Lynn McInnes

Relationships between ability and personality:does intelligence contribute positively to personal and social adjustment?

Intelligence/personality associations were studied in four large datasets. Correlations between general ability (g) and major personality traits were generally consistent with previous findings. For other traits, an interpretation of the correlation patterning is that traits classifiable as adaptive in terms of personal and social adjustment have positive correlations with g, whilst maladaptive traits have negative correlations. Regression modelling confirmed these associations and structural equation modelling of selected traits showed that Neuroticism acts as a mediator of g on the outcome. Non-linear relationships between intelligence and personality were not found. In two of the datasets the correlation between Neuroticism and Psychoticism decreased with ability level, and the correlation between fluid and crystallised ability increased with level of Neuroticism.

The University of Manchester longitudinal study of cognition in normal healthy old age, 1983 through 2003.

This paper describes the participants, design, method and tests used during a 20-year longitudinal study of cognitive changes in increasing age experienced by 6542 healthy residents of Greater Manchester and Newcastle-upon-Tyne, then aged from 42 to 92 years. Information collected and updated includes demographics and health, scores on two, biennially alternated batteries of cognitive tests, repeated administrations of the Beck and Yesavage depression inventories and of self-reports of stressful life events, self-evaluation and locus of control questionnaires and detailed information on lifestyle, hobbies and occupations, physical and social activities, family circumstances and health history. Records have allowed investigation of rates of cognitive changes from 36 months to 20 years preceding death from a variety of causes. Collection of blood and saliva provide, blood chemistry and cortisol levels to analyse associations of rates of cognitive change to genetic factors, blood chemistry and cortisol levels. A random effects analysis confirms marked effects of drop-out and practice due to repeated testing and shows how true rates of change, and of increases in variability between individuals may be ascertained after these have been identified.

Effects of death within 11 years on cognitive performance in old age

Six different cognitive tests and the Heck Depression Inventory (BDI) were given to 3,572 active community residents aged 49 to 93 years. Causes of death were ascertained for 443 who died between 36 and 3,903 days later. Subsequent survival predicted test scores during the 3,903 days and independently during Days 36 to 1,826 and Days 1,827 to 3,903. Scores on the BDI and cumulative verbal learning and vocabulary tests predicted mortality after demographics and performance on other cognitive tests had been considered. Predictors were similar for deaths from heart disease, malignancies, and other causes. A new finding that cognitive tests did not predict survival duration within the sample of deceased explains previous findings of greater terminal decline in performance for young than for elderly adults.

Unhappiness, health and cognitive ability in old age

BACKGROUND To test whether scores on depression inventories on entry to a longitudinal study predict mental ability over the next 4-16 years. METHOD Associations between scores on the Beck Depression Inventory and on tests of intelligence, vocabulary and memory were analysed in 5070 volunteers aged 49-93 years after differences in prescribed drug consumption, death and drop-out, sex, socio-economic advantage and recruitment cohort effects had also been considered. RESULTS On all cognitive tasks Beck scores on entry, even in the range 0-7 indicating differences in above average contentment, affected overall levels of cognitive performance but not rates of age-related cognitive decline suggesting effects of differences in life satisfaction rather than in depression. CONCLUSIONS A new finding is that, in old age, increments in life satisfaction are associated with better cognitive performance. Implications for interpreting associations between depression inventory scores and cognitive performance in elderly samples are discussed.

Location tracking: views from the older adult population

BACKGROUND there has been a rise in the use of social media applications that allow people to see where friends, family and nearby services are located. Yet while uptake has been high for younger people, adoption by older adults is relatively slow, despite the potential health and social benefits. In this paper, we explore the barriers to acceptance of location-based services (LBS) in a community of older adults. OBJECTIVE to understand attitudes to LBS technologies in older adults. METHODS eighty-six older adults used LBS for 1-week and completed pre- and post-use questionnaires. Twenty available volunteers from the first study also completed in-depth interviews after their experience using the LBS technology. RESULTS the pre-use questionnaire identified perceptions of usefulness, individual privacy and visibility as predictive of intentions to use a location-tracking service. Post-use, perceived risk was the only factor to predict intention to use LBS. Interviews with participants revealed that LBS was primarily seen as an assistive technology and that issues of trust and privacy were important. CONCLUSION the findings from this study suggest older adults struggle to see the benefits of LBS and have a number of privacy concerns likely to inhibit future uptake of location-tracking services and devices.

Further analyses of the effects of practice, dropout, sex, socio-economic advantage, and recruitment cohort differences during the University of Manchester longitudinal study of cognitive change in old age

A sample of 4,314 volunteers who, when first recruited, were aged from 41 to 93 years were quadrennially tested from 2 to 4 occasions during the next 4 to 20 years on the Cattell Culture Fair intelligence test, 2 tests of information-processing speed, the Wechsler Adult Intelligence Scale (WAIS) vocabulary test, and 3 memory tests. After significant effects of practice, sex, demographics, socio-economic advantage, and recruitment cohort had been identified and considered, performance on all tests declined with age. These age-related declines accelerated for the Cattell and WAIS, 2 tests of information speed, and 2 of the memory tests. For all tests individuals’ trajectories of age-related change diverged with increasing age but, unexpectedly, were not affected by demographic factors. Practice gains from an initial experience of the cognitive tests remained undiminished as the interval before the second experience increased from 4 to 8 + years.

Clinical correlates of cerebral white matter hyperintensities in cognitively normal older adults

Many research studies have demonstrated asymptomatic white matter hyperintensities (WMHs) in older adults, which are postulated to be ischemic in origin. We hypothesized that certain clinical predictors, measured in a population of healthy older adults, would have a positive relationship with WMH scoring on magnetic resonance imaging (MRI). As part of a longitudinal study of cognitive aging we have performed MRI on healthy older adults. In a group of 46 volunteers (25 females; median age 73, range 63-84 years), we have calculated of the Hachinski score and Framingham Stroke Risk Profile (FSRP). Volunteers also provided self-reported health information using the Cornell Medical Index (CMI). These were compared against the total Age Related White Matter Changes (ARWMC) score. The mean total ARWMC score was 7.4 + or - 5.27 (+ or - S.D.) and only 3 (6.5%) individuals had no evidence of WMH. Regression analysis of individual variables identified self-report of cardiovascular disease from the CMI, section C as the only significant predictor of ARWMC. A multivariate linear regression model also identified FSRP at 1 year as a second independently significant predictor. The multivariate model accounted for 19% of the variance in total ARWMC score. The only 6.5% of individuals who had no WMH is in keeping with previous studies. The important finding was the positive relationship with self-reported cardiovascular disease, which is a possible biomarker of sub-clinical cerebrovascular disease (CVD).

Developing a self-reported comorbidity index to predict mortality of community-dwelling older adults.

Current common comorbidity measures have poor to moderate predictive validity of mortality of community-dwelling older adults. Hence, our aim is to develop a simpler resource-efficient self-reported comorbidity index in the prediction of survival. 113 older adults in Greater Manchester, United Kingdom attended a routine medical examination whereby information gathered was used to construct Charlson Comorbidity Index (CCI). They completed the Cornell Medical Index (CMI) questionnaire and reported the number of medication prescribed to them. We compared the ability of CCI, CMI, number of medication, age and sex to predict mortality of the sample over 7-year period using Cox-regression and Kaplan-Meier plot and rank test. None of the variables individually was significant when tested using either Cox-regression via ENTER method or Kaplan-Meier test. Remarkably, by means of forward step-wise Cox-regression, two variables emerged significant: (i) number of medicine (beta coefficient=0.229, SE=0.090 and p=0.011) and (ii) age (beta coefficient=0.106, SE=0.051 and p=0.037). We demonstrated that simple count of medication predicted mortality of community-dwelling older adults over the next 7 years more accurately than CMI or CCI. Further works involving a larger scale of subjects is needed for use in epidemiological study of survival where cost and resources are concerned.

The economic costs of hoarding behaviours in local authority/housing association tenants and private home owners in the north-east of England

• We assessed the incidence of hoarding behaviours in private and Housing Association tenants in the North-East of England.

Scores Obtained from a Simple Cognitive Test of Visuospatial Episodic Memory Performed Decades before Death Are Associated with the Ultimate Presence of Alzheimer Disease Pathology

Background: Community- or population-based longitudinal studies of cognitive ability with a brain donation end point offer an opportunity to examine relationships between pathology and cognitive state prior to death. Discriminating the earliest signs of dementing disorders, such as Alzheimer disease (AD), is necessary to undertake early interventions and treatments. Methods: The neuropathological profile of brains donated from The University of Manchester Longitudinal Study of Cognition in Normal Healthy Old Age, including CERAD (Consortium to Establish a Registry for Alzheimer’s Disease) and Braak stage, was assessed by immunohistochemistry. Cognitive test scores collected 20 years prior to death were correlated with the extent of AD pathology present at death. Results: Baseline scores from the Memory Circle test had the ability to distinguish between individuals who developed substantial AD pathology and those with no, or low, AD pathology. Predicted test scores at the age of 65 years also discriminated between these pathology groups. The addition of APOE genotype further improved the discriminatory ability of the model. Conclusions: The results raise the possibility of identifying individuals at future risk of the neuropathological changes associated with AD over 20 years before death using a simple cognitive test. This work may facilitate early interventions, therapeutics and treatments for AD by identifying at-risk and minimally affected (in pathological terms) individuals.