METHODS: Data basis is the multicentre, prospective, longitudinal register study \'Digital Dementia Registery Bavaria-digiDEM Bayern\'. The degree of social isolation was assessed using the Lubben Social Network Scale- Revised (LSNS-R) and the degree of cognitive impairment using the Mini Mental State Examination (MMSE), conducted at baseline and after 12 months. Data were analysed using pre-post ANCOVA, adjusted for baseline MMSE, age, gender, education, living situation and Barthel-Index.
RESULTS: 106 subjects (78.9 ± 8.2 years; 66% female) were included in the analysis. The mean MMSE score at baseline was 24.3 (SD = 3.6). Within the friendship subscore, risk for social isolation was highly prevalent (42.5%). Though, there was no difference between individuals with higher/ lower risk of social isolation within the friendship-network after adjusting for common risk factors in cognitive decline over time, F (1,98) = .046, p = .831, partial η2 = .000.
CONCLUSIONS: The results of this study showed that the risk of social isolation from friends is very high among people with cognitive impairment. However, social isolation does not appear to have a bearing influence on the course of cognition. Nevertheless, it is important for people with cognitive impairment to promote and maintain close social contacts with friends.
方法:数据基础是多中心,prospective,纵向登记研究\“数字痴呆症登记巴伐利亚州-拜仁”。使用Lubben社交网络量表(LSNS-R)评估社会隔离程度,并使用迷你精神状态检查(MMSE)评估认知障碍程度,在基线和12个月后进行。使用前-后ANCOVA分析数据,针对基线MMSE进行了调整,年龄,性别,教育,生活状况和Barthel指数。
结果:106名受试者(78.9±8.2岁;66%为女性)被纳入分析。基线时的平均MMSE评分为24.3(SD=3.6)。在友谊子得分中,社会隔离的风险非常普遍(42.5%)。不过,随着时间的推移,在调整认知能力下降的常见风险因素后,友谊网络中社会孤立风险较高/较低的个体之间没有差异,F(1,98)=.046,p=.831,部分η2=.000。
结论:这项研究的结果表明,在认知障碍患者中,与朋友的社交隔离的风险非常高。然而,社会隔离似乎对认知过程没有影响。然而,对于有认知障碍的人来说,促进和保持与朋友的密切社交联系很重要。