| Church attendance mediates the association between depressive symptoms and cognitive functioning among older Mexican Americans. | |
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MedLine Citation:
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PMID: 18511751 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The objective of this study was to examine how the effect of depressive symptoms on cognitive function is modified by church attendance. METHODS: We used a sample of 2759 older Mexican Americans. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) at baseline, 2, 5, 7, and 11 years of follow-up. Church attendance was dichotomized as frequent attendance (e.g., going to church at least once a month) versus infrequent attendance (e.g., never or several times a year). Depressive symptoms were assessed by the Center for Epidemiologic Studies Depression Scale (CES-D; score >or=16 vs <16). General linear mixed models with time-dependent covariates were used to explore cognitive change at follow-up. RESULTS: In unadjusted models, infrequent church attendees had a greater decline in MMSE scores (drop of 0.151 points more each year, standard error [SE] = 0.02, p <.001) compared to frequent church attendees; participants having CES-D scores >or=16 also had greater declines in MMSE scores (drop of 0.132 points more each year, SE = 0.03, p <.001) compared to participants with CES-D score <16 at follow-up. In fully adjusted models, a significant Church attendance x CES-D x Time interaction (p =.001) indicated that, among participants with CES-D scores >or=16, infrequent church attendees had greater decline in MMSE scores (drop of 0.236 points more each year, SE = 0.05, p <.001) compared to frequent church attendees at follow-up. CONCLUSION: Church attendance appears to be beneficial for maintaining cognitive function of older persons. Church attendance moderates the impact of clinically relevant depressive symptoms on subsequent cognitive function. |
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Authors:
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Carlos A Reyes-Ortiz; Ivonne M Berges; Mukaila A Raji; Harold G Koenig; Yong-Fang Kuo; Kyriakos S Markides |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: The journals of gerontology. Series A, Biological sciences and medical sciences Volume: 63 ISSN: 1079-5006 ISO Abbreviation: J. Gerontol. A Biol. Sci. Med. Sci. Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-30 Completed Date: 2008-07-15 Revised Date: 2013-06-05 |
Medline Journal Info:
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Nlm Unique ID: 9502837 Medline TA: J Gerontol A Biol Sci Med Sci Country: United States |
Other Details:
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Languages: eng Pagination: 480-6 Citation Subset: AIM; IM |
Affiliation:
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Sealy Center on Aging, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX 77555-0460, USA. careyeso@utmb.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cognition* Depression* / epidemiology Female Follow-Up Studies Humans Male Mexico Spirituality* |
| Grant Support | |
ID/Acronym/Agency:
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AG10939/AG/NIA NIH HHS; P50 CA105631/CA/NCI NIH HHS; R01 AG010939-08/AG/NIA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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