The Relationship of John Henryism With Cognitive Function and Decline in Older Black Adults
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Le résumé fourni par la source
OBJECTIVE: This study aimed to investigate the relationship between John Henryism, a psychological trait typified by high-effort active coping that has been associated with adverse health outcomes among Blacks, and cognitive decline. METHODS: In a cohort of community-dwelling older Black adults ( N = 611), we investigated the relationship between John Henryism and cognitive decline. John Henryism was measured using the John Henryism Active Coping Scale (JHACS), a nine-item validated measure of self-reported high-effort coping (mean [standard deviation] = 16.9 [4.8]; range, 4-27). We implemented a three-step modeling process using mixed-effects models to assess the relationship between the JHACS and global cognitive function as well as five cognitive domains. We adjusted for demographics and for factors known to be associated with cognitive function and decline including vascular risk factors, discrimination, and income. RESULTS: The trait of high-effort active coping was associated with lower-average cognitive function ( β = -0.07, 95% confidence interval = -0.10 to -0.03), but not with decline. The results remained after further adjustment for experiences of discrimination, income, and vascular risk factors. In domain-specific analyses, we found that the JHACS was associated with baseline levels of working memory, semantic memory, and visuospatial ability, but not decline. CONCLUSIONS: These results highlight the importance of using culturally specific measures in considering the heterogeneity of cognitive health outcomes in minoritized populations. Understanding how stress responses relate to late-life cognition among older Black adults could help promote aspects of behavioral resilience along with healthful coping responses.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The Relationship of John Henryism With Cognitive Function and Decline in Older Black Adults
- Date Crossref
- 28/07/2022
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Brigham Young University Departments of Psychology (Howard) pays non établi dans la noticeUniversité ou école supérieure
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Rush University Medical Center Departments of Family Medicine (Shah) pays non établi dans la noticeÉtablissement de santé
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Utah State Hospital Departments of Psychology (Howard) pays non établi dans la noticeÉtablissement de santé
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Rush University pays non établi dans la noticeUniversité ou école supérieure
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From the Rush Alzheimer’s Disease Center (McSorley pays non établi dans la noticeInstitution
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Received for publication November 22 pays non établi dans la noticeInstitution
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revision received April 25 pays non établi dans la noticeInstitution
Departments of Psychology (Howard) — Brigham Young University, Departments of Family Medicine (Shah) — Rush University Medical Center et Departments of Psychology (Howard) — Utah State Hospital, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.