Psychology Commons^™

Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis

Dissertations, Theses, and Capstone Projects

Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …

Neuroanatomy In Mild Cognitive Impairment: Relationship To Functional Skills, Treatment Expectancy, And Comorbid Depression, Sara Rushia

Dissertations, Theses, and Capstone Projects

Mild cognitive impairment (MCI) is a neurocognitive disorder defined by cognitive decline in older adults. Although MCI has been studied for decades, there remain important areas to be explored in order to adequately characterize aspects of this disorder that provide information valuable for possible interventions and disease progression to dementia, including a better understanding of the neuroanatomical variables relevant to this disorder. Such neuroanatomical variables include cortical thickness, hippocampal volume, and white matter hyperintensities (WMHs). This dissertation consists of three separate studies aimed at addressing gaps in the literature on MCI in relation to brain morphometrics and under-studied characteristics involved …

Emotion Regulation In Relation To Cognitive Functioning In The Preclinical Stages Of Dementia, Erica P. Meltzer

Dissertations, Theses, and Capstone Projects

Emotion regulation (ER) is essential for effective functioning in daily life. Research suggests that ER improves in older adulthood despite concomitant declines in cognition and the presumed neural substrates of ER. The current understanding of ER in older adulthood, and particularly of the relationship between ER and cognition in older adulthood, is limited. This is likely because the construct of ER is challenging to operationalize and, therefore, difficult to study.

The current study investigates ER in relation to cognitive functioning, specifically executive functioning and memory, in individuals with varying degrees of cognitive difficulties (i.e., in the preclinical stages of dementia). …

Intraindividual Variability As A Predictor Of Cognitive Decline In Elderly, Wendy S. Ramratan

Dissertations, Theses, and Capstone Projects

Mild cognitive impairment (MCI) is conceptualized as a transitional state between normal aging and fully developed clinical features of dementia. The literature on MCI is notable for varied measurement approaches and lack of stability in the diagnostic entity, with many individuals remaining stable or reverting to normal cognitive status. Researchers agree that multiple neuropsychological domains should be assessed to enhance the assessment and prediction of cognitive decline. In addition, within-person assessments capture trajectories of decline, which are better suited for understanding individual change than simple comparison to group norms. The current study investigated the ability of within-person change on novel …

Attention In Hiv, Kathleen Marie Van Dyk

Dissertations, Theses, and Capstone Projects

In contrast to the striking benefit of advances in antiretroviral therapy on longevity and health in the HIV+ population, mild cognitive disorders persist (Heaton, Clifford et al., 2010). Additional factors that may be related to cognitive decline and warrant consideration in this population are aging and physical health status. Among cognitive domains affected, attention and processing speed have emerged as particularly vulnerable to the effects of HIV. There are also age effects observed in these domains, and we proposed that reduced physical health can also impact cognition in these areas, comparably to pain. Sensitive measures of attention that vary attentional …