Social Life and Cognitive Function in Old Age

평균 수명의 연장과 그에 따른 인구의 고령화로 성공적 노화에 대한 관심이 증가하고 있다. 건강한 인지기능은 성공적 노화의 중요한 요소인데, 많은 연구자들이 노년기 인지기능 감퇴 및 신경인지장애의 보호요인 중 하나로 사회참여를 주목하고 있다. 본 논문에서는 사회참여가 노년기 인지기능에 미치는 영향에 관한 선행 연구결과들을 개관하고자 한다. 인지노화에서 사회참여의 효과는 사회연결망의 크기나 접촉 빈도, 참여하는 사회활동의 수 등의 구조적 측면과 사회지지 및 갈등과 같이 상호작용에 따른 정서교환의 질적 측면으로 구분하여 연구되어 왔다. 활발한 사회활동 참여는 일관되게 인지노화를 지연시키는 것으로 보고되는 데 비해, 사회연결망의 크기, 사회지지 및 사회갈등의 영향은 비일관된 결과가 보고되고 있다. 사회참여는 인지적으로 도전이 될 만한 사회적 상호작용에서 인지기능에 긍정적인 영향을 미쳤다. 사회참여가 인지적 자극을 통해 인지비축을 증가시킴으로써 노년기 인지감퇴에 보호적 역할을 하는 것으로 보인다. 마지막으로 이러한 결과들이 노년기 사회적 삶에서 갖는 함의와 추후 연구방향에 대해 논의하였다.

keywords: Social engagement, Social network, Social Activity, Social exchange, Cognitive Reserve, Aging, 사회참여, 사회연결망, 사회활동, 사회 교환, 인지비축, 노화

Abstract

With rising life expectancy and ageing populations, there are increasing interests in successful aging. Healthy cognitive function is one of the important components of successful aging and recently many researchers have focused on social engagement as a protective factor of neurocognitive disorders and cognitive decline in old age. This article reviews the literature on protective effects of social engagement on cognitive functions in older adults. The effects of social engagement on cognitive aging were investigated focusing two separate aspects, i. e. social network structure such as size of network, frequency of contact, and level of social activity, and network quality such as social support and conflict. Research findings supported consistently the protective effects of social activity on cognition, while findings on the effects of social network, social support and conflict were inconsistent. Social engagement positively affected cognitive function when the social interaction was cognitively challenging. Social engagement seems to increase cognitive reserve via cognitive stimulation and play protective roles in age-associated cognitive decline. Lastly, the implications of these results for social life in old age and suggestions for future studies were discussed.

keywords: Social engagement, Social network, Social Activity, Social exchange, Cognitive Reserve, Aging, 사회참여, 사회연결망, 사회활동, 사회 교환, 인지비축, 노화

참고문헌

박종한 (2005). 성공적 노화: 개념과 전략. 대한노인정신의학, 9, 37-49.

박태진 (2004). 노화의 인지신경 기전. 한국심리학회지: 실험, 16(3), 317-336.

이현주, 강상경 (2011). 노년기 인지기능의 성별 및 연령차이. 정신보건과 사회사업, 37(4), 255-278

진해숙 (2013). 노인 인지문제 개선 예측요인에 대한 탐색적 연구: 한국고령자패널데이터를 이용하여. 보건사회연구, 33(2), 461-488.

통계청 (2012). 장래가구추계: 2010년-2035년. 세종: 한국개발연구원

황종남, 권순만 (2009). 중․고령자의 사회활동 참여와 인지기능과의 관계. 한국노년학, 29(3), 971-986.

Banich, M. T., & Compton, R., J. (2011). Cognitive Neuroscience 3rd Ed., Belmont, CA: Cengage Learning/Wadsworth.

Basak, C., Boot, W. R., Voss, M. W., & Kramer, A. F. (2008). Can training in a real-time strategy videogame attenuate cognitive decline in older adults. Psychology and Aging, 23, 765-777.

Bennett, D. A., Schneider, J. A., Tang, Y., Arnold, S. E., ＆ Wilson, R. S. (2006). The effect of social networks on the relation between Alzheimer’s disease pathology and level of cognitive function in old people: A longitudinal cohort study. Lancet Neurology, 5(5), 406-412.

10.

Benloucif, S., Orbeta, L., Ortiz, R., Janssen, I., Finkel, S. I., Bleiberg, J., & Zee, P. C. (2004). Morning or evening activity improves neuropsychological performance and subjective sleep quality in older adults. Sleep, 27(8), 1542-1551.

11.

Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millenium. Social Science & Medicine, 51, 843-857.

12.

Brehmer, Y., Rieckmann, A., Bellander, M., Westerberg, H., Fischer, H., & Bäckman, L. (2011). Neural correlates of training-related working-memory gains in old age. Neuroimage, 58(4), 1110-1120.

13.

Brown C. L., Gibbons, L. E., Kennison, R. F., Robitaille, A., Lindwall, M., Mitchell, M. B., Shirk, S. D., Atri, A., Cimino, C. R., Benitez, A., Macdonald, S. W., Zelinski, E. M., Willis, S. L., Schaie, K. W., Johansson, B., Dixon, R. A., Mungas, D. M., Hofer, S. M., & Piccinin, A. M. (2012). Social activity and cognitive functioning over time: a coordinated analysis of four longitudinal studies. Journal of Aging Research, 2012, Article ID 287438.

14.

Carlson, M. C., Saczynski, J. S., Rebok, G. W., Seeman, T., Glass, T. A., McGill, S., & Fried, L. P. (2008). Exploring the effects of an “everyday” activity program on executive function and memory in older adults: Experience Corps. Gerontologist, 48, 793-801.

15.

Carlson, M. C., Erickson, K. I., Kramer, A. F., Voss, M. W., Bolea, N., Mielke, M., McGill, S., Rebok, G. W., Seeman, T., & Fried, L. P. (2009). Evidence for neurocognitive plasticity in at-risk older adults: the Experience Corps program. Journal of Gerontology Series A: Biological Sciences and Medical Sciences, 64(12), 1275-1282.

16.

Colcombe, S. J., Erickson, K. I., Scalf, P. E., Kim, J. S., Prakash, R., McAuley, E., & Kramer, A. F. (2006). Aerobic exercise training increases brain volume in aging humans. The Journal of Gerontology Series A: Biological Sciences and Medical Sciences, 61(11), 1166-1170.

17.

Crooks, V. C., Lubben, J., Petitti, D. B., Little, D., & Chiu, V. (2008). Social Network, cognitive function, and dementia incidence among elderly women. American Journal of Public Health, 98(7), 1221-1227.

18.

Erickson, K. I., Colcombe, S. J., Wadhwa, R., Bherer, L., Peterson, M. S., Scalf, P. E., Kim, J. S., Alvarando, M., & Kramer, A. F. (2007). Training-induced plasticity in older adults: effects of training on hemispheric asymmetry. Neurobiology of Aging, 28(2), 272-283.

19.

Fratiglioni, L., Paillard-Borg, S., & Winblad, B. (2004). An active and socially integrated lifestyle in late life might protect against dementia. The Lancet: Neurology, 3, 343-353.

20.

Fratiglioni, L., Wang, H. X., Ericsson, K., Maytan, M., & Winblad, B. (2000). Influence of social network on occurrence of dementia: A community-based longitudinal study. Lancet, 355(9212), 1315-1319.

21.

Giles, L. C., Anstey, K. J., Walker, R. B., & Luszcz, M. A., (2012). Social networks and memory over 15 years of followup in a cohort of older Australians: results from the Australian Longitudinal Study of Ageing. Journal of Aging Research, 2012.

22.

Glei, D. A., Landau, D. A., Goldman, N., Chuang, Y. L., Rodríguez, G., & Weinstein, M. (2005). Participating in social activities helps preserve cognitive function: an analysis of a longitudinal, population-based study of the elderly. International Journal of Epidemiology, 34, 864-871.

23.

Green, A. F., Rebok, G., & Lyketsos, C. G. (2008). Influence of social network characteristics on cognition and functional status with aging. International Journal of Geriatric Psychiatry, 23(9), 972-978.

24.

Hedden, T., & Gabrieli, J. D. (2004) Insights into the aging mind: a view from cognitive neuroscience. Nature Review, 5, 87-96.

25.

Hertzog, C., Kramer, A., Wilson, R. S., & Lindenberger, U. (2009). Enrichment effects on adult cognitive development. Psychological Science in the Public Interest, 9(1), 1-63.

26.

Holtzman, R. E., Rebok, G. W., Saczynski, J. S., Kouzis, A. C., Wilcox Doyle, K., & Eaton, W. W. (2004). Social network characteristics and cognition in middle-aged and older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59, 278-284.

27.

Hu, Y., Lei, X., Smith, J. P., & Zhao, Y. (2012). Effects of Social Activities on Cognitive Functions: Evidence from CHARLS. In National Research Council. Aging in Asia: Findings from New and Emerging Data Initiatives (pp. 279-305). Washington, DC: The National Academies Press.

28.

Hughes, T. F., Andel, R., Small, B. J., Borenstein, A. R., & Mortimer, J. A. (2008). The association between social resources and cognitive change in older adults: Evidence from the Charlotte County Healthy Aging Study. The Journals of Gerontology: Series B: Psychological Sciences and Social Sciences, 63, 241-244.

29.

James, B. D., Wilson, R. S., Barnes, L. L., & Bennett, D. A. (2011). Late-Life Social Activity and Cognitive Decline in Old Age. Journal of International Neuropsychological Society, 17(6), 998-1005.

30.

James, B. D., Glass, T. A., Caffo, B., Bobb, J. F., Davatzikos, C., Yousem, D., & Schwartz, B. S. (2012). Association of social engagement with brain volumes assessed by structural MRI. Journal of Aging Research, 2012.

31.

Jeste, D. V., Depp, C. A., & Vahia, I. V. (2010). Successful cognitive and emotional aging. World Psychiatry, 9(2), 78-84.

32.

Karbach, J., & Kray, J. (2009). How useful is executive control training? Age differences in near and far transfer of task-switching training. Developmental Science, 12(6), 978-990.

33.

Lee, JM., Lee, WJ., Kim, HC., Choi, W., Lee, J., Sung K., Chu, SH., Park, YR., & Youm, Y. (2014). The Korean Social Life, Health and Aging Project-Health Examination Cohort. Epidemiology and Health, 36. Article ID: e2014003.

34.

Lövden, M., Bäckman, L., Lindenberger, U., Schaefer, S., & Schmiedek, F. A. (2010). Theoretical framework for the study of adult cognitive plasticity. Psychological Bulletin, 136(4). 659-676.

35.

Lupien, S. J., Schwartz, G., Ng, Y. K., Fiocco, A., Wan, N., Pruessner, J. C., Meaney, M. J., & Nair, V. (2005). The Douglas Hospital Longitudinal Study of Normal and Pathological Aging: summary of findings. Journal of Psychiatry Neuroscience, 30(5), 328-334.

36.

Mather, M., & Carstensen, L. L. (2005). Aging and motivated cognition: the positivity effect in attenion and memory. Trends in Cognitive Sciences, 9(10), 496-502.

37.

Park, D. C., Lodi-Smith, J., Drew, L., Haber, S., Hebrank, A., Bischof, G. N., & Aadmodt, W. (2014). The impact of sustained engagement on cognitive function in older adults: the Synapse project. Psychological Science, 25(1), 103-112.

38.

Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat (2013). World population prospects the 2012 revision, Highlights and Advance Tables. NY: United Nations

39.

Rowe, J. W., &, Kahn, R. L., (1987). Human aging: usual and successful. Science 237, 143-149.

40.

Sallet, J., Mars, R. B., Noonan, M. P., Andersson, J. L., O’Reilly, J. X., Jbabdi, S., Croxson, P. L., Jenkinson, M., Miller, K. L., & Rushworth, M. F. S. (2011). Social network size affects neural circuits in macaques. Science, 334, 697-700.

41.

Scarmeas, N., & Stern, Y. (2003). Cognitive reserve and lifestyle. Journal of Clinical and Experimental Neuropsychology. 25(5), 625-633.

42.

Seeman, T. E., Lusignolo, T. M., Albert, M., & Berkman, L. (2001). Social relationships, social support, and patterns of cognitive aging in healthy, high-functioning older adults: MacArthur studies of successful aging. Health Psychology, 20, 243-255.

43.

Seeman, T. E., Miller-Martinez, D., Stein-Merkin, S., Lachman, M., Tun, P., & Karlamangla, A. (2010). Histories of social engagement and adult cognition in middle and late life: the midlife in the u.s. study. Journal of Gerontology: Psychological Sciences, 66B(S1), i141-i152.

44.

Small, G. W., Silverman, D. H. S., Siddarth, P., Ercoli, L. M., Miller, K. J., Lavretsky, H., & Phelps, M. E. (2006). Effects of a 14-day healthy longevity lifestyle program on cognition and brain function. The American Journal of Geriatric Psychiatry, 14, 538-545.

45.

Small, B. J., Dixon, R. A., McArdle, J. J., & Grimm, K. J. (2012). Do changes in lifestyle engagment moderate cognitive declines in normal aging? Evidence from the Victoria Longitudinal Study. Neuropsychology, 26, 144- 155.

46.

Stine-Morrow, E. A. L., Parisi, J. M., Morrow, D. G., & Park, D. C. (2008). The effects of an engaged lifestyle on cognitive vitality: A field experiment. Psychology and Aging, 23, 778-786.

47.

Stern Y. (2002). What is cognitive reserve? Theory and research application of the reserve concept. Journal of Interanational Neuropsychological Society, 8, 448-460.

48.

Stern, Y. (2012). Cognitive reserve in ageining and Alzheimer’s disease. Lancet Neurology, 11, 1006-1012.

49.

Tilvis R. S., Kähönen-Väre, M. H., Jolkkonen, J., Valvanne, J., Pitkala, K. H., & Strandberg, T. E. (2004). Predictors of Cognitive Decline and Mortality of Aged People over a 10-Year Period. Journals of Gerontology. Series A (Biological Sciences and Medical Sciences), 59(3), 268-274.

50.

Wang, H-X., Karp, A., Winblad, B., & Fratiglioni, L. (2002). Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: A longitudinal study from the Kungsholmen Project. American Journal of Epidemiology, 155, 1081-1087.

51.

Wilson, R. S., Evans, D. A., Bienias, J. L., Mendes de Leon, C. F., Schneider, J. A., & Bennet D. A. (2003) Proneness to psychological distress is associated with risk of Alzheimer's disease. Neurology, 61(11), 1479-1485.

52.

Windsor, T. D., Gerstorf, D., Pearson, E., Ryan, L. H., & Anstey, K. J. (2014). Positive and negative social exchanges and cognitive aging in young-old adults: differential associations across family, friend, and spouse domains. Psychology of Aging, 29(1), 28-43.

53.

Ybarra, O., Burnstein, E., Winkielman, P., Keller, M. C., Manis, M., Chan, E., & Rodriguez, J. (2008). Mental exercising through simple socializing: Social interaction promotes general cognitive functioning. Personality and Social Psychology Bulletin, 34, 248-259.

54.

Zunzunegui M. V., Alvarado B. E., Del Ser, T., & Otero, A. (2003). Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 58(2), S93-S100.

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논문 상세

Vol.34 No.1

노년기 사회적 삶과 인지기능

Social Life and Cognitive Function in Old Age

초록

Abstract

참고문헌

한국심리학회지: 일반