老年人心理弹性与认知功能的关系  

The relationship between resilience and cognitive function of older adults

作　　者：张玉平[1] 李彦章[1] 黄晓玲[1] 陈熙[1] 张亚静[2] 

机构地区：[1]四川应用心理学研究中心,成都医学院心理学系,成都610500 [2]河北师范大学教育学院,石家庄050024

出　　处：《中华行为医学与脑科学杂志》2017年第8期732-735,共4页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：基金项目：国家自然科学基金项目（31500910）;四川省教育厅研究项目（14ZB0283）

摘　　要：目的探讨心理弹性对老年人认知功能的影响。方法采用随机取样，对321名60岁以上老年人进行心理弹性量表、简易精神状态评价量表（MMSE）以及自编一般情况表的调查。结果老年人心理弹性总分[（82．75±15．13）分]高于中国社区人群[（65．40±13．90）分]，差异有统计学意义（t=20．68，P〈0．01）。心理弹性较低的老年人在认知功能各维度上的表现均显著落后于其他两组老年人（心理弹性中等和较高组）（P〈0．05）。在控制年龄、受教育水平后，心理弹性的坚韧性和力量性对MMSE总分具有正向的预测作用（β=0．25，0．17，P〈0．05）。结论老年人心理弹性与认知功能密切相关，加强老年人的坚韧性、力量性及乐观性的训练有利于延缓认知功能衰退。Objective To investigate the role of resilience on cognitive function in older adults. Methods By random sampling, a total of 321 older adults participated the present study and were investiga- ted by Connor-Davidson Resilience Scale, Mini Mental State Examination and self-designed general question- naire. Results The score of resilience in older adults （82.75±15.13 ） was significantly higher than that of Chinese community people （ 65.40±13.90） （ t= 20.68, P〈0.01 ）. Older adults with poor resilience performed significantly lower on all dimensions of cognitive abilities than the other two groups （ middle ＆ higher resili- ence group） （all P〈0.05）. With both age and educational level controlled, tenacity and strength were of pos- itive prediction for the cognitive abilities of older adults （β= 0.25,0.17, P〈0.05 ）. Conclusion There is a close relationship between resilience and cognitive function of older adults. The training of tenacity, strength and optimism will help delay the decline of cognitive function.

关 键 词：心理弹性 认知功能 老年人 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]