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Positive psychological constructs and cognitive function: A systematic review and meta-analysis
Affiliation:1. Adapt Lab, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK;2. Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK;3. iCope – Camden & Islington NHS Foundation Trust, St Pancras Hospital, London NW1 0PE, UK;4. MRC Unit for Lifelong Health and Ageing at UCL, University College London, London, UK;1. School of Chemistry and Biological Engineering, University of Science and Technology Beijing, Beijing 100083, China;2. Daxing Research Institute, University of Science and Technology Beijing, Beijing 100083, China;1. Section of Geriatrics, Department of Medical Sciences, University of Turin, AOU Città della Salute e della Scienza – Molinette, Corso Bramante 88-90, 10126 Turin, Italy;2. Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134 Florence, Italy;3. Section of Internal Medicine, Department of Medical Sciences, University of Turin, AOU Città della Salute e della Scienza – Sant’Anna, Corso Bramante 88-90, 10126 Turin, Italy;4. Ageing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Straße 62, 50937 Cologne, Germany;5. Cologne Excellence Cluster On Cellular Stress-Responses in Aging-Associated Diseases (CECAD), University of Cologne, Faculty of Medicine and University Hospital Cologne, Joseph-Stelzmann Straße 26, 50931 Cologne, Germany;1. Department of Physiology, Shandong Provincial Key Laboratory of Pathogenesis and Prevention of Neurological Disorders and State Key Disciplines: Physiology, School of Basic Medicine, Qingdao University, Qingdao, China;2. University of Health and Rehabilitation Sciences, Qingdao, China;1. Department of Ophthalmology, Visual, and Anatomical Sciences, Wayne State University School of Medicine, Detroit, MI, USA;2. Department of Pathobiology, College of Veterinary Medicine, Auburn University, AL, USA;3. Department of Biochemistry, Microbiology, and Immunology, Wayne State University School of Medicine, Detroit, MI, USA;1. State Key Laboratory of Microbial Biotechnology, Shandong University, Qingdao, China;2. State Key Laboratory of Microbial Resources and Environmental Microbiology Research Center at Institute of Microbiology, Chinese Academy of Sciences, Beijing, China;3. Department of Physiology, Shandong Provincial Key Laboratory of Pathogenesis and Prevention of Neurological Disorders and State Key Disciplines: Physiology, Medical College, Qingdao University, Qingdao, China
Abstract:AimTo synthesise evidence regarding the association between positive psychological constructs (PPCs) and cognitive function in adults aged 50 +.MethodsLiterature searches: Medline, PsycINFO, and Scopus (inception to February 2022). Studies were included if they reported on the association between at least one PPC and one objective measure of cognitive function in people aged 50 + without cognitive impairment at baseline. Where at least two studies reported on the same PPC and cognitive outcome, estimates were pooled through meta-analysis.FindingsIn total, 37 studies were included. There was evidence of cross-sectional associations for ‘meaning in life’ (verbal fluency: b = 0.09, 95 %CI [0.07, 0.11], p < .001; memory: b = 0.10, 95 %CI [0.08, 0.12], p < .001), ‘purpose in life’ (verbal fluency: b = 0.07, 95 %CI [0.05, 0.08], p < .001; memory: r = 0.13, 95 %CI [0.08, 0.18], p < .001), and positive affect (cognitive state: r = 0.25, 95 %CI [0.14, 0.36], p < .001; memory: r = 0.05, 95 %CI [0.02, 0.08], p < .001) with various domains of cognitive function. However, no significant results were found for life satisfaction (p = .13) or longitudinal studies investigating positive affect and memory (p = .48). Other PPCs were included in narrative syntheses only.ImplicationsPurpose and meaning in life may be sensible primary targets for interventions to promote healthy cognitive aging. More longitudinal and causal inference research is needed to better understand this association and its implications for clinical practice.
Keywords:Positive psychology  Cognitive function  Systematic review  Meta-analysis
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