Amaç: Bu araştırmanın amacı, sağlıklı yaşlılarda bilişsel rezerv, duygu durumu ve duygu düzenleme becerileri arasındaki ilişkinin incelenmesidir. Gereç ve Yöntemler: Bu araştırma, demansı bulunmayan ve çalışmaya gönüllü olarak katılmayı kabul eden 60-80 yaşları arasındaki 80 kişi ile yürütülmüştür. Mini mental test, duygu düzenleme ölçeği (DDÖ), geriatrik depresyon ölçeği (GDÖ), bilişsel rezerve ilişkin bilgiler de içeren sosyodemografik bilgi formu, sözel akıcılık testi ve iz sürme testi kullanılmıştır. Bulgular: Yüksek eğitimli katılımcıların sözel akıcılık KAS puanının düşük eğitim grubundaki katılımcılara göre daha yüksek olduğu tespit edilmiştir (U=426,5, p<0,05). Düşük eğitim grubundaki katılımcıların iz sürme testi A-B formu tamamlama sürelerinin, yüksek eğitim grubundaki katılımcılara göre daha yüksek olduğu bulunmuştur (U=459, p<0,01; U=383, p<0,01). Düşük eğitimli katılımcıların GDÖ skorlarının, yüksek eğitimli katılımcılara göre daha yüksek olduğu görülmüştür (U=452, p<0,05). Kitap okuma sıklığı yüksek olan katılımcıların, iz sürme A-B formu hata sayılarının daha az ve iz sürme A-B formu süre ölçümlerinin daha düşük düzeyde olduğu görülmüştür (Kruskal-Wallis H testi: 7,22, hepsi için p<0,05). Ayrıca aktif olarak çalışan bireylerde DDÖ skorunun, çalışmayanlara göre daha yüksek olduğu belirlenmiştir (U=2,29, p<0,05). GDÖ toplam skoru ile sözel akıcılık KAS skoru arasında ters yönde, zayıf düzeyde anlamlı bir ilişki olduğu saptanmıştır (r=-0,27, p<0,05). GDÖ skoru ile iz sürme testi A formu tamamlama süreleri arasında pozitif yönde, anlamlı bir ilişki saptanmıştır (p<0,05). Sonuç: Bu araştırmada, yaşlı popülasyonda bilişsel rezervle ilişkili bir takım değişkenler ile duygu durum düzeyi ve duygu düzenleme becerileri arasında ilişki olduğu tespit edilmiştir.
Anahtar Kelimeler: Bilişsel rezerv; duygu düzenleme; depresyon
Objective: The aim of this study was to investigate the relationship between cognitive reserve, mood state and emotion regula tion in healthy elderly. Material and Methods: This study was conducted with 80 voluntary participants aged between 60-80 without dementia. Mini mental state exam, emotion regulation questionnaire (ERQ), geri atric depression scale (GDS), sociodemographic ınformation form in cluding cognitive reserve related questions, verbal fluency test and trail making test were used. Results: It was found that verbal fluency KAS score was higher in the high education group than the low education group (U=426.5, p<0,05). The completion time of trail making test A-B forms were also higher in the low education group (U=459, p<0,01; U=383, p<0,01). Participants in the low education group had higher GDS score than those in the high education group (U=452. p<0.05). The number of errors in trail making test A and B forms were lower and the completion time of trail making test A-B forms were lower for participants who read more frequently than the others (K.W.H.:7.22, p<0.05 for all). Furthermore, the ERQ score was higher in actively working individuals as compared to those who did not (U=2.29, p<0,05). A weak negative correlation was found between GDS score and verbal fluency KAS score (r:-0.27, p<0.05). A positive correlation was found between GDS score and completion time of trail making test A form (p<0.05). Conclusion: In this study, it was found that there was a relationship between cognitive reserve related factors, mood state and emotion regulation skills in elderly.
Keywords: Cognitive reserve; emotion regulation; depression
- Ardahan M. [Aging and nursing home]. Aile ve Toplum. 2010;11(5):25-32. [Link]
- Orimo H, Ito H, Suzuki T, Araki A, Hosoi T, Sawabe M, et al. Reviewing the definition of "elderly". Geriatrics & Gerontology International. 2006;6(3):149-58. [Crossref]
- Kanasi E, Ayilavarapu S, Jones J. The aging population: demographics and the biology of aging. Periodontol 2000. 2016;72(1):13-8. [Crossref] [PubMed]
- Dahl TH. International classification of functioning, disability and health: an introduction and discussion of its potential impact on rehabilitation services and research. J Rehabil Med. 2002;34(5):201-4. [Crossref] [PubMed]
- Evans IEM, Llewellyn DJ, Matthews FE, Woods RT, Brayne C, Clare L, et al. Social isolation, cognitive reserve, and cognition in older people with depression and anxiety. Aging Ment Health. 2019;23(12):1691-700. [Crossref] [PubMed]
- Scarmeas N, Stern Y. Cognitive reserve and lifestyle. J Clin Exp Neuropsychol. 2003;25(5):625-33. [Crossref] [PubMed] [PMC]
- Scarmeas N, Stern Y. Cognitive reserve: implications for diagnosis and prevention of Alzheimer's disease. Curr Neurol Neurosci Rep. 2004;4(5):374-80. [Crossref] [PubMed] [PMC]
- Çurgunlu A, Özulu Türkmen B. [Evaluation of emotion regulation in eldery]. Türkiye Klinikleri. 2018;38-40. [Link]
- Bruno D, Brown AD, Kapucu A, Marmar CR, Pomara N. Cognitive reserve and emotional stimuli in older individuals: level of education moderates the age-related positivity effect. Exp Aging Res. 2014;40(2):208-23. [Crossref] [PubMed]
- Huang CM, Fan YT, Lee SH, Liu HL, Chen YL, Lin C, et al. Cognitive reserve-mediated neural modulation of emotional control and regulation in people with late-life depression. Soc Cogn Affect Neurosci. 2019;31;14(8):849-60. [Crossref] [PubMed] [PMC]
- Demirtaş AS. [The predictive roles of emotion regulation strategies and self-esteem on happiness]. Electronic Turkish Studies. 2018;13(11):487-503. [Crossref]
- Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev. 2010;30(2):217-37. [Crossref] [PubMed]
- Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. [Crossref] [PubMed]
- Güngen C, Ertan T, Eker E. [Reliability and validity of the standardized mini mental state examination in the diagnosis of mild dementia in Turkish population]. Türk Psikiyatri Dergisi. 2002;13(4):273-81. [Link]
- Shao Z, Janse E, Visser K, Meyer AS. What do verbal fluency tasks measure? Predictors of verbal fluency performance in older adults. Front Psychol. 2014;22;5:772. [Crossref] [PubMed] [PMC]
- Barry D, Bates ME, Labouvie E. FAS and CFL forms of verbal fluency differ in difficulty: a meta-analytic study. Appl Neuropsychol. 2008;15(2):97-106. [Crossref] [PubMed] [PMC]
- Tombaugh TN. Trail making test A and B: normative data stratified by age and education. Arch Clin Neuropsychol. 2004;19(2):203-14. [Crossref] [PubMed]
- Cangöz B, Karakoç E, Selekler K. [Standardization study of the trail making test for Turkish adults and elderly people (ages 50 and over)]. Turkish Journal of Geriatrics. 2007;10(2):73-82. [Link]
- Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85(2):348-62. [Crossref] [PubMed]
- Totan T. [Validity and reliability of the Turkish form of the emotion regulation questionnaire]. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2015;3:153-61. [Crossref]
- Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983;17(1):37-49 [Crossref] [PubMed]
- Ertan T, Eker E, Şar V. Geriatrik depresyon ölçeğinin Türk yaşlı nüfusunda geçerlilik ve güvenilirliği [Reliability and validity of Geriatric Depression Scale in Turkish elderly population]. Nöropsikiyatri Arşivi. 1997;34(2):62-71. [Link]
- Bishop NA, Lu T, Yankner BA. Neural mechanisms of ageing and cognitive decline. Nature. 2010;25;464(7288):529-35. [Crossref] [PubMed] [PMC]
- Aartsen MJ, Smits CH, van Tilburg T, Knipscheer KC, Deeg DJ. Activity in older adults: cause or consequence of cognitive functioning? A longitudinal study on everyday activities and cognitive performance in older adults. J Gerontol B Psychol Sci Soc Sci. 2002;57(2):P153-62. [Crossref] [PubMed]
- Opdebeeck C, Martyr A, Clare L. Cognitive reserve and cognitive function in healthy older people: a meta-analysis. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2016;23(1):40-60. [Crossref] [PubMed]
- Hashimoto R, Meguro K, Lee E, Kasai M, Ishii H, Yamaguchi S, et al. Effect of age and education on the trail making test and determination of normative data for Japanese elderly people: the Tajiri Project. Psychiatry Clin Neurosci. 2006;60(4):422-8. [Crossref] [PubMed]
- Hamdan AC, Hamdan EMLR. Effects of age and education level on the trail making test in a healthy Brazilian sample. Psychol Neurosci. 2009;2(2):199-203. [Crossref]
- Chávez-Oliveros M, Rodríguez-Agudelo Y, Acosta-Castillo I, García-Ramírez N, Rojas de la Torre G, Sosa-Ortiz AL, et al. [Semantic verbal fluency in elderly Mexican adults: reference values]. Neurologia. 2015;30(4):189-94. [Crossref] [PubMed]
- Brucki SM, Rocha MS. Category fluency test: effects of age, gender and education on total scores, clustering and switching in Brazilian Portuguese-speaking subjects. Braz J Med Biol Res. 2004;37(12):1771-7. [Crossref] [PubMed]
- Van der Elst W, Van Boxtel MP, Van Breukelen GJ, Jolles J. Normative data for the Animal, Profession and Letter M Naming verbal fluency tests for Dutch speaking participants and the effects of age, education, and sex. J Int Neuropsychol Soc. 2006;12(1):80-9. [Crossref] [PubMed]
- Mohd Aznan MA, Mohamad CM, Nur SS, Muhammed ZY. Prevalence of depressive symptoms among elderly and its predictors: a cross sectional study in community Felda Bukit Goh, Kuantan Pahang. J Fam Med Forecast. 2019;2(2):1-6. [Link]
- Ladin K. Risk of late-life depression across 10 European Union countries: deconstructing the education effect. J Aging Health. 2008;20(6):653-70. [Crossref] [PubMed]
- Wilson RS, Mendes De Leon CF, Barnes LL, Schneider JA, Bienias JL, Evans DA, et al. Participation in cognitively stimulating activities and risk of incident Alzheimer disease. JAMA. 2002;13;287(6):742-8. [Crossref] [PubMed]
- Landau SM, Marks SM, Mormino EC, Rabinovici GD, Oh H, O'Neil JP, et al. Association of lifetime cognitive engagement and low β-amyloid deposition. Arch Neurol. 2012;69(5):623-29. [Crossref] [PubMed] [PMC]
- Moulds ML, Kandris E, Williams AD, Lang T, Yap C, Hoffmeister K, et al. An investigation of the relationship between cognitive reactivity and rumination. Behav Ther. 2008;39(1):65-71. [Crossref] [PubMed]
.: Process List