Stressful events, social support, and cognitive function in middle-aged adults with a family history of Alzheimer's disease

J Aging Health. 2013 Sep;25(6):944-59. doi: 10.1177/0898264313498416. Epub 2013 Aug 14.

Abstract

Objective: To examine the associations of stressful experiences and social support with cognitive function in a sample of middle-aged adults with a family history of Alzheimer's disease (AD).

Method: Using data from the Wisconsin Registry for Alzheimer's Prevention (WRAP; N = 623), we evaluated relationships between stressful events experienced in the past year, as well as social support, and cognitive performance in four domains: speed and flexibility, immediate memory, verbal learning and memory, and working memory. We assessed interactions between psychosocial predictors, and with APOE ε4 status.

Results: Greater number of stressful events was associated with poorer performance on tests of speed and flexibility. Greater social support was associated with better performance in the same domain; this relationship was diminished by the presence of the ε4 allele. No associations were seen in the remaining three domains.

Discussion: Psychosocial factors may influence cognition in at-risk individuals; influence varies by cognitive domain and ε4 status.

Keywords: cognitive function; gene–environment interaction; geriatrics; social factors; stressful events.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Alzheimer Disease / genetics*
  • Cognition / physiology*
  • Cross-Sectional Studies
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Registries
  • Risk Factors
  • Social Support*
  • Wisconsin