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Perceived Stress and Cognitive Decline in Chinese-American Older Adults.
J Am Geriatr Soc 2019; 67(S3):S519-S524JA

Abstract

OBJECTIVES

To examine whether higher levels of perceived stress are associated with lower levels of cognitive function and faster cognitive decline in older Chinese-American adults.

DESIGN

Longitudinal.

SETTING

Population Study of Chinese Elderly in Chicago (PINE).

PARTICIPANTS

PINE is the largest population-based epidemiological study of Chinese Americans aged 60 and older in the greater Chicago area. Wave 1 data were collected from 3,159 older adults during 2011 to 2013. Wave 2 data were collected from 2,713 older adults during 2013 to 2015.

MEASUREMENTS

In addition to sociodemographic and health-related variables, participants completed the Chinese Perceived Stress Scale and multiple cognitive tasks. Episodic memory was assessed using the East Boston Memory Tests, perceptual speed was assessed using the Symbol Digit Modalities Test, and working memory was assessed using the Digit Span Backwards.

RESULTS

Controlling for sociodemographic and health-related variables, mixed-effects regression models showed that higher levels of perceived stress were associated with poorer episodic memory, perceptual speed, and working memory in older Chinese-American adults but not with faster cognitive decline over an average 2-year interval.

CONCLUSION

The present study is the first population-based, longitudinal study to examine the relationships between perceived stress and cognitive decline in older Chinese-American adults. It suggests the importance of researchers, social workers, and policy makers developing programs to reduce stress and improve cognitive function in older Chinese-American adults. J Am Geriatr Soc 67:S519-S524, 2019.

Authors+Show Affiliations

Department of Psychology, Bowling Green State University, Bowling Green, Ohio.Department of Social Work and Social Policy, School of Social and Behavior Science, Nanjing University, Nanjing, Jiangsu, China.Department of Sociology, University of Hawai'i at Mānoa, Honolulu, Hawai'i.Department of Psychology, Bowling Green State University, Bowling Green, Ohio.Department of Psychology, Bowling Green State University, Bowling Green, Ohio.Rutgers University and Institute, Newark, New Jersey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31403192

Citation

Chen, Yiwei, et al. "Perceived Stress and Cognitive Decline in Chinese-American Older Adults." Journal of the American Geriatrics Society, vol. 67, no. S3, 2019, pp. S519-S524.
Chen Y, Liang Y, Zhang W, et al. Perceived Stress and Cognitive Decline in Chinese-American Older Adults. J Am Geriatr Soc. 2019;67(S3):S519-S524.
Chen, Y., Liang, Y., Zhang, W., Crawford, J. C., Sakel, K. L., & Dong, X. (2019). Perceived Stress and Cognitive Decline in Chinese-American Older Adults. Journal of the American Geriatrics Society, 67(S3), pp. S519-S524. doi:10.1111/jgs.15606.
Chen Y, et al. Perceived Stress and Cognitive Decline in Chinese-American Older Adults. J Am Geriatr Soc. 2019;67(S3):S519-S524. PubMed PMID: 31403192.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived Stress and Cognitive Decline in Chinese-American Older Adults. AU - Chen,Yiwei, AU - Liang,Ying, AU - Zhang,Wei, AU - Crawford,Jennifer C, AU - Sakel,Katie L, AU - Dong,XinQi, PY - 2018/04/24/received PY - 2018/07/19/revised PY - 2018/08/13/accepted PY - 2019/8/13/entrez KW - cognitive decline KW - cognitive functions KW - minority aging KW - perceived stress SP - S519 EP - S524 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 67 IS - S3 N2 - OBJECTIVES: To examine whether higher levels of perceived stress are associated with lower levels of cognitive function and faster cognitive decline in older Chinese-American adults. DESIGN: Longitudinal. SETTING: Population Study of Chinese Elderly in Chicago (PINE). PARTICIPANTS: PINE is the largest population-based epidemiological study of Chinese Americans aged 60 and older in the greater Chicago area. Wave 1 data were collected from 3,159 older adults during 2011 to 2013. Wave 2 data were collected from 2,713 older adults during 2013 to 2015. MEASUREMENTS: In addition to sociodemographic and health-related variables, participants completed the Chinese Perceived Stress Scale and multiple cognitive tasks. Episodic memory was assessed using the East Boston Memory Tests, perceptual speed was assessed using the Symbol Digit Modalities Test, and working memory was assessed using the Digit Span Backwards. RESULTS: Controlling for sociodemographic and health-related variables, mixed-effects regression models showed that higher levels of perceived stress were associated with poorer episodic memory, perceptual speed, and working memory in older Chinese-American adults but not with faster cognitive decline over an average 2-year interval. CONCLUSION: The present study is the first population-based, longitudinal study to examine the relationships between perceived stress and cognitive decline in older Chinese-American adults. It suggests the importance of researchers, social workers, and policy makers developing programs to reduce stress and improve cognitive function in older Chinese-American adults. J Am Geriatr Soc 67:S519-S524, 2019. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/31403192/Perceived_Stress_and_Cognitive_Decline_in_Chinese_American_Older_Adults_ L2 - https://doi.org/10.1111/jgs.15606 DB - PRIME DP - Unbound Medicine ER -