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Cognitive self-consciousness and hypervigilance for cognitive functioning: An evaluation of risk factors for obsessive-compulsive symptoms in the elderly.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Cognitive self-consciousness and hypervigilance for cognitive functioning: An evaluation of risk factors for obsessive-compulsive symptoms in the elderly./
作者:	Messina, Michael G.
面頁冊數:	132 p.
附註:	Source: Dissertation Abstracts International, Volume: 69-12, Section: B, page: 7819.
Contained By:	Dissertation Abstracts International69-12B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3339278
ISBN:	9780549953258

Cognitive self-consciousness and hypervigilance for cognitive functioning: An evaluation of risk factors for obsessive-compulsive symptoms in the elderly.
Messina, Michael G.

Cognitive self-consciousness and hypervigilance for cognitive functioning: An evaluation of risk factors for obsessive-compulsive symptoms in the elderly. - 132 p.

Source: Dissertation Abstracts International, Volume: 69-12, Section: B, page: 7819.

Thesis (Ph.D.)--Rosalind Franklin University of Medicine and Science, 2008.

Thought-focused-attention (cognitive self-consciousness, CSC) has been implicated as a risk factor for OCD in adults (Cohen & Calamari, 2004; Janeck et al., 2002). It has also been suggested that elevated CSC may make intrusive thoughts about cognitive impairment more salient in older adults and potentially lead to increased obsessionality (Calamari et al., 2002). This cross-sectional study evaluated the relationship between CSC, developmental level cognitive functioning concerns, and obsessive-compulsive symptoms in older adults (aged 65+). Developmental level cognitive functioning concerns (assessed by a measures of subjective memory complaints and Alzheimer fear) were predicted to partially mediate the relation between CSC and OCD symptoms among older adult participants (N=165). In order to test the specificity of this model, we compared it to equivalent general cognitive risk factor (assessed by a measure of fear of mental dyscontrol) and general negative affectivity models using SEM techniques. As predicted, findings supported partial mediation for the CSC model; the CSC and general cognitive risk factor models were equally parsimonious, while the general negative affectivity model garnered the least statistical support. Temporal specificity of the variables in the models was tested by reversing the order of each independent variable (measures of CSC, fear of mental incapacitation, and negative affect) and the mediator (latent construct assessed by measures of subjective memory complaints and Alzheimer's fear) in separate analyses. Temporal specificity was not supported for the CSC model, but was supported for the general cognitive risk factor and general negative affectivity models. Finally, the CSC model was evaluated with the direct and indirect effects of the general cognitive risk factor and the general negative affect variables included separately in the model to determine if partial mediation for the CSC model was still supported. The direct relation between CSC and OCD symptoms remained significant after accounting for these additional variables/effects, but the indirect effect was no longer significant. Although correlational in nature, study implications involve the elucidation of potential etiological mechanisms for OCD in late-life. Limitations included the cross-sectional design, smaller sample size, lack of a younger adult comparison group, and the sample being highly educated, affluent, and mostly female.

ISBN: 9780549953258Subjects--Topical Terms:

168436
Gerontology.

Cognitive self-consciousness and hypervigilance for cognitive functioning: An evaluation of risk factors for obsessive-compulsive symptoms in the elderly.
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