Abstract
Objective: To test whether the level of hostility predicted the rate of cognitive decline in a community of older blacks and whites and whether the association varied as a function of race. Methods: Over 4800 persons from a defined community in Chicago completed up to three structured interviews at approximately 3 year intervals over a period of up to 8.8 years (mean = 4.4 years). At the baseline interview, hostility was assessed with 8-items from the Cook-Medley Hostility Scale. Cognitive function was assessed at each interview with four cognitive function tests from which a composite measure of cognition was formed. Mixed effects models were used to assess change in cognition and its relation to hostility, controlling for age, sex, education, and race. Results: The average score on the hostility scale at baseline was 3.0 (SD = 2.1). Higher levels of hostility were associated with lower cognitive scores (estimate =-0.028, SE = 0.004, p =.001). Cognition declined at a rate of 0.051 U per year on average, but hostility was not related to the rate of decline. Results were unchanged after controlling for depressive symptoms, chronic health, neuroticism, and social and cognitive activity patterns, or when persons with cognitive impairment at baseline were excluded. The association was similar in blacks and whites. Conclusion: The results suggest that hostility is associated with level of cognitive function in older persons but not related to cognitive decline.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 652-658 |
| Number of pages | 7 |
| Journal | Psychosomatic medicine |
| Volume | 71 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jul 1 2009 |
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Keywords
- Cognitive decline
- Hostility
- Longitudinal
- Race
Cite this
Hostility and change in cognitive function over time in older blacks and whites. / Barnes, Lisa L.; Mendes De Leon, Carlos F.; Bienias, Julia L.; Wilson, Robert S.; Everson-Rose, Susan A.; Evans, Denis A.
In: Psychosomatic medicine, Vol. 71, No. 6, 01.07.2009, p. 652-658.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hostility and change in cognitive function over time in older blacks and whites
AU - Barnes, Lisa L.
AU - Mendes De Leon, Carlos F.
AU - Bienias, Julia L.
AU - Wilson, Robert S.
AU - Everson-Rose, Susan A.
AU - Evans, Denis A.
PY - 2009/7/1
Y1 - 2009/7/1
N2 - Objective: To test whether the level of hostility predicted the rate of cognitive decline in a community of older blacks and whites and whether the association varied as a function of race. Methods: Over 4800 persons from a defined community in Chicago completed up to three structured interviews at approximately 3 year intervals over a period of up to 8.8 years (mean = 4.4 years). At the baseline interview, hostility was assessed with 8-items from the Cook-Medley Hostility Scale. Cognitive function was assessed at each interview with four cognitive function tests from which a composite measure of cognition was formed. Mixed effects models were used to assess change in cognition and its relation to hostility, controlling for age, sex, education, and race. Results: The average score on the hostility scale at baseline was 3.0 (SD = 2.1). Higher levels of hostility were associated with lower cognitive scores (estimate =-0.028, SE = 0.004, p =.001). Cognition declined at a rate of 0.051 U per year on average, but hostility was not related to the rate of decline. Results were unchanged after controlling for depressive symptoms, chronic health, neuroticism, and social and cognitive activity patterns, or when persons with cognitive impairment at baseline were excluded. The association was similar in blacks and whites. Conclusion: The results suggest that hostility is associated with level of cognitive function in older persons but not related to cognitive decline.
AB - Objective: To test whether the level of hostility predicted the rate of cognitive decline in a community of older blacks and whites and whether the association varied as a function of race. Methods: Over 4800 persons from a defined community in Chicago completed up to three structured interviews at approximately 3 year intervals over a period of up to 8.8 years (mean = 4.4 years). At the baseline interview, hostility was assessed with 8-items from the Cook-Medley Hostility Scale. Cognitive function was assessed at each interview with four cognitive function tests from which a composite measure of cognition was formed. Mixed effects models were used to assess change in cognition and its relation to hostility, controlling for age, sex, education, and race. Results: The average score on the hostility scale at baseline was 3.0 (SD = 2.1). Higher levels of hostility were associated with lower cognitive scores (estimate =-0.028, SE = 0.004, p =.001). Cognition declined at a rate of 0.051 U per year on average, but hostility was not related to the rate of decline. Results were unchanged after controlling for depressive symptoms, chronic health, neuroticism, and social and cognitive activity patterns, or when persons with cognitive impairment at baseline were excluded. The association was similar in blacks and whites. Conclusion: The results suggest that hostility is associated with level of cognitive function in older persons but not related to cognitive decline.
KW - Cognitive decline
KW - Hostility
KW - Longitudinal
KW - Race
UR - http://www.scopus.com/inward/record.url?scp=68849125084&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=68849125084&partnerID=8YFLogxK
U2 - 10.1097/PSY.0b013e3181a651b3
DO - 10.1097/PSY.0b013e3181a651b3
M3 - Article
C2 - 19483119
AN - SCOPUS:68849125084
VL - 71
SP - 652
EP - 658
JO - Psychosomatic Medicine
JF - Psychosomatic Medicine
SN - 0033-3174
IS - 6
ER -