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- Title
- DOES CHRONIC STRESS ACCELERATE LATE-AGING COGNITIVE DECLINE IN MEMORY AND EXECUTIVE FUNCTIONING?.
- Creator
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Robinson, Diane, Bedwell, Jeffrey, University of Central Florida
- Abstract / Description
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Few studies exist examining the relationship between self-reported stress and cognitive function in healthy nonpsychiatric older adults, and even less studies have examined whether high levels of self-reported stress accelerate the cognitive decline found in normal late-aging populations. A group of older nonpsychiatric adults, ages 54 years and above, were asked to complete three measures assessing their self-perceived stress over the past month, past year, and their lifetime. Sixty-one...
Show moreFew studies exist examining the relationship between self-reported stress and cognitive function in healthy nonpsychiatric older adults, and even less studies have examined whether high levels of self-reported stress accelerate the cognitive decline found in normal late-aging populations. A group of older nonpsychiatric adults, ages 54 years and above, were asked to complete three measures assessing their self-perceived stress over the past month, past year, and their lifetime. Sixty-one adults between the ages of 54 and 88 (52% female) participated in a second phase in which neuropsychological tasks were administered to assess three cognitive domains; memory, learning, and executive functioning. A hierarchical regression examined each of the three domain scores to explore whether self-perceived acute and chronic stress, after covaring for state anxiety, was related to neuropsychological performance. No statistically significant regressions were found, which was predicted for the learning domain, but contrary to the hypotheses for the memory and executive functioning domain. The potential influence of age in this study was explored in a series of ANOVAs examining the interactions between the three stress measures with state anxiety and age on the three cognitive domains. A statistically significant interaction was found between age and perceived lifetime stress when examining the memory domain score. In the young-old participants an increase in stress showed a non-significant relationship with a decrease in memory performance, while in the older-old participants the opposite non-significant tendency was found. The current study also partially replicated an earlier report of a relationship between an increase in recent self-reported stress and a decrease in performance on a specific divided attention task, and extended this finding to include older adults. While the majority of the studyÃÂ's hypotheses were not supported, these preliminary findings provide the field with interesting areas to explore in future studies.
Show less - Date Issued
- 2010
- Identifier
- CFE0003256, ucf:48515
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003256
- Title
- The efficacy and feasibility of neuropsychological services in a primary care setting.
- Creator
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Herring, Danielle, Paulson, Daniel, Sherod, Megan, Blaney, Cerissa, Cannarozzi, Maria, University of Central Florida
- Abstract / Description
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Integrated primary care assimilates psychologists into the primary care setting, thus improving health outcomes and physician satisfaction. Neuropsychology has also begun to assimilate into primary care, as neurocognitive impairment is a correlate of many medical disorders. Subjective cognitive decline (SCD), a common complaint among older adults, is an increasingly recognized warning sign of non-normative cognitive aging. These patients typically present first to their primary care providers...
Show moreIntegrated primary care assimilates psychologists into the primary care setting, thus improving health outcomes and physician satisfaction. Neuropsychology has also begun to assimilate into primary care, as neurocognitive impairment is a correlate of many medical disorders. Subjective cognitive decline (SCD), a common complaint among older adults, is an increasingly recognized warning sign of non-normative cognitive aging. These patients typically present first to their primary care providers who may play a critical role in the early detection of cognitive impairment. Given the growing awareness about cognitive health and disability, the importance of neuropsychological assessment as a standard component of integrated care has been recognized by providers. Thus, the purpose of this study is to examine the efficacy and feasibility of neuropsychological services, for memory concerns, in a community primary care setting. The study also explored the relationship between SCD and performance on neurocognitive measures and satisfaction levels for both patient participants and medical providers. A total of 16 patient participants completed the study. On average, patients were in their late-60's and mostly female and Caucasian. Participants completed a brief interview, neurocognitive evaluation, self-report measures of SCD and mood, and satisfaction survey. Results did not reveal significant correlations between SCD and neurocognitive performance. Significantly more referrals were made to the onsite neurocognitive clinic, than were made for outside services in a nine-month period preceding the described program. Patients referred to the onsite clinic were also significantly more likely to have an accessible report located in their EMR than those referred offsite. Both participants and medical providers were reportedly satisfied with clinic services. Results suggest that a clinic of this nature has promising benefits and is well-liked by both patients and providers, though barriers related to full utilization of services remain a challenge. Further research with a larger, more diverse sample is recommended. ?
Show less - Date Issued
- 2019
- Identifier
- CFE0007653, ucf:52508
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007653