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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 2/2017

27.01.2017 | Beiträge zum Themenschwerpunkt

Social network and cognitive functioning in old age

Self-efficacy as a mediator?

verfasst von: Sonja Fankhauser, Andreas Maercker, Prof. Dr. Simon Forstmeier

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 2/2017

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Abstract

This study investigated self-efficacy (self-perceived and rated by an informant) as a mediator of the relationship between social network variables (including network size, frequency of social contacts, satisfaction with social contacts and social support) and cognitive impairment. Participants were 189 adults with a mean age of 75 years, 32 of whom suffered from mild cognitive impairment (MCI), 39 from early stage Alzheimer’s disease (AD) and 118 who had no cognitive impairment. Binary logistic regression and linear regression models were used to assess the association between the predictor variables and cognitive impairment, controlling for several confounders. Network size was significantly associated with the cognitive status (mini mental status examination; β = 0.15, p < 0.05) and with odds of cognitive impairment (odds ratio [OR]: 0.96, 95% confidence interval [CI]: 0.93–0.99). General self-efficacy rated by the informant mediated this relationship in both analyses. Possible underlying mechanisms, including neuroendocrine reactivity and health behavior are discussed.
Literatur
1.
Zurück zum Zitat Antonucci TC, Akiyama H (1997) Social support and the maintenance of competence. In: Willis SL, Schaie KW, Hayward M (eds) Societal mechanisms for maintaining competence in old age. Springer, New York, pp 182–206 Antonucci TC, Akiyama H (1997) Social support and the maintenance of competence. In: Willis SL, Schaie KW, Hayward M (eds) Societal mechanisms for maintaining competence in old age. Springer, New York, pp 182–206
2.
Zurück zum Zitat Antonucci TC, Jackson JS (1987) Social support, interpersonal efficacy, and health: A life course perspective. In: Carstensen LL, Edelstein BA (eds) Handbook of clinical gerontology. Pergamon Press, Elmsford NY Antonucci TC, Jackson JS (1987) Social support, interpersonal efficacy, and health: A life course perspective. In: Carstensen LL, Edelstein BA (eds) Handbook of clinical gerontology. Pergamon Press, Elmsford NY
3.
Zurück zum Zitat Bandura A (1993) Perceived self-efficacy in cognitive development and functioning. Educ Psychol 28:117–148CrossRef Bandura A (1993) Perceived self-efficacy in cognitive development and functioning. Educ Psychol 28:117–148CrossRef
4.
Zurück zum Zitat Bandura A (1997) Self-efficacy: The exercise of control. Freeman, New York Bandura A (1997) Self-efficacy: The exercise of control. Freeman, New York
5.
Zurück zum Zitat Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall, Englewood Cliffs NJ Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall, Englewood Cliffs NJ
6.
Zurück zum Zitat Barnes LL, Mendes De Leon CF, Wilson RS et al (2004) Social resources and cognitive decline in a population of older African Americans and whites. Neurology 63:2322–2326CrossRefPubMed Barnes LL, Mendes De Leon CF, Wilson RS et al (2004) Social resources and cognitive decline in a population of older African Americans and whites. Neurology 63:2322–2326CrossRefPubMed
7.
Zurück zum Zitat Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182CrossRefPubMed Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182CrossRefPubMed
8.
Zurück zum Zitat Bassuk SS, Glass GA, Berkman LF (1999) Social disengagement and incident cognitive decline in community-dwelling elderly persons. Ann Intern Med 131:165–173CrossRefPubMed Bassuk SS, Glass GA, Berkman LF (1999) Social disengagement and incident cognitive decline in community-dwelling elderly persons. Ann Intern Med 131:165–173CrossRefPubMed
9.
Zurück zum Zitat Beland F, Zunzunegui M, Alvardo B et al (2005) Trajectories of cognitive decline and social relations. J Gerontol B Psychol Sci Soc Sci 60B:320–330CrossRef Beland F, Zunzunegui M, Alvardo B et al (2005) Trajectories of cognitive decline and social relations. J Gerontol B Psychol Sci Soc Sci 60B:320–330CrossRef
10.
Zurück zum Zitat Berkman LF, Glass T, Brissette I et al (2000) From social integration to health: Durkheim in the new millennium. Soc Sci Med 51:843–857CrossRefPubMed Berkman LF, Glass T, Brissette I et al (2000) From social integration to health: Durkheim in the new millennium. Soc Sci Med 51:843–857CrossRefPubMed
11.
Zurück zum Zitat Bisconti TL, Bergeman CS (1999) Perceived social control as a mediator of the relationships among social support, psychological well-being, and perceived health. Gerontologist 39:94–103CrossRefPubMed Bisconti TL, Bergeman CS (1999) Perceived social control as a mediator of the relationships among social support, psychological well-being, and perceived health. Gerontologist 39:94–103CrossRefPubMed
12.
Zurück zum Zitat Carstensen LL (1993) Motivation for social contact across the lifespan: a theory of socioemotional selectivity. In: Jacobs JE, Motivation NSo (eds) Developmental perspectives on motivation. Current theory and research in motivation. University of Nebraska Press, Lincoln, pp 209–254 Carstensen LL (1993) Motivation for social contact across the lifespan: a theory of socioemotional selectivity. In: Jacobs JE, Motivation NSo (eds) Developmental perspectives on motivation. Current theory and research in motivation. University of Nebraska Press, Lincoln, pp 209–254
13.
Zurück zum Zitat Cohen S (1988) Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol 7:269–297CrossRefPubMed Cohen S (1988) Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol 7:269–297CrossRefPubMed
14.
Zurück zum Zitat Cohen S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357CrossRefPubMed Cohen S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357CrossRefPubMed
15.
Zurück zum Zitat Crooks VC, Lubben J, Petitti DB et al (2008) Social network, cognitive function, and dementia incidence among elderly women. Am J Public Health 98:1221–1227CrossRefPubMedPubMedCentral Crooks VC, Lubben J, Petitti DB et al (2008) Social network, cognitive function, and dementia incidence among elderly women. Am J Public Health 98:1221–1227CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Ertel KA, Glymour MM, Berkman LF (2008) Effects of social integration on preserving memory function in a nationally representative US elderly population. J Public Health (Bangkok) 98:1215–1220 Ertel KA, Glymour MM, Berkman LF (2008) Effects of social integration on preserving memory function in a nationally representative US elderly population. J Public Health (Bangkok) 98:1215–1220
17.
Zurück zum Zitat Fankhauser S, Forstmeier S, Maercker A et al (2015) Risk of dementia in older adults with low versus high occupation-based motivational processes: differential impact of frequency and proximity of social network. J Geriatr Psychiatry Neurol 28:126–135CrossRefPubMed Fankhauser S, Forstmeier S, Maercker A et al (2015) Risk of dementia in older adults with low versus high occupation-based motivational processes: differential impact of frequency and proximity of social network. J Geriatr Psychiatry Neurol 28:126–135CrossRefPubMed
18.
Zurück zum Zitat Forstmeier S, Maercker A (2015) Motivational processes in mild cognitive impairment and Alzheimer’s disease: results from the Motivational Reserve in Alzheimer’s (MoReA) study. BMC Psychiatry 15:293CrossRefPubMedPubMedCentral Forstmeier S, Maercker A (2015) Motivational processes in mild cognitive impairment and Alzheimer’s disease: results from the Motivational Reserve in Alzheimer’s (MoReA) study. BMC Psychiatry 15:293CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Forstmeier S, Maercker A (2008) Motivational reserve: Lifetime motivational abilities influence cognitive and emotional health in old age. Psychol Aging 23:886–899CrossRefPubMed Forstmeier S, Maercker A (2008) Motivational reserve: Lifetime motivational abilities influence cognitive and emotional health in old age. Psychol Aging 23:886–899CrossRefPubMed
20.
Zurück zum Zitat Forstmeier S, Maercker A, Maier W et al (2012) Motivational reserve: Motivation-related occupational abilities and risk of mild cognitive impairment and Alzheimer disease. Psychol Aging 27:353–363CrossRefPubMed Forstmeier S, Maercker A, Maier W et al (2012) Motivational reserve: Motivation-related occupational abilities and risk of mild cognitive impairment and Alzheimer disease. Psychol Aging 27:353–363CrossRefPubMed
21.
Zurück zum Zitat Fratiglioni L, Paillard-Borg S, Winblad B (2004) An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol 3:343–353CrossRefPubMed Fratiglioni L, Paillard-Borg S, Winblad B (2004) An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol 3:343–353CrossRefPubMed
22.
Zurück zum Zitat Fratiglioni L, Wang HX (2007) Brain reserve hypothesis in dementia. J Alzheimers Dis 12:11–22PubMed Fratiglioni L, Wang HX (2007) Brain reserve hypothesis in dementia. J Alzheimers Dis 12:11–22PubMed
23.
Zurück zum Zitat Fratiglioni L, Wang HX, Ericsson K et al (2000) Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet 355:1315–1319CrossRefPubMed Fratiglioni L, Wang HX, Ericsson K et al (2000) Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet 355:1315–1319CrossRefPubMed
24.
Zurück zum Zitat Fydrich T, Geyer M, Hessel A et al (1999) Fragebogen zur Sozialen Unterstützung (F-SozU): Normierung an einer repräsentativen Stichprobe [Social Support Questionnaire (F-SozU): Norms from a representative sample]. Diagnostica 45:212–216CrossRef Fydrich T, Geyer M, Hessel A et al (1999) Fragebogen zur Sozialen Unterstützung (F-SozU): Normierung an einer repräsentativen Stichprobe [Social Support Questionnaire (F-SozU): Norms from a representative sample]. Diagnostica 45:212–216CrossRef
25.
Zurück zum Zitat Fydrich T, Sommer G, Menzel U et al (1987) Fragebogen zur Sozialen Unterstützung (Kurzform; SOZU-K-22). Z Klin Psychol 16:434–436 Fydrich T, Sommer G, Menzel U et al (1987) Fragebogen zur Sozialen Unterstützung (Kurzform; SOZU-K-22). Z Klin Psychol 16:434–436
26.
Zurück zum Zitat Guo S, Fraser MW (2009) Propensity score analyses. Statistical methods and applications. Sage, Los Angeles Guo S, Fraser MW (2009) Propensity score analyses. Statistical methods and applications. Sage, Los Angeles
27.
Zurück zum Zitat Holtzman RE, Rebok GW, Saczynski JS et al (2004) Social network characteristics and cognition in middle-aged and older adults. J Gerontol B Psychol Sci Soc Sci 59:P278–P284CrossRefPubMed Holtzman RE, Rebok GW, Saczynski JS et al (2004) Social network characteristics and cognition in middle-aged and older adults. J Gerontol B Psychol Sci Soc Sci 59:P278–P284CrossRefPubMed
28.
Zurück zum Zitat Hughes TF, Andel R, Small BJ et al (2008) The association between social resources and cognitive change in older adults: evidence from the Charlotte County Healthy Aging Study. J Gerontol 63b:241–244CrossRef Hughes TF, Andel R, Small BJ et al (2008) The association between social resources and cognitive change in older adults: evidence from the Charlotte County Healthy Aging Study. J Gerontol 63b:241–244CrossRef
29.
Zurück zum Zitat Larson EB, Wang L, Bowen JD et al (2006) Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med 144:73–81CrossRefPubMed Larson EB, Wang L, Bowen JD et al (2006) Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med 144:73–81CrossRefPubMed
30.
Zurück zum Zitat Lepage B, Dedieu D, Savy N et al (2016) Estimating controlled direct effects in the presence of intermediate confounding of the mediator-outcome relationship: Comparison of five different methods. Stat Methods Med Res 25:553–570CrossRefPubMed Lepage B, Dedieu D, Savy N et al (2016) Estimating controlled direct effects in the presence of intermediate confounding of the mediator-outcome relationship: Comparison of five different methods. Stat Methods Med Res 25:553–570CrossRefPubMed
31.
Zurück zum Zitat Lübke N, Grassl A, Kundy M et al (2001) Hamburger Einstufungsmanual zum Barthel-Index. Geriatr J 1‑2:41–46 Lübke N, Grassl A, Kundy M et al (2001) Hamburger Einstufungsmanual zum Barthel-Index. Geriatr J 1‑2:41–46
32.
Zurück zum Zitat Luszczynska A, Gutiérrez-Doña B, Schwarzer R (2005) General self-efficacy in various domains of human functioning: Evidence from five countries. Int J Psychol 40:80–89CrossRef Luszczynska A, Gutiérrez-Doña B, Schwarzer R (2005) General self-efficacy in various domains of human functioning: Evidence from five countries. Int J Psychol 40:80–89CrossRef
33.
Zurück zum Zitat Mackinnon A, Khalilian A, Jorm AF et al (2003) Improving screening accuracy for dementia in a community sample by augmenting cognitive testing with informant report. J Clin Epidemiol 56:358–366CrossRefPubMed Mackinnon A, Khalilian A, Jorm AF et al (2003) Improving screening accuracy for dementia in a community sample by augmenting cognitive testing with informant report. J Clin Epidemiol 56:358–366CrossRefPubMed
34.
Zurück zum Zitat Mackinnon DP, Dwyer JH (1993) Estimating mediated effects in prevention studies. Eval Rev 17:144–158CrossRef Mackinnon DP, Dwyer JH (1993) Estimating mediated effects in prevention studies. Eval Rev 17:144–158CrossRef
35.
Zurück zum Zitat Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. Md State Med J 14:61–65PubMed Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. Md State Med J 14:61–65PubMed
37.
Zurück zum Zitat Pfeifer L, Horn AB, Maercker A et al (2015) Caregiver perception of apathy in persons with mild cognitive impairment or Alzheimer’s disease: a longitudinal study. Aging Ment Health 15:1–7CrossRef Pfeifer L, Horn AB, Maercker A et al (2015) Caregiver perception of apathy in persons with mild cognitive impairment or Alzheimer’s disease: a longitudinal study. Aging Ment Health 15:1–7CrossRef
38.
Zurück zum Zitat Scholz U, Gutierrez Dona B, Sud S et al (2002) Is general self-efficacy a universal construct? Psychometric findings from 25 countries. Eur J Psychol Assess 18:242–251CrossRef Scholz U, Gutierrez Dona B, Sud S et al (2002) Is general self-efficacy a universal construct? Psychometric findings from 25 countries. Eur J Psychol Assess 18:242–251CrossRef
39.
Zurück zum Zitat Smith GC, Kohn SJ, Savage-Stevens SE et al (2000) The effects of interpersonal and personal agency on perceived control and psychological well-being. Gerontologist 40:458–468CrossRefPubMed Smith GC, Kohn SJ, Savage-Stevens SE et al (2000) The effects of interpersonal and personal agency on perceived control and psychological well-being. Gerontologist 40:458–468CrossRefPubMed
40.
Zurück zum Zitat Sobel ME (1982) Asymptotic intervals for indirect effects in structural equation models. In: Leinhart S (ed) Sociological methodology. Jossey-Bass, San Francisco CA Sobel ME (1982) Asymptotic intervals for indirect effects in structural equation models. In: Leinhart S (ed) Sociological methodology. Jossey-Bass, San Francisco CA
41.
Zurück zum Zitat Valentijn SA, Hill RD, Van Hooren SA et al (2006) Memory self-efficacy predicts memory performance: results from a 6-year follow-up study. Psychol Aging 21:165–172CrossRefPubMed Valentijn SA, Hill RD, Van Hooren SA et al (2006) Memory self-efficacy predicts memory performance: results from a 6-year follow-up study. Psychol Aging 21:165–172CrossRefPubMed
42.
Zurück zum Zitat Verghese J, Lipton RB, Katz MJ et al (2003) Leisure activities and the risk of dementia in the elderly. N Engl J Med 348:2508–2516CrossRefPubMed Verghese J, Lipton RB, Katz MJ et al (2003) Leisure activities and the risk of dementia in the elderly. N Engl J Med 348:2508–2516CrossRefPubMed
43.
Zurück zum Zitat Whitmer RA, Gustafson DR, Barrett-Connor E et al (2008) Central obesity and increased risk of dementia more than three decades later. Neurology 71:1057–1064CrossRefPubMed Whitmer RA, Gustafson DR, Barrett-Connor E et al (2008) Central obesity and increased risk of dementia more than three decades later. Neurology 71:1057–1064CrossRefPubMed
44.
Zurück zum Zitat Winblad B, Palmer K, Kivipelto M et al (2004) Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. J Intern Med 256:240–246CrossRefPubMed Winblad B, Palmer K, Kivipelto M et al (2004) Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. J Intern Med 256:240–246CrossRefPubMed
46.
Zurück zum Zitat Yesavage JA, Brink TL, Rose TL et al (1983) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17:37–49CrossRef Yesavage JA, Brink TL, Rose TL et al (1983) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17:37–49CrossRef
Metadaten
Titel
Social network and cognitive functioning in old age
Self-efficacy as a mediator?
verfasst von
Sonja Fankhauser
Andreas Maercker
Prof. Dr. Simon Forstmeier
Publikationsdatum
27.01.2017
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 2/2017
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-016-1178-y

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