PhD, Jennifer E Graham-Engeland, PhD, Lynn M Martire, PhD, David M Almeida, PhD, Martin J Sliwinski, PhD

The Journals of Gerontology: Series B  Published:03 August 2024
DOI:https://doi.org/10.1093/geronb/gbae134

Abstract

Objectives
Despite extensive efforts to study individual differences in loneliness and neurocognitive health, little is known about how within-person changes in state loneliness relate to cognitive performance. This study addressed this gap by examining the association between within-person variation in state loneliness and cognitive performance assessed objectively in daily life.

Methods
Participants were 313 community-dwelling older adults (70–90 years) who reported momentary feelings of loneliness and completed smartphone-based cognitive tests 5 times daily for 14 consecutive days. Mobile cognitive tests assess visual associative memory, processing speed, and spatial memory.

Results
At the day level, average state loneliness levels were negatively related to cognitive performance on the same day and subsequent day. Consistent with the day-level analysis, momentary assessments of increased loneliness were consistently linked to worse cognitive performance on concurrent assessments. However, moments characterized by lower cognitive performance predicted higher levels of loneliness 3–4 hr later (next occasion), but not vice versa.

Discussion
The findings suggest a prospective association between loneliness and cognitive performance, with higher daily loneliness negatively associated with cognitive performance on the same day and predicting worse performance the following day. Notably, within a single day, lower cognitive performance at a given moment predicted elevated loneliness later in the day. This highlights a complex, reciprocal relationship—loneliness predicting and being predicted by cognitive performance depending on timescale.

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