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J Holist Nurs. 2015 Mar;33(1):6-18. doi: 10.1177/0898010114540322. Epub 2014 Jun 27.

Five dimensions of wellness and predictors of cognitive health protection in community-dwelling older adults: a historical COLLAGE cohort study.

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University of New England
Northeastern University.


Wellness is associated with cognitive health protection; however, findings are limited because they only examine variable(s) within one dimension of wellness. This research examined the association between multiple dimensions of wellness and cognition among aging adults. The sample included 5,605 male and female community-dwelling adults 60 years and older. Four dimensions of wellness demonstrated a statistically significant higher mean difference in cognitively healthy older adults compared to cognitively impaired older adults, F(4, 5,595) = 47.57, p < .001. Emotional wellness demonstrated the strongest association with cognitive health, followed by physical and spiritual wellness, F(5, 5,372) = 50.35, p < .001. Future research is needed to examine the cognitive protective benefits of wellness using longitudinal, prospective designs that control for the potential temporal relationship between wellness and cognition.


cognitive impairment; health and wellness coaching; health promotion; holistic; holistic inquiry; holistic scholarship; holistic theories and practices; older adults; spirituality

[Indexed for MEDLINE]

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