di
Georgiy Korobeynikov
Abstract
The aim of investigation was to study relation of the subjective
estimation of sense of coherence and well-being life-satisfaction
with cognitive functions in ageing. Two groups: 60 townspeople
aged 35-82 and 60 village people aged 32-85 was examined.
The results are showed that differences between town and village
people there are no statistically significant. At the same
time average age in town group is higher than in village group.
This circumstance indicates bigger ageing conservation of
cognitive functions among town people than among village people.
Apart from this it can be supposed that subjective well-being
estimations among town group are higher than among corresponding
village group. This fact can characterise higher probability
of low health behavioural among village people than among
town people. According to results the sense of coherence among
town people determined first of all by condition of cognitive
functions. Exclusion for village people is shown in relation
of cognitive functions with meaningfulness.
Introduction
Human behavioural reactions are complex and many-sided. Psychic
activity provokes emotional states, which change the objective
parameters. In result the determination of psychic state is
very complicated.
There are many data about stress aspects (Mullan, 1981) and
human psychological adaptation to social tension condition
(Vercrussen, 1991; File,1993). But, there are no criteria,
which show the anxiety with subjective estimation of coherence
and well-being life-satisfaction.
The difficulties in differentiating of subjective and objective
psychical characteristics are observed in modern psychological
diagnostic (Leonova, 1984). Ageing changes of the healthy
state are more complicate of psychological diagnostic of elderly
patients (Korkushko O.V., Chebotarev D.F., Kalinovskaya E.G.,
1993). Modern gerontology research shows a decline in the
cognitive functions especially memory and thinking (Monk,
1990; Arbuckle, Conney, Milne & Melchior; 1994; Falkenstein,
Hohnsbein, Hoorman, 2000). However, reduction of cognitive
functions may be related with psychopathologies that don't
include ageing influences (Mullan, 1981). Unfortunately, studies
on the relation between subjective psychical estimations and
cognitive functions are lacking.
Thus, the aim of investigation was to study relation of the
subjective estimation of sense of coherence and well-being
life-satisfaction with cognitive functions in ageing.
Methods
This presentation is a small part of pilot studying of the
European survey on ageing protocol (Chairs of International
project Prof. Johannes J.F. Schroots (NL) and Prof. Georg
Rudinger (DE), Coordinate: Dr. Rocio Fernandez-Ballesteros
(ES); the supervisor of National project Prof. Vladislav Bezrukov
(Ukraine), Co-ordinates: Dr. Alexander Polukhov, Dr. Vera
Chaikovskaya, 1998).
Two groups: 60 townspeople (Kiev) aged 40-82 and 60 village
people (Hodosiivka, Kiev-Sviatoshin region) aged 40-85 were
examined.
The life-satisfaction and well being were studied in Well-Being/Happiness
Questions (Lykken & Tellegen, 1966). Was examined of Ukrainian
version Well-Being/Happiness Questions. The first question
deals with the extent of contentedness and happiness feel,
when looking at life now. The patient can indicate her opinion
by marking one of the numbers from1 to 4, which best expresses,
her feeling. Number 1 would mean an extremely low level, whereas
number 4 would indicate an extremely high level of contentedness
The following four question ask about the level of agreement
or disagreement:
Expected Response Time: 1 min.
The subjective estimation of sense of coherence was studied
by Sense of Coherence Questionnaire (Antonovsky, 1983).
Here is a series of questions on various aspects of life.
Each question has seven possible answers. The person has instruction:
"
Please mark the number, which expresses your
answer, with numbers 1 and 7 being the extreme answers. If
the words under 1 are right for you, circle 1; if the words
under 7 are right for you, circle 7. If you feel differently,
circle the number, which best expresses you're feeling. Please
give only one answer to each question".
If the respondent is not able to self-administer this instrument,
the interviewer should read the statements and mark in the
appropriate category.
C = Comprehension, MA = Manageability, ME = Meaningfulness.
Expected response time: 8 min. The Ukrainian version of the
Sense of Coherence Questionnaire was examined. The used of
short version (13 questions). For Sense of Coherence Questionnaire
analysis was used general estimation and scales: comprehension,
manageability and meaningfulness.
The Sense of Coherence Questionnaire was adapted into Russian
and Ukrainian languages by working group from Institute of
Gerontology under the head of Prof. Vladislav Bezrukov.
As objective criterion of cognitive functional state: memory
and speed were used in the Digit Span Backwards and Digit
Symbol Test (Subscale from WAIS, Wechsler, 1958).
Were used set of digits given below, say: "
Now
I am going to say some numbers. Listen carefully, and when
I have finished, I want you to say them backwards. For example:
if I say:
7 - 1 - 9,
you say:
9 - 1 - 7.
Numbers must be presented 1 per second". If subjects
given them correctly say: "
That's right".
If subjects do not seem to understand, use another example.
Always begin with the 3 digit series, continuing until subject
fails both trials of the series. If subjects fails the 3-digits
series, it is permissible to give him/her the 2-digit series
and allow a 2 score, if he/she is able to reverse them. Only
use 2-digit series when there is failure on both of the 3
digit series. Score is the highest number of digits correctly
reversed. Maximum series 8 points.
The memory volume (MV) was evaluated in estimating the correctly
memorised digits, which presented for a subject by verbal
information:
MV = log2N, (1)
where N - number of the correctly memorised digits.
For Digit Symbol Test were use special symbol protocol (Wechsler,
1958). Subject has to match digits with correct symbol within
90 seconds, measured by a chronometer. The first 8 items serve
as training unit (items overall: 75). Score: number of correct
items. Start counting by chronometers after example. The person
has interviewer: "
Below you find digits from 1
to 9. As shown in the table, each digit corresponds to a special
symbol. Please choose the correct symbol for a digit and write
it down in the empty boxes. Try to match a maximum of digits
with correct symbol until the interviewer says, "STOP".
The information processing volume (IPV, bit) were determined
by formula:
IPV = [log 2 (n / 92)* 9], (2)
where n - number correct symbol; 92 - maximum symbol in protocol;
9- number of one test solving variants.
The information processing speed (IPS, bit/s) were determined
by formula:
IPS = IPV / T, (3)
where T - average time of test solving.
The average time of test solving estimated for formula:
T = [(n / 90)*92] (4)
where - 90 - maximum of test' time, s.
The formulae that are used for determination of parameters
of cognitive functions are presented from our previous papers
(Korobeynikov, 1999, 2001).
Results
The subjective self-estimation results of Well-being (WB)
and Sense of coherence (SOC) among townspeople and village
people are presented in Table 1.
As it is seen in Table 1 the differences between town and
village people are not statistically significant. At the same
time average age in town group is higher than in village group.
Table 1
Subjective self estimation of well-being, sense of coherence
and objective cognitive parameters among town people and village
people
* - p < 0,05 for concerning previous group;
The correlation analysis showed a high negative relation
of cognitive functions and subjective estimation of well-being
on age: coefficient of correlation between memory volume (R
=-0.44 (p<0.003)), information processing speed (R = 0.81
(p<0.001)) and well-being estimations (R =-0.32 (p<0.03).
This circumstance indicates bigger functional conservation
of cognitive functions among town people than among village
people. Apart from this it can be supposed that subjective
well-being estimations among town group are higher than among
corresponding village group.
This fact can characterise higher probability of anxiety among
village people than among town people.
For study of changes and intercalation parameters of correlation
analysis was used within both groups. The data of correlation
analysis between subjective estimation of well being and studied
parameters are presented in Table 2.
Table 2
Data of correlation between the subjective estimation of well
being and sense of coherence and objective cognitive parameters
in town people and village people
*- statistically significant level p < 0,05,
** - statistically significant level p < 0,01
According to analysis result the subjective estimation of
well being is connected with sense of coherence, especially
with manageability (Table 2). This reflects an anxiety among
village people, when self-estimation of well being is determined
from sense of coherence. There is independent well-being estimation
from sense of coherence among town people.
The inter relation among well-being estimation and cognitive
functions shows that cognitive functions among town people
group is more functionally conserved than among village people
group.
The data of correlation analysis between sense of coherence
and cognitive function parameters are presented in Table 3.
According to data of Table 3 the sense of coherence among
town people determined first of all by condition of cognitive
functions. Exclusion for village people is shown in relation
of cognitive functions with meaningfulness. The absence of
correlation between the sense of coherence and cognitive functions
among village people shows the randomicity of psychic organisation
(Korobeynikov, 2002).
Table 3
Data of correlation between sense of coherence and cognitive
function parameters in town people and village people
*- statistically significant level p < 0,05,
** - statistically significant level p < 0,01
Thus, the formed behavioural reaction to organisation of
psychic functions is manifestation of an anxiety. The subjective
estimations of satisfaction and sense of coherence can be
used for studying of anxiety of people.
The ageing peculiarities of subjective psychical characteristics
with parameters of cognitive functions were to study in the
next part of investigation. The social status of people who
are examined is not taken into account.
Average meanings of cognitive parameters in different age
groups are presented in Table 4.
According to Table 4 the higher meanings of memory volume
(MV), volume (IPV) and speed (IPS) of information processing
are observed in age group 40-49. From age group 50-59 and
over the significant decreasing of cognitive functions is
showed (Table 4).
Table 4
Ageing meanings of cognitive parameters
* - p < 0,05 concerning age group 40-49;
** - p < 0,05 concerning previous age group.
The information processing volume in age groups 70-79 and
80-85 decreases more then twice in comparison with age group
40-49 (Table 4). The information processing speed (IPS) in
age group 80-85 declines 1.3 times in comparison with age
group 40-49 (Table 4). Volume memory (VM) in age group 80-85
decreases 1.2 times in comparison with age group 40-49 (Table
4).
At the same time the VM, IPV and IPS in age groups 50-59 and
60-69 are lower in comparison with age group 40-49, but are
higher then in age group 70-79 (Table 4).
The subjective estimations of Sense of Coherence and well-being
life-satisfaction in different age groups are presented in
Table 5.
Table 5
Ageing estimations of Sense of Coherence and well-being life-satisfaction
* - p < 0,05 concerning age group 40-49;
According to the results the people in age group 80-85 have
the worst level of well-being life-satisfaction (Table 5).
The bigger estimations of well-being life satisfaction are
observed in age group 40-49 (Table. 5). The next of subjective
psychical parameters: sense of coherence, comprehension and
especially meaningfulness in age group 80-85 are decreasing
(Table 5). At the same time, the average estimations of manageability
in age group 80-85 are not statistically significant among
different age groups (Table 5).
Discussion
The estimations of sense of coherence and well-being life-satisfaction
are related with human social status. This fact is more observed
in village people in comparison with town people.
The increasing parameters of cognitive functions are corresponding
with higher characteristics of sense of coherence and well-being
life-satisfaction in age group 40-49.
Ageing decreasing of cognitive functions provokes the anxious
psychic states. These states are displayed in decline of well-being
life-satisfaction and sense of coherence. Ageing decline of
subjective psychical states is a manifestation of cognitive
functions activities, especially information processing.
The conservation of subjective states, well-being life-satisfaction
and sense of coherence reflects one of the ageing protection
mechanisms of adaptation-compensatory activity of cognitive
functions.
This conclusion is in concordance with ageing theory proposed
by Frolkis (1993). According to this theory, the following
adaptation-compensatory mechanisms are arisen which prevent
the destabilisation of ageing process.
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