Abstract
This study investigated the relationship between numerical accuracy (i.e, number comprehension and mental calculation) and self-reported depression in late adulthood. Whether social context (i.e., marital status) and very early cognitive decline symptoms impacted numerical performance was also examined. Ninety-four community-dwelling elderly participants were recruited in Sardinia, an Italian island characterized by increased longevity. All participants were presented a battery of tests and questionnaires assessing general cognitive efficiency, lifestyle, perceived physical health, numeracy, metacognitive and depressive responses. Number comprehension skills, time spent for gardening, metacognitive performance, and physical health predicted 26% of variance in CES-D index. Furthermore, married participants outperformed single/widowed ones in both number comprehension and mental calculation tasks. The same pattern of results was replicated when cognitively healthy controls were contrasted with participants with some signs of cognitive decline. The assessment of numeracy skills can be very informative in order to promote mental health and life quality in late adult span.
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References
Delazer M, Kemmler G, Benke T. Health numeracy and cognitive decline in advanced age. Aging Neuropsychol Cognit. 2013;20:639–59. https://doi.org/10.1080/13825585.2012.750261.
Peters E. Beyond comprehension: the role of numeracy in judgments and decisions. Curr Dir Psychol Sci. 2012;21:31–5. https://doi.org/10.1177/0963721411429960.
Reyna VF, Nelson WL, Han PK, Dieckmann NF. How numeracy influences risk comprehension and medical decision making. Psychol Bull. 2009;135:943–73. https://doi.org/10.1037/a0017327.
Wood SA, Liu PJ, Hanoch Y, Estevez-Cores S. Importance of numeracy as a risk factor for elder financial exploitation in a community sample. J Gerontol B Psychol Sci Soc Sci. 2016;71:978–86. https://doi.org/10.1093/geronb/gbv041.
Dong X. Elder abuse: research, practice, and health policy. The 2012 GSA Maxwell Pollack award lecture. Gerontologist. 2014;54:153–62. https://doi.org/10.1093/geront/gnt139.
Navarro AE, Gassoumis ZD, Wilber KH. Holding abusers accountable: an elder abuse forensic center increases criminal prosecution of financial exploitation. Gerontologist. 2013;53:303–12. https://doi.org/10.1093/geront/gns075.
Wood S, Hanoch Y, Barnes A, Liu PJ, Cummings J, Bhattacharya C, et al. Numeracy and Medicare part D: the importance of choice and literacy for numbers in optimizing decision making for Medicare’s prescription drug program. Psychol Aging. 2011;26:295–307. https://doi.org/10.1037/a0022028.
Benavides-Varela S, Burgio F, Meneghello F, De Marco M, Arcara G, Rigon J, et al. Anatomical substrates and neurocognitive predictors of daily numerical abilities in mild cognitive impairment. Cortex. 2015;71:58–67. https://doi.org/10.1016/j.cortex.2015.05.031.
Boyle PA, Yu L, Wilson RS, Segawa E, Buchman AS, Bennett DA. Cognitive decline impairs financial and health literacy among community-based older persons without dementia. Psychol Aging. 2013;28:614–24. https://doi.org/10.1037/a0033103.
Navarro AE, Wilber KH, Yonashiro JY, Homeier DC. Do we really need another meeting? Lessons from the Los Angeles County elder abuse forensic center. Gerontologist. 2010;50:702–11. https://doi.org/10.1093/geront/gnq018.
Bennett JS, Boyle PA, James BD, Bennett DA. Correlates of health and financial literacy in older adults without dementia. BMC Geriatr. 2012;12:30. https://doi.org/10.1186/1471-2318-12-30.
Agarwal G, Habing K, Pirrie M, Angeles R, Marzanek F, Parascandalo J. Assessing health literacy among older adults living in subsidized housing: a cross-sectional study. Can J Public Health. 2018;109:401–9. https://doi.org/10.17269/s41997-018-0048-3.
Arcara G, Mondini S, Bisso A, Palmer K, Meneghello F, Semenza C. The relationship between cognitive reserve and math abilities. Front Aging Neurosci. 2017;9:429. https://doi.org/10.3389/fnagi.2017.00429.
Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98. https://doi.org/10.1016/0022-3956(75)90026-6.
Fastame MC, Penna MP. Psychological well-being and metacognition in the fourth age: an explorative study in an Italian oldest old sample. Aging Ment Health. 2014;18:648–52. https://doi.org/10.1080/13607863.2013.866635.
Fastame MC, Hitchcott PK, Penna MP. The impact of leisure on mental health of Sardinian elderly from the ‘blue zone’: evidence for ageing well. Aging Clin Exp Res. 2018;30:169–80. https://doi.org/10.1007/s40520-017-0768-x.
Fastame MC, Penna MP, Hitchcott PK. Mental health in late adulthood: what can preserve it? Appl Res Qual Life. 2015;24:241–4. https://doi.org/10.1007/s11482-014-9323-5.
Fastame MC, Hitchcott PK, Penna MP. Does social desirability influence psychological well-being: perceived physical health and religiosity of Italian elders? A developmental approach. Aging Ment Health. 2017;21:348–53. https://doi.org/10.1080/13607863.2015.1074162.
Hitchcott PK, Fastame MC, Langiu D, Penna MP. Cognitive failures in late adulthood: the role of age, social context and depressive symptoms. PLoS One. 2017;12:e0189683. https://doi.org/10.1371/journal.pone.0189683.
N’Goran AA, Pasquier J, Deruaz-Luyet A, Burnand B, Haller DM, Neuner-Jehle S, et al. Factors associated with health literacy in multimorbid patients in primary care: a cross-sectional study in Switzerland. BMJ Open. 2018;8:e018281. https://doi.org/10.1136/bmjopen-2017-018281.
Fastame MC, Hitchcott PK, Penna MP. Do self-referent metacognition and residential context predict depressive symptoms across late-life span? A developmental study in an Italian sample. Aging Ment Health. 2015;19:698–704. https://doi.org/10.1080/13607863.2014.962003.
Fastame MC, Penna MP. Does social desirability confound the assessment of self-reported measures of wellness and metacognitive efficiency in young and older adults? Clin Gerontol. 2012;35:239–56. https://doi.org/10.1080/07317115.2012.660411.
Magni E, Binetti G, Bianchetti A, Rozzini R, Trabucchi M. Mini-mental state examination: a normative study in Italian elderly population. Eur J Neurol. 1996;3:198–202. https://doi.org/10.1111/j.1468-1331.1996.tb00423.x.
Semenza C, Meneghello F, Arcara G, Burgio F, Gnoato F, Facchini S, et al. A new clinical tool for assessing numerical abilities in neurological diseases: numerical activities of daily living. Front Aging Neurosci. 2014;6:112. https://doi.org/10.3389/fnagi.2014.00112.
Broadbent DE, Cooper PF, FitzGerald P, Parkes KR. The cognitive failures questionnaire (CFQ) and its correlates. Br J Clin Psychol. 1982;21:1–16. https://doi.org/10.1111/j.2044-8260.1982.tb01421.x.
De Beni R, Borella E, Carretti B, Marigo C., Nava LA. BAC: Benessere e Abilità Cognitive nell’età Adulta e Avanzata. [BAC: Wellness and Cognitive Abilities in the Advanced and Adult Age]. Firenze: Organizzazioni Speciali; 2007.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401. https://doi.org/10.1177/014662167700100306.
Fava GA. Assessing depressive symptoms across cultures: Italian validation of the CES-D self-rating scale. J Clin Psychol. 1983;39:249–51. https://doi.org/10.1002/1097-4679(198303)39:2<249:AID-JCLP2270390218>3.0.CO;2-Y.
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The authors would like to thank Professor Carlo Semenza for providing the tool for assessing numerical abilities.
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The study was conducted in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments. Written informed consent was given by all participants prior to participation.
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Fastame, M.C., Manca, C., Penna, M.P. et al. Numeracy Skills and Self-Reported Mental Health in People Aging Well. Psychiatr Q 90, 629–635 (2019). https://doi.org/10.1007/s11126-019-09655-y
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DOI: https://doi.org/10.1007/s11126-019-09655-y