A Fellgiebel1. 1. Zentrum für psychische Gesundheit im Alter, Landeskrankenhaus (AöR), Hartmühlenweg 2-4, 55122, Mainz, Deutschland. a.fellgiebel@rfk.landeskrankenhaus.de.
Abstract
BACKGROUND: Why does the aspect of aging justify a special survey of resilience to the development of mental disorders? Patterns of chronic stress burden change with age (e. g. disappearance of workplace-related stress, but increased risk of frequent chronic diseases). Moreover, capabilities and cognitive strategies of stress coping differ between young and older adults. MATERIAL AND METHODS: The article summarizes relevant age aspects of resilience to mental disorders and evaluates the current knowledge concerning consecutive development of prevention strategies for avoidance of affective disorders and dementia. RESULTS AND DISCUSSION: Stress-aggravating reduced cognitive functioning (especially executive problem solving) can be observed together with, probably stress-reducing, age-specific appraisal preferences (positivity effect) in older persons. Other age-specific aspects are resilience mechanisms against cognitive decline and dementia development despite cerebrovascular and neurodegenerative brain pathology-related conditions, which are referred to as cognitive reserve. Different cognitive reserve enhancing strategies can effectively contribute to dementia prevention.
BACKGROUND: Why does the aspect of aging justify a special survey of resilience to the development of mental disorders? Patterns of chronic stress burden change with age (e. g. disappearance of workplace-related stress, but increased risk of frequent chronic diseases). Moreover, capabilities and cognitive strategies of stress coping differ between young and older adults. MATERIAL AND METHODS: The article summarizes relevant age aspects of resilience to mental disorders and evaluates the current knowledge concerning consecutive development of prevention strategies for avoidance of affective disorders and dementia. RESULTS AND DISCUSSION: Stress-aggravating reduced cognitive functioning (especially executive problem solving) can be observed together with, probably stress-reducing, age-specific appraisal preferences (positivity effect) in older persons. Other age-specific aspects are resilience mechanisms against cognitive decline and dementia development despite cerebrovascular and neurodegenerative brain pathology-related conditions, which are referred to as cognitive reserve. Different cognitive reserve enhancing strategies can effectively contribute to dementia prevention.
Authors: Stefan Teipel; Alexander Drzezga; Michel J Grothe; Henryk Barthel; Gaël Chételat; Norbert Schuff; Pawel Skudlarski; Enrica Cavedo; Giovanni B Frisoni; Wolfgang Hoffmann; Jochen René Thyrian; Chris Fox; Satoshi Minoshima; Osama Sabri; Andreas Fellgiebel Journal: Lancet Neurol Date: 2015-08-26 Impact factor: 44.182
Authors: Dominik Wolf; Florian Udo Fischer; Johanna Fesenbeckh; Igor Yakushev; Irene Maria Lelieveld; Armin Scheurich; Ingrid Schermuly; Lisa Zschutschke; Andreas Fellgiebel Journal: Hum Brain Mapp Date: 2012-09-11 Impact factor: 5.038