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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Decline in cognitive function and elder mistreatment: Findings from the Chicago Health and Aging Project
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Decline in cognitive function and elder mistreatment: Findings from the Chicago Health and Aging Project

机译：认知功能下降和老年人虐待：芝加哥健康与老龄化项目的发现

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Objective: This study aimed to examine the longitudinal association between decline in cognitive function and elder mistreatment (EM). Methods: Chicago Health and Aging Project (CHAP) is an epidemiologic study conducted in a geographically defined community (N = 6,159). We identified 143 CHAP participants who had longitudinal cognitive data and EM reported to social services agency. The primary predictor was cognitive function, which was assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (Perceptual Speed), and both immediate and delayed recall of the East Boston Memory Test (Episodic Memory). An index of global cognitive function scores was derived by averaging z scores of all tests. Logistic regression models were used to assess the association of cognitive function domains and risk for EM. Results: After adjusting for potential confounders, every one-point decline in global cognitive function (odds ratio [OR]: 1.57 [1.21-2.03]), MMSE (OR: 1.07 [1.03-1.10]), Episodic Memory (OR: 1.46 [1.14-1.86]), and Perceptual Speed (OR: 1.05 [1.02-1.07]) scores were associated with increased risk for EM. Lowest tertiles in global cognitive function (OR: 2.71 [1.49-4.88]), MMSE (OR: 2.02 [1.07-3.80]), Episodic Memory (OR: 2.70 [1.41-5.16]), and Perceptual Speed (OR: 4.41 [2.22-8.76]) scores were associated with increased risk for EM. Conclusion: Decline in global cognitive function, MMSE, and Perceptual Speed scores were associated with increased risk for EM.
机译：目的：本研究旨在探讨认知功能下降与老年人虐待（EM）之间的纵向联系。方法：芝加哥健康与老龄化项目（CHAP）是在地理区域内进行的流行病学研究（N = 6,159）。我们确定了143位CHAP参与者，这些参与者具有纵向认知数据并向社会服务机构报告了EM。主要的预测指标是认知功能，该功能通过迷你精神状态检查（MMSE），符号数字模态测试（知觉速度）以及东波士顿记忆测试（情景记忆）的即时和延迟召回进行评估。通过将所有测试的z得分取平均值，得出总体认知功能得分的指数。 Logistic回归模型用于评估认知功能域与EM风险的关联。结果：在调整了潜在的混杂因素之后，整体认知功能每降低一个点（优势比[OR]：1.57 [1.21-2.03]），MMSE（OR：1.07 [1.03-1.10]），情节记忆（OR：1.46） [1.14-1.86]）和知觉速度（OR：1.05 [1.02-1.07]）得分与EM风险增加相关。总体认知功能最低的三分位数（OR：2.71 [1.49-4.88]），MMSE（OR：2.02 [1.07-3.80]），情节记忆（OR：2.70 [1.41-5.16]）和感知速度（OR：4.41 [ 2.22-8.76]）分数与EM风险增加相关。结论：整体认知功能，MMSE和知觉速度评分下降与EM风险增加相关。

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