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KIN240: Principles of Biobehavioral Health Notes

Cognition and Aging

Trajectories of Cognitive Change
  • Core Question: How do we reconcile the notion that wisdom and experience come with age against the stereotypes of cognitive decline and poor memory with aging?
      - Insight is drawn from clarifying misconceptions regarding cognition and cognitive aging, alongside understanding the changes in specific cognitive aspects over development and age.

Major Topics
  1. Brain vs Mind
       - Brain: The primary organ of the central nervous system; a tangible, physical structure.
       - Mind: The psychological phenomena that manifest during mental states; an abstract concept.
       - Cognitive function is an artificial construct combining various conceptual components; hence, no singular method of assessing cognitive health exists that effectively integrates all components.

  2. Cognitive Function Definitions and Approaches
       - Cognitive Function: Consists of multiple components that aren't uniformly defined. Multiple frameworks exist to differentiate types of cognitive function, such as:
         - Cognitive skills: Thinking, problem-solving.
         - Affective skills: Emotional reactivity, interpersonal interactions.
         - Psychomotor skills: Manual motor skills.
       - The Cattell–Horn–Carroll (CHC) theory of intelligence is popular, yet various specialties in neuropsychology and artificial intelligence might view cognitive abilities differently.

Key Concepts in Cognitive Aging
  • Artificial Construct of Cognitive Function: Implications of cognitive function being an abstraction that represents various conceptual components.

  • Common Misconceptions: The dynamic nature of cognition means definitions and frameworks in understanding cognitive abilities may shift, with historical and modern perspectives being subject to change.

Hardware and Software Analogy in Cognition

  • Biological Hardware vs Mental Operating System: The brain as biological hardware, while psychological phenomena act like a mental operating system facilitating interaction with the environment.
        - Beware of oversimplifying the relationship by assigning mental phenomena exclusively to brain structures, as these views often evolve.

Robustness in Cognition
  • Robustness: The ability to sustain function amid disturbances.
       - Achieved through:
         - Modularity: Core segments of the brain are isolated; damage to one may not impact the whole due to remaining healthy structures functioning.
         - Redundancy: Multiple brain modules can achieve the same processes; this ensures core processes may persist despite localized damage.
         - Degeneracy: Different modules cooperate to create the same outcome; when one is compromised, others can compensate.

Perspectives on Cognitive Capacity

  1. Fixed Capacity Perspective
       - Suggests individuals have a limit to cognitive abilities, and improvements diminish as they approach this limit.
       - Early intelligence concepts were influenced by sociocultural biases justified by this perspective, leading to educational inequalities based on background.

  2. Dynamic Capacity Perspective
       - Proposes cognitive abilities reflect consistent use, leading to developments in physical brain structures due to neural plasticity.
       - Educational opportunities and exposure can enhance perceived intelligence, demonstrating that cognitive potential is not limited by background or age.

Cognitive Aging Mechanisms
  • Age-related declines in cognition reflect a multifaceted approach. Although declines are generally observed, not all cognitive aspects experience uniform deterioration.

  1. Sensory Function Theory of Cognitive Aging
       - Asserts that impaired sensory functions (visual/auditory) contribute to performance declines; cognitive tests often rely on intact sensory processing.
       - Aging typically leads to decreased sensory responsivity.

  2. Processing Speed Theory of Cognitive Aging
       - Deterioration in performance arises from generalized slowed mental operations, particularly under time constraints where rapid responses are required.

  3. Resource Pool Theory of Cognitive Aging
       - Cognitive operations depend on available energetic or metabolic resources. Aging depletes these resources, leading to slower processing and compensatory strategies.

  4. Attention Inhibition Theory of Cognitive Aging
       - Declines result from difficulties in sustaining attention, exacerbated by irrelevant information leading to resource reduction and processing delays.

  5. Dynamic Capacity Theory of Cognitive Aging
       - Cognitive declines coincide with societal transitions (from education to career, then to retirement) that lessen cognitive engagement, underscoring the need for challenges to maintain cognitive function.

Clinical Conditions in Cognitive Aging
  • Mild Cognitive Impairment (MCI): Characterized by significant impairment in one or more cognitive areas without disrupting daily activities. Affects approximately 15% of individuals over 70, often seen in declarative memory and cognitive control.

  • Dementia: More severe cognitive decline affecting daily functions, with no singular brain imaging used for diagnosis due to its classification as a disease of the mind. Various subtypes exist, including:
      - Frontotemporal Dementia: Involves personality changes, attributed to frontal lobe deterioration.
      - Lewy Body Dementia: Features visual hallucinations and variable confusion due to protein accumulation.
      - Vascular Dementia: Results from obstructed blood vessels affecting cognitive function based on impaired blood flow locations.
      - Alzheimer’s Disease: Most common form, marked by language and memory impairments with abnormal protein accumulations.

Sundowning in Cognitive Aging
  • Sundowning denotes cognitive deterioration and behavioral changes occurring in the late afternoon/evening, often misunderstood and not formally recognized in clinical settings.

  • Theories suggest it may relate to diminished sensory function and resource pool depletion, exacerbated in poorly lit environments or after prolonged inactivity.