Skip to main content
Top

Open Access 01-12-2003 | Research article

Influence of social support on cognitive function in the elderly

Authors: Shu-Chuan Jennifer Yeh, Yea-Ying Liu

Published in: BMC Health Services Research | Issue 1/2003

Login to get access

Abstract

Background

Social support is important in daily activities of the elderly. This study tests the hypothesis that there is an association between social support and cognitive function among the elderly in a community setting.

Methods

Face-to-face interviews were conducted in a cross-sectional stratified random sample of 4,993 elderly (≥65 years) city residents. Using multiple regression analysis, we investigated the influence of social support on cognitive function.

Results

12% were over 80 years old. 53.28% were men. 67.14% were married. Higher Short Portable Mental Status Questionnaire (SPMSQ) scores (higher score means better cognitive function) were associated with strong social support, as measured by marital status and perceived positive support from friends. Lower cognitive function was associated with older and with female respondents. Only instrumental activities of daily living (IADL) were statistically and negatively related to SPMSQ. Lower functional status was associated with lower cognitive function. Elders with grade school educations had lower SPMSQ scores than did elders with high school educations.

Conclusions

In Taiwan, higher cognitive function in community-living elderly was associated with increased social support. Life-style management should provide social activities for the elderly to promote a better quality of life.
Appendix
Available only for authorised users
Literature
1.
go back to reference Christensen H, Korten A, Jorm AF, Henderson AS, Scott R, Mackinnon AJ: Activity levels and cognitive functioning in an elderly community sample. Age Ageing. 1996, 25: 72-80.CrossRefPubMed Christensen H, Korten A, Jorm AF, Henderson AS, Scott R, Mackinnon AJ: Activity levels and cognitive functioning in an elderly community sample. Age Ageing. 1996, 25: 72-80.CrossRefPubMed
2.
go back to reference Langer EJ, Rodin J, Beck P, Weinman C, Spitzer L: Environmental determinants of memory improvement in late adulthood. J Pers Soc Psychol. 1997, 37: 2003-2013.CrossRef Langer EJ, Rodin J, Beck P, Weinman C, Spitzer L: Environmental determinants of memory improvement in late adulthood. J Pers Soc Psychol. 1997, 37: 2003-2013.CrossRef
3.
go back to reference Berkman LF: Which influences cognitive function: Living alone or being alone?. Lancet. 2000, 355: 1291-1292. 10.1016/S0140-6736(00)02107-3.CrossRefPubMed Berkman LF: Which influences cognitive function: Living alone or being alone?. Lancet. 2000, 355: 1291-1292. 10.1016/S0140-6736(00)02107-3.CrossRefPubMed
4.
go back to reference Bassuk SS, Glass TA, Berkman LF: Social engagement and incident cognitive decline in community – dwelling elderly persons. Ann Intern Med. 1999, 131: 165-173.CrossRefPubMed Bassuk SS, Glass TA, Berkman LF: Social engagement and incident cognitive decline in community – dwelling elderly persons. Ann Intern Med. 1999, 131: 165-173.CrossRefPubMed
5.
go back to reference Boult C, Kane RL, Louis TA, Boult L, McCaffrey D: Chronic conditions that lead to functional limitation in the elderly. J Gerontol. 1994, 49: M28-M36.CrossRefPubMed Boult C, Kane RL, Louis TA, Boult L, McCaffrey D: Chronic conditions that lead to functional limitation in the elderly. J Gerontol. 1994, 49: M28-M36.CrossRefPubMed
6.
go back to reference Mendes de Leon CF, Glass TA, Beckett LA, Seeman TE, Evans DA, Berkman LF: Social networks and disability transitions across eight intervals of yearly data in the New Haven EPESE. J Gerontol B Psychol Sci Soc Sci. 1999, 54B: S162-S171.CrossRef Mendes de Leon CF, Glass TA, Beckett LA, Seeman TE, Evans DA, Berkman LF: Social networks and disability transitions across eight intervals of yearly data in the New Haven EPESE. J Gerontol B Psychol Sci Soc Sci. 1999, 54B: S162-S171.CrossRef
7.
go back to reference Fratiglioni L, Wang HX, Ericsson K, Maytan M, Winblad B: Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet. 2000, 355: 1315-1319. 10.1016/S0140-6736(00)02113-9.CrossRefPubMed Fratiglioni L, Wang HX, Ericsson K, Maytan M, Winblad B: Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet. 2000, 355: 1315-1319. 10.1016/S0140-6736(00)02113-9.CrossRefPubMed
8.
go back to reference Beard CM, Kokmen E, Offord KP, Kurland LT: Lack of association between Alzheimer's disease and education, occupation, marital status, or living arrangement. Neurology. 1992, 42: 2063-2068.CrossRefPubMed Beard CM, Kokmen E, Offord KP, Kurland LT: Lack of association between Alzheimer's disease and education, occupation, marital status, or living arrangement. Neurology. 1992, 42: 2063-2068.CrossRefPubMed
9.
go back to reference Fabrigoule C, Letenneur L, Dartigues JF, Zarrouk M, Commenges D, Barberger-Gateau P: Social and leisure activities and risk of dementia: A prospective longitudinal study. J Am Geriatr Soc. 1995, 43: 485-490.CrossRefPubMed Fabrigoule C, Letenneur L, Dartigues JF, Zarrouk M, Commenges D, Barberger-Gateau P: Social and leisure activities and risk of dementia: A prospective longitudinal study. J Am Geriatr Soc. 1995, 43: 485-490.CrossRefPubMed
10.
go back to reference Gribbin K, Schaie KW, Parham IA: Complexity of life style and maintenance of intellectual abilities. Journal of Social Issues. 1980, 36: 47-61.CrossRef Gribbin K, Schaie KW, Parham IA: Complexity of life style and maintenance of intellectual abilities. Journal of Social Issues. 1980, 36: 47-61.CrossRef
11.
go back to reference Zunzunegui MV, Gutierrez P Cuadra, Beland F, Del Ser T, Wolfson C: Development of simple cognitive function measures in a community dwelling population of elderly in Spain. Int J Geriatr Psychiatry. 2000, 15: 130-140. 10.1002/(SICI)1099-1166(200002)15:2<130::AID-GPS91>3.3.CO;2-3.CrossRefPubMed Zunzunegui MV, Gutierrez P Cuadra, Beland F, Del Ser T, Wolfson C: Development of simple cognitive function measures in a community dwelling population of elderly in Spain. Int J Geriatr Psychiatry. 2000, 15: 130-140. 10.1002/(SICI)1099-1166(200002)15:2<130::AID-GPS91>3.3.CO;2-3.CrossRefPubMed
12.
go back to reference Prince MJ, Harwood RH, Blizard RA, Thomas A, Mann AH: Social support deficits, loneliness and life events as risk factors for depression in old age. The Gospel Oak Project VI. Psychol Med. 1997, 27: 323-332. 10.1017/S0033291796004485.CrossRefPubMed Prince MJ, Harwood RH, Blizard RA, Thomas A, Mann AH: Social support deficits, loneliness and life events as risk factors for depression in old age. The Gospel Oak Project VI. Psychol Med. 1997, 27: 323-332. 10.1017/S0033291796004485.CrossRefPubMed
13.
go back to reference Andersson L: Loneliness and perceived responsibility and control in elderly community residents. J Soc Behav Pers. 1992, 3: 431-443. Andersson L: Loneliness and perceived responsibility and control in elderly community residents. J Soc Behav Pers. 1992, 3: 431-443.
14.
go back to reference Cutrona CE, Russel DW, Rose J: Social support and adaptation to stress by the elderly. J Psychol Aging. 1986, 1: 47-54. 10.1037//0882-7974.1.1.47.CrossRef Cutrona CE, Russel DW, Rose J: Social support and adaptation to stress by the elderly. J Psychol Aging. 1986, 1: 47-54. 10.1037//0882-7974.1.1.47.CrossRef
15.
go back to reference Jones WH, Moore TL: Loneliness and social support. IN Loneliness: Theory, research, and applications. Edited by: Hojat H, Crandall R. 1986, Newbury Park, CA: Sage, 145-157. Jones WH, Moore TL: Loneliness and social support. IN Loneliness: Theory, research, and applications. Edited by: Hojat H, Crandall R. 1986, Newbury Park, CA: Sage, 145-157.
16.
go back to reference Weiss RS: Reflections on the present state of loneliness research. In Loneliness: Theory, research, and applications. Edited by: Hojat M, Crandall R. 1989, Newbury Park, CA: Sage, 116. Weiss RS: Reflections on the present state of loneliness research. In Loneliness: Theory, research, and applications. Edited by: Hojat M, Crandall R. 1989, Newbury Park, CA: Sage, 116.
17.
go back to reference Bondevik M, Skogstad A: The oldest old, ADL, social network, and loneliness. West J Nurs Res. 1998, 20: 325-343.CrossRefPubMed Bondevik M, Skogstad A: The oldest old, ADL, social network, and loneliness. West J Nurs Res. 1998, 20: 325-343.CrossRefPubMed
19.
go back to reference Welch DC, West RL: The Short Portable Mental Status Questionnaire: assessing cognitive ability in nursing home residents. Nursing Research. 1999, 48: 329-32. 10.1097/00006199-199911000-00009.CrossRefPubMed Welch DC, West RL: The Short Portable Mental Status Questionnaire: assessing cognitive ability in nursing home residents. Nursing Research. 1999, 48: 329-32. 10.1097/00006199-199911000-00009.CrossRefPubMed
20.
go back to reference MacKenzie DM, Copp P, Shaw RJ, Goodwin GM: A Comparison of the Mini-Mental State Examination (MMSE), Abbreviated Mental Test (AMT) and Mental Status Questionnaire (MSQ). Psychological Medicine. 1996, 26: 427-430.CrossRefPubMed MacKenzie DM, Copp P, Shaw RJ, Goodwin GM: A Comparison of the Mini-Mental State Examination (MMSE), Abbreviated Mental Test (AMT) and Mental Status Questionnaire (MSQ). Psychological Medicine. 1996, 26: 427-430.CrossRefPubMed
21.
go back to reference Chen HT: Functional assessment: a holistic view of the elderly care. Annual meeting of Taiwan Medical Association, Kaohsiung, Taiwan. 1999, 44-45: S3-S4. Chen HT: Functional assessment: a holistic view of the elderly care. Annual meeting of Taiwan Medical Association, Kaohsiung, Taiwan. 1999, 44-45: S3-S4.
22.
go back to reference Hsiao SH, Chiu HC, Liu HW: A Replication of Multidimensionality of Activities of Daily Living (ADL):. on the Elderly in Southern Taiwan. 1994, 10: 449-457. Hsiao SH, Chiu HC, Liu HW: A Replication of Multidimensionality of Activities of Daily Living (ADL):. on the Elderly in Southern Taiwan. 1994, 10: 449-457.
23.
go back to reference Lee MB, Lee YJ: A cross-sectional epidemiological study of psychiatric comorbidity in hospitalized medically ill. Chinese Psychiatry. 1990, 4: 10-26. Lee MB, Lee YJ: A cross-sectional epidemiological study of psychiatric comorbidity in hospitalized medically ill. Chinese Psychiatry. 1990, 4: 10-26.
24.
go back to reference Lee MB, Lee YJ, Hsu CC, et al: Psychiatric disorders in medical inpatients: prevalence, psychiatric referrals, and risk factors. Chinese Psychiatry. 1989, 3: 112-123. Lee MB, Lee YJ, Hsu CC, et al: Psychiatric disorders in medical inpatients: prevalence, psychiatric referrals, and risk factors. Chinese Psychiatry. 1989, 3: 112-123.
25.
go back to reference Herzog AR, Wallace RB: Measures of cognitive functioning in the AHEAD study. J Gerontol B Psychol Sci Soc Sci. 1997, 52: 37-48.CrossRefPubMed Herzog AR, Wallace RB: Measures of cognitive functioning in the AHEAD study. J Gerontol B Psychol Sci Soc Sci. 1997, 52: 37-48.CrossRefPubMed
26.
go back to reference Brayne C, Gill C, Huppert FA, Barkley C, Gehlhaar E, Girling DM, O'Connor DW, Paykel ES: Incidence of clinically diagnosed subtypes of dementia in an elderly population. Cambridge Project for Later Life. Br J Psychiatry. 1995, 167: 255-262.CrossRefPubMed Brayne C, Gill C, Huppert FA, Barkley C, Gehlhaar E, Girling DM, O'Connor DW, Paykel ES: Incidence of clinically diagnosed subtypes of dementia in an elderly population. Cambridge Project for Later Life. Br J Psychiatry. 1995, 167: 255-262.CrossRefPubMed
27.
go back to reference Seeman TE, Berkman LF: Structural characteristics of social networks and their relationship with social support in the elderly: Who provides support?. Soc Sci Med. 1988, 26: 737-749. 10.1016/0277-9536(88)90065-2.CrossRefPubMed Seeman TE, Berkman LF: Structural characteristics of social networks and their relationship with social support in the elderly: Who provides support?. Soc Sci Med. 1988, 26: 737-749. 10.1016/0277-9536(88)90065-2.CrossRefPubMed
28.
go back to reference Oxman TE, Hull JG: Social support, depression, and activities of daily living in older heart surgery patients. J Gerontol B Psychol Sci Soc Sci. 1997, 52B: 1-14.CrossRef Oxman TE, Hull JG: Social support, depression, and activities of daily living in older heart surgery patients. J Gerontol B Psychol Sci Soc Sci. 1997, 52B: 1-14.CrossRef
29.
go back to reference Pfeiffer E: A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975, 23: 433-441.CrossRefPubMed Pfeiffer E: A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975, 23: 433-441.CrossRefPubMed
30.
go back to reference Litwin H: Social network type and morale in old age. The Gerontol. 2001, 41: 516-524.CrossRef Litwin H: Social network type and morale in old age. The Gerontol. 2001, 41: 516-524.CrossRef
31.
go back to reference Sugisawa H, Liang J, Liu X: Social networks, social support, and mortality among older people in Japan. J Gerontol. 1994, 49: S3-13.CrossRefPubMed Sugisawa H, Liang J, Liu X: Social networks, social support, and mortality among older people in Japan. J Gerontol. 1994, 49: S3-13.CrossRefPubMed
32.
go back to reference Sonn U, Asberg KH: Assessment of activities of daily living in the elderly. Scand J Rehabil Med. 1991, 23: 193-202.PubMed Sonn U, Asberg KH: Assessment of activities of daily living in the elderly. Scand J Rehabil Med. 1991, 23: 193-202.PubMed
33.
go back to reference Fillenbaum GG: Screening the elderly: A brief instrumental activities of daily living measure. J Am Geriatr Soc. 1985, 33: 698-706.CrossRefPubMed Fillenbaum GG: Screening the elderly: A brief instrumental activities of daily living measure. J Am Geriatr Soc. 1985, 33: 698-706.CrossRefPubMed
34.
go back to reference Hokoishi K, Ikeda M, Maki N, Nomura M, Torikawa S, Fujimoto N, Fukuhara R, Komori K, Tanabe H: Interrater reliability of the physical self-maintenance scale and the instrumental activities of daily living scale in a variety of health professional representatives. Aging Ment Health. 2001, 5: 38-40. 10.1080/13607860020020627.CrossRefPubMed Hokoishi K, Ikeda M, Maki N, Nomura M, Torikawa S, Fujimoto N, Fukuhara R, Komori K, Tanabe H: Interrater reliability of the physical self-maintenance scale and the instrumental activities of daily living scale in a variety of health professional representatives. Aging Ment Health. 2001, 5: 38-40. 10.1080/13607860020020627.CrossRefPubMed
35.
go back to reference Bergeman CS, Plomin R, Pedersen NL, McClearn GE: Genetic mediation of the relationship between social support and psychological well-being. Psychol Aging. 1991, 6: 640-646. 10.1037//0882-7974.6.4.640.CrossRefPubMed Bergeman CS, Plomin R, Pedersen NL, McClearn GE: Genetic mediation of the relationship between social support and psychological well-being. Psychol Aging. 1991, 6: 640-646. 10.1037//0882-7974.6.4.640.CrossRefPubMed
36.
go back to reference Thompson MG, Heller K: Facets of support related to well-being: Quantitative social isolation and perceived family support in a sample of elderly women. Psychol Aging. 1990, 5: 535-544. 10.1037//0882-7974.5.4.535.CrossRefPubMed Thompson MG, Heller K: Facets of support related to well-being: Quantitative social isolation and perceived family support in a sample of elderly women. Psychol Aging. 1990, 5: 535-544. 10.1037//0882-7974.5.4.535.CrossRefPubMed
37.
go back to reference Woo J, Ho SC, Lau S, Lau J, Yuen YK: Prevalence of cognitive impairment and associated factors among elderly Hong Kong Chinese aged 70 years and over. Neuroepidemiology. 1994, 13: 50-58.CrossRefPubMed Woo J, Ho SC, Lau S, Lau J, Yuen YK: Prevalence of cognitive impairment and associated factors among elderly Hong Kong Chinese aged 70 years and over. Neuroepidemiology. 1994, 13: 50-58.CrossRefPubMed
38.
go back to reference Scherr PA, Hebert LE, Smith LA, Evans DA: Relation of blood pressure to cognitive function in the elderly. Am J Epidemiol. 1991, 134: 1303-1315.PubMed Scherr PA, Hebert LE, Smith LA, Evans DA: Relation of blood pressure to cognitive function in the elderly. Am J Epidemiol. 1991, 134: 1303-1315.PubMed
39.
go back to reference Skoog L, Lernfelt B, Landahl S, Palmertz B, Andreasson LA, Nilsson L, Persson G, Oden A, Svanborg A: 15-year longitudinal study of blood pressure and dementia. Lancet. 1996, 347: 1141-1145. 10.1016/S0140-6736(96)90608-X.CrossRefPubMed Skoog L, Lernfelt B, Landahl S, Palmertz B, Andreasson LA, Nilsson L, Persson G, Oden A, Svanborg A: 15-year longitudinal study of blood pressure and dementia. Lancet. 1996, 347: 1141-1145. 10.1016/S0140-6736(96)90608-X.CrossRefPubMed
40.
go back to reference Mahoney JE, Eisner J, Havighurst T, Gray S, Palta M: Problems of older adults living alone after hospitalization. J Gen Intern Med. 2000, 15: 611-619. 10.1046/j.1525-1497.2000.06139.x.CrossRefPubMedPubMedCentral Mahoney JE, Eisner J, Havighurst T, Gray S, Palta M: Problems of older adults living alone after hospitalization. J Gen Intern Med. 2000, 15: 611-619. 10.1046/j.1525-1497.2000.06139.x.CrossRefPubMedPubMedCentral
41.
go back to reference Sarason IG, Sarason BR, Sherion EN: Social support as an individual difference variable: Its stability, origins, and relational aspects. J Pers Soc Psychol. 1986, 50: 845-855. 10.1037//0022-3514.50.4.845.CrossRef Sarason IG, Sarason BR, Sherion EN: Social support as an individual difference variable: Its stability, origins, and relational aspects. J Pers Soc Psychol. 1986, 50: 845-855. 10.1037//0022-3514.50.4.845.CrossRef
42.
go back to reference Stokes JP, Levin I: Gender differences in predicting loneliness from social network characteristics. J Pers Soc Psychol. 1986, 51: 1069-1074. 10.1037//0022-3514.51.5.1069.CrossRefPubMed Stokes JP, Levin I: Gender differences in predicting loneliness from social network characteristics. J Pers Soc Psychol. 1986, 51: 1069-1074. 10.1037//0022-3514.51.5.1069.CrossRefPubMed
43.
go back to reference Hultsch DF, Hammer M, Small BJ: Age differences in cognitive performance in later life: Relationships to self-reported health and activity life style. J Gerontol. 1993, 48: 1-11.CrossRef Hultsch DF, Hammer M, Small BJ: Age differences in cognitive performance in later life: Relationships to self-reported health and activity life style. J Gerontol. 1993, 48: 1-11.CrossRef
44.
go back to reference Bowling A: Research methods in health: investigating health and health services. Open University Press, Buckingham, Philadelphia. 1997 Bowling A: Research methods in health: investigating health and health services. Open University Press, Buckingham, Philadelphia. 1997
45.
go back to reference Grady KE, Wallston BS: Research in health care settings. Thousand Oaks, California: Sage Publications. 1988 Grady KE, Wallston BS: Research in health care settings. Thousand Oaks, California: Sage Publications. 1988
46.
go back to reference Potts MK: Social Support and Depression among Older Adults Living Alone: The Importance of Friends Within and Outside of a Retirement Community. Social Work. 1997, 42: 348-362.CrossRefPubMed Potts MK: Social Support and Depression among Older Adults Living Alone: The Importance of Friends Within and Outside of a Retirement Community. Social Work. 1997, 42: 348-362.CrossRefPubMed
Metadata
Title
Influence of social support on cognitive function in the elderly
Authors
Shu-Chuan Jennifer Yeh
Yea-Ying Liu
Publication date
01-12-2003
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2003
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-3-9