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Reductions in cognitive functioning are associated with decreases in satisfaction with aging. Longitudinal findings based on a nationally representative sample
Affiliation:1. Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Hamburg, Germany;2. Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Germany;1. Department of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit, Amsterdam, the Netherlands;2. Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Victoria, Australia;3. Department of Internal Medicine, Section of Gerontology and Geriatrics, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands;4. Department of Internal Medicine, Amstelland Hospital, Amstelveen, the Netherlands;5. Department of Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands;1. School of Health and Sport Sciences, University of the Sunshine Coast, Queensland, Australia;2. Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria 3168, Australia;3. Department of Medicine and Australian Institute of Musculoskeletal Science, Melbourne Medical School – Western Campus, The University of Melbourne, St Albans, Victoria, 3021, Australia;1. Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands;2. Zonnehuisgroep Amstelland, Amstelveen, the Netherlands;3. Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium;4. Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Denmark;5. Public Health and Epidemiology Group, Department of Health, Science and Technology, Aalborg University, Denmark
Abstract:ObjectiveThe objective of this study was to investigate the link between cognitive functioning and satisfaction with aging.MethodsData were drawn from a population-based sample, the German Ageing Survey (wave 5 and wave 6 with n = 6,384 in the analytical sample). The validated Philadelphia Geriatric Center Morale Scale was used to quantify satisfaction with aging. Cognitive functioning was measured using the digit symbol test. Linear fixed effects regressions were used.ResultsAdjusting for socioeconomics and various health-related covariates, regressions showed that decreases in cognitive functioning were associated with decreases in satisfaction with aging (β = .002, p = .02). Furthermore, regressions showed that decreases in satisfaction with aging were associated with increases in age (β=-.01, p < .001), decreases in physical functioning (β = .002, p < .01), worsening self-rated health (β=-.12, p < .001) and they were inversely associated with changes from employment to retirement (β = .11, p < .001).ConclusionStudy findings stress the importance of maintaining cognitive functioning for sustaining satisfaction with ageing. Strategies to postpone cognitive decline among middle-aged and older adults may contribute to aging satisfaction and ultimately to successful aging.
Keywords:Cognitive functioning  Satisfaction with aging  Self-perceptions of aging  Cognition  Longitudinal study  Ageing Satisfaction  Digit symbol test  PGCMS  Cognitive decline
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