Geropsychology Commons^™

Outdoor Air Pollution Exposure And Inter-Relation Of Global Cognitive Performance And Emotional Distress In Older Women, Andrew J. Petkus, Xinhui Wang, Daniel P. Beavers, Helena C. Chui, Mark A. Espeland, Margaret Gatz, Tara Gruenewald, Joel D. Kaufman, Joann E. Manson, Susan M. Resnick, James D. Stewart, Gregory A. Wellenius, Eric A. Whitsel, Keith Widaman, Diana Younan, Jiu-Chiuan Chen

Psychology Faculty Articles and Research

The interrelationships among long-term ambient air pollution exposure, emotional distress and cognitive decline in older adulthood remain unclear. Long-term exposure may impact cognitive performance and subsequently impact emotional health. Conversely, exposure may initially be associated with emotional distress followed by declines in cognitive performance. Here we tested the inter-relationship between global cognitive ability, emotional distress, and exposure to PM2.5 (particulate matter with aerodynamic diameter 2 (nitrogen dioxide) in 6118 older women (aged 70.6 ± 3.8 years) from the Women’s Health Initiative Memory Study. Annual exposure to PM_2.5 (interquartile range [IQR] = 3.37 μg/m³) and NO₂ (IQR …

Air Pollution And The Dynamic Association Between Depressive Symptoms And Memory In Oldest-Old Women, Andrew J. Petkus, Diana Younan, Xinhui Wang, Daniel P. Beavers, Mark A. Espeland, Margaret Gatz, Tara Gruenewald, Joel D. Kaufman, Helena C. Chui, Joann E. Manson, Susan M. Resnick, Gregory A. Wellenius, Eric A. Whitsel, Keith Widaman, Jiu-Chiuan Chen

Psychology Faculty Articles and Research

BACKGROUND/OBJECTIVES

Exposure to air pollution may contribute to both increasing depressive symptoms and decreasing episodic memory in older adulthood, but few studies have examined this hypothesis in a longitudinal context. Accordingly, we examined the association between air pollution and changes in depressive symptoms (DS) and episodic memory (EM) and their interrelationship in oldest-old (aged 80 and older) women.

DESIGN

Prospective cohort data from the Women's Health Initiative Memory Study-Epidemiology of Cognitive Health Outcomes.

SETTING

Geographically diverse community-dwelling population.

PARTICIPANTS

A total of 1,583 dementia-free women aged 80 and older.

MEASUREMENTS

Women completed up to six annual memory assessments (latent composite …

Dementia And Competency In United States Courtrooms: A Case Law Review, Dana Miller

Student Theses

The number of older adults in the United States is rising, as is the incidence of dementia. Older adults are coming into contact with the criminal justice system at greater rates than previously encountered. As such, individuals with dementia are likely appearing in courts at an unprecedented rate. While many civil competencies commonly related to older adults are well researched, competency in the criminal legal system has not received the same level of recognition in this population. This is particularly concerning given the growing awareness of the relevance of dementia in some criminal competencies (e.g., Madison v. Alabama, 2019). Of …

Why Are They Wrong? Exploring Surrogates’ Accuracy When Predicting Patient Treatment Preferences, Rachael Lynn Spalding

Graduate Theses, Dissertations, and Problem Reports

Surrogate decision making is common in medical settings, particularly regarding treatment decisions for patients at end-of-life. When making decisions on behalf of patients, surrogates are most often encouraged to use the substituted judgment standard and make the decision that the patient would make if he or she were able to express a choice. A significant body of research, using patient-surrogate pairs and hypothetical vignettes, has documented that surrogates tend to inaccurately predict patient preferences when making these decisions (Shalowitz et al., 2006). This results in treatment decisions that do not match what the patient would have selected. Various factors that …