The Effect of Psychological Resilience on Cognitive Decline in Community-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study.

Journal: Korean journal of family medicine

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Affiliated Institutions:  Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea. Department of Health Sciences and Technology, College of Medicine, Kyung Hee University, Seoul, Korea. Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul, Korea.

Abstract summary 

Chronic stress is associated with an increased risk of cognitive impairment and Alzheimer's disease. This study aimed to assess whether better coping with stress, as assessed using the Brief Resilience Scale (BRS), is associated with slower cognitive decline in community-dwelling older adults.This study used 2018/2019 data and 2-year follow-up data from the Korean Frailty and Aging Cohort Study. Of the 3,014 total participants, we included 1,826 participants (mean age, 77.6±3.7 years, 51.9% female) who completed BRS and Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Battery and the Korean version of the Frontal Assessment Battery (FAB).Higher BRS score at baseline was associated with a lesser decline in the Mini-Mental State Examination score over 2 years after adjusting for age, sex, years of education, smoking status, hypertension, diabetes, and depression (B, 0.175; 95% confidence interval, 0.025-0.325) for 2 years, which represents global cognitive function. Other cognitive function measurements (Word List Memory, Word List Recall, Word List Recognition, Digit Span, Trail Making Test-A, and FAB) did not change significantly with the BRS score at baseline.These findings suggest that better stress-coping ability, meaning faster termination of the stress response, may limit the decline in cognitive function.

Authors & Co-authors:  Kim Won Kim Park Kim Kim Ryu

Study Outcome 

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Citations : 
Authors :  7
Identifiers
Doi : 10.4082/kjfm.23.0145
SSN : 2005-6443
Study Population
Male,Female
Mesh Terms
Other Terms
Cognitive Dysfunction;Psychological Resilience;Resilience;Stress
Study Design
Cohort Study
Study Approach
Country of Study
Publication Country
Korea (South)