Promoting Healthy Cognitive Aging: Psychological Approaches and Interventions

A special issue of Behavioral Sciences (ISSN 2076-328X). This special issue belongs to the section "Cognition".

Deadline for manuscript submissions: closed (31 January 2025) | Viewed by 2586

Special Issue Editor


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Guest Editor
Department of Sport, Physical Education and Health, Faculty of Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong
Interests: neurocognitive disorders; cognitive and mental health; dementia risk; healthy ageing; smart technology in mental healthcare

Special Issue Information

Dear Colleagues,

Healthy cognitive ageing is a lifelong process of optimizing functions along the cognitive continuum. This theory reflects a paradigm shift from a biomedical model to a biopsychosocial model, which has led to a high level of research focusing on early prevention and interventions regarding cognitive decline, using an interdisciplinary approach.

Currently, a large amount of evidence shows that lifestyle modifications and cardiovascular risk management represent promising strategies to improve cognitive trajectories in later life. However, it has been noted that results regarding the effects of psychological interventions in enhancing cognitive health in old age are less consistent and under-studied. Many clinical trials have only explored the effectiveness of psychological therapies in individuals with dementia.

When reviewing the effectiveness of early interventions, it is very important to also examine data prior to dementia onset. At the same time, it is pertinent to clarify how later-life changes in mental health and interpersonal networks might interact with brain health and how psychological means associate with cognitive functioning in old age. Social participation and family solidarity are potential areas that could be integrated with psychological interventions to enhance cognitive health through building cognitive reserves.

This Special Issue will explore the implementation of evidence-based interventions as part of a psychological approach across different settings. Furthermore, it will help to compare results to inform practice, research, and policy making, to support healthy cognitive ageing.

Dr. Ada Wai Tung Fung
Guest Editor

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Keywords

  • mental wellness
  • brain health
  • cognitive preservation
  • psychosocial interventions
  • healthy and active ageing

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Published Papers (2 papers)

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Research

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9 pages, 225 KiB  
Article
Development and Validation of Telephone Cognitive Testing for Community-Dwelling Older Adults (TCTCOA) in China
by Jiming Guo, Xiaodan Xue, Asad Ur Rehman Awan, Ying Wang and Tianyong Chen
Behav. Sci. 2025, 15(3), 384; https://doi.org/10.3390/bs15030384 - 19 Mar 2025
Viewed by 356
Abstract
With the global acceleration of population ageing, cognitive health remains critical to the well-being of older adults. This study aimed to develop and validate Telephone Cognitive Testing for Community-dwelling Older Adults (TCTCOA), a culturally and contextually tailored cognitive assessment tool designed for healthy, [...] Read more.
With the global acceleration of population ageing, cognitive health remains critical to the well-being of older adults. This study aimed to develop and validate Telephone Cognitive Testing for Community-dwelling Older Adults (TCTCOA), a culturally and contextually tailored cognitive assessment tool designed for healthy, community-dwelling older adults in China. TCTCOA included five cognitive domains—episodic memory, working memory, processing speed, executive function, and abstract reasoning and concept formation—assessed using culturally adapted tasks. A sample of 112 community-dwelling older adults aged 60 and above participated in the study. Sixty-eight participants completed TCTCOA via telephone and face-to-face modalities, alongside the Montreal Cognitive Assessment (MoCA) for validation. Pearson’s correlations, structural validity, and convergent validity were analyzed to evaluate the tool. TCTCOA demonstrated strong correlations between telephone and face-to-face modes (r = 0.72) and moderate correlations with the MoCA. Subtests showed no ceiling or floor effects, and the composite scores followed a normal distribution. The tool’s structural validity was supported by factor analysis, identifying general cognitive ability and efficiency as core components. TCTCOA is a valid, reliable, and accessible telephone-based cognitive assessment tool. It is suitable for healthy older adults in community settings, offering a practical alternative to traditional face-to-face cognitive evaluations. Its design overcomes cultural, educational, and logistical barriers, making it an effective resource for cognitive health monitoring in China. Full article

Review

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14 pages, 871 KiB  
Review
Exploring Cognitive Stimulation as a Therapy for the Prevention of Delirium in a Hospital Setting: A Narrative Review
by Emman Fatima, Ian Hill, Noah Dover and Hina Faisal
Behav. Sci. 2025, 15(2), 186; https://doi.org/10.3390/bs15020186 - 11 Feb 2025
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Abstract
Delirium is a highly prevalent and costly neuropsychiatric condition that affects up to 87% of critically ill hospitalized patients. It impacts various cognitive domains, including attention, memory, perception, and motor functions, with symptoms such as behavioral changes, hallucinations, slurred speech, visual impairments, and [...] Read more.
Delirium is a highly prevalent and costly neuropsychiatric condition that affects up to 87% of critically ill hospitalized patients. It impacts various cognitive domains, including attention, memory, perception, and motor functions, with symptoms such as behavioral changes, hallucinations, slurred speech, visual impairments, and fatigue. Non-pharmacological interventions have been shown to reduce the incidence and duration of delirium, with strategies like reality orientation, cognitive stimulation, family support, and physical support. However, the scalability of these interventions in hospital settings is limited by resource constraints, low patient engagement, and the complexity of delivery. Digital technology-based cognitive stimulation offers a potential solution to these barriers, though evidence supporting its effectiveness is currently insufficient. This narrative literature review explores both traditional and novel digital technology-based cognitive stimulation techniques for the prevention and management of delirium in acute hospital settings. Full article
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