Social engagement before and after dementia diagnosis in the English Longitudinal Study of Ageing

PloS One
Ruth A HackettDaisy Fancourt

Abstract

Social engagement protects against dementia onset. Less is known about patterns of social engagement around the time of dementia diagnosis. We investigated face-to-face and telephone contact at three times (pre-diagnosis, at report of diagnosis, 2 years post-diagnosis) in individuals who developed dementia and a comparison group. Social engagement was assessed at waves 2-7 of the English Longitudinal Study of Ageing in 4171 individuals aged 50 and older. Dementia was ascertained by either self-reported physician diagnosis or through an informant evaluation of a participant's functional and cognitive performance compared with a few years earlier. Generalized estimating equations were used to examine differences by group, time, and group-by-time interactions. The dementia group reported less face-to-face (p < 0.001) and telephone contact (p < 0.001) than the dementia-free group pre-diagnosis. The dementia group experienced greater reductions in social engagement leading up to dementia diagnosis and in the 2 years following diagnosis (p's < 0.001). Given that social engagement reduces dementia risk and supports the lived experience of people with dementia, it is important to find ways of promoting social interaction in older adults.

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Citations

Mar 19, 2020·Journal of the American Geriatrics Society·Olesya AjnakinaAndrew Steptoe
Nov 22, 2020·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Cynthia FelixAndrea L Rosso
Jan 27, 2021·JMIR Rehabilitation and Assistive Technologies·Wei Qi KohDympna Casey
Nov 19, 2020·Alzheimer's & Dementia : Translational Research & Clinical Interventions·Kenneth RockwoodLindsay M K Wallace
Jan 12, 2021·Journal of Alzheimer's Disease : JAD·Ashley D InnisJames E Galvin
Apr 6, 2021·Alzheimer's & Dementia : Translational Research & Clinical Interventions·James E GalvinStephanie Chrisphonte
Jun 30, 2021·The European Journal of Neuroscience·Elizabeth DrinkwaterTara L Spires-Jones
Aug 5, 2021·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Kristin L RisingAngela M Gerolamo
Sep 7, 2021·Journal of the International Neuropsychological Society : JINS·Ranmalee EramudugollaKaarin J Anstey
Nov 7, 2021·International Journal of Geriatric Psychiatry·Johanna JoyceUNKNOWN ASPREE Investigator Group

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