Social Decline Research Articles

Italian Politics and Culture from Fascism to Postwar Democracy in the Life and Work of Uguccione Ranieri di Sorbello (1906–1969)

Italian Politics and Culture from Fascism to Postwar Democracy in the Life and Work of Uguccione Ranieri di Sorbello (1906–1969)

The Effectiveness of Unilateral Cochlear Implantation on Performance-Based and Patient-Reported Outcome Measures in Finnish Recipients.

Understanding speech is essential for adequate social interaction, and its functioning affects health, wellbeing, and quality of life (QoL). Untreated hearing loss (HL) is associated with reduced social activity, depression and cognitive decline. Severe and profound HL is routinely rehabilitated with cochlear implantation. The success of treatment is mostly assessed by performance-based outcome measures such as speech perception. The ultimate goal of cochlear implantation, however, is to improve the patient’s QoL. Therefore, patient-reported outcomes measures (PROMs) would be clinically valuable as they assess subjective benefits and overall effectiveness of treatment. The aim of this study was to assess the patient-reported benefits of unilateral cochlear implantation in an unselected Finnish patient cohort of patients with bilateral HL. The study design was a prospective evaluation of 118 patients. The patient cohort was longitudinally followed up with repeated within-subject measurements preoperatively and at 6 and 12 months postoperatively. The main outcome measures were one performance-based speech-in-noise (SiN) test (Finnish Matrix Sentence Test), and two PROMs [Finnish versions of the Speech, Spatial, Qualities of Hearing questionnaire (SSQ) and the Nijmegen Cochlear Implant Questionnaire (NCIQ)]. The results showed significant average improvements in SiN scores, from +0.8 dB signal-to-noise ratio (SNR) preoperatively to −3.7 and −3.8 dB SNR at 6 and12 month follow-up, respectively. Significant improvements were also found for SSQ and NCIQ scores in all subdomains from the preoperative state to 6 and 12 months after first fitting. No clinically significant improvements were observed in any of the outcome measures between 6 and 12 months. Preoperatively, poor SiN scores were associated with low scoring in several subdomains of the SSQ and NCIQ. Poor preoperative SiN scores and low PROMs scoring were significantly associated with larger postoperative improvements. No significant association was found between SiN scores and PROMs postoperatively. This study demonstrates significant benefits of cochlear implantation in the performance-based and patient-reported outcomes in an unselected patient sample. The lack of association between performance and PROMs scores postoperatively suggests that both capture unique aspects of benefit, highlighting the need to clinically implement PROMs in addition to performance-based measures for a more holistic assessment of treatment benefit.

Remaking urban divides: Shifting patterns of neighborhood differentiation in Bilbao, Spain

ABSTRACT Intensifying social and spatial divisions have been on the rise in cities since the 1980s. This trend has evolved in a context of increasing socioeconomic inequality and is exacerbated by the effects of the last economic crisis and austerity policies. Understanding the differential impact of these processes on vulnerable social groups and urban areas is crucial for developing effective policy responses to the challenges of social exclusion and neighborhood decline. This paper examines the spatial dimensions of rising socioeconomic inequality in Bilbao, Spain. Using Census Data and a multivariate approach, it analyzes shifting patterns of socio-spatial differentiation in the city during two decades of intense urban restructuring and regeneration dynamics. The results present a characterization of Bilbao’s neighborhoods based on a set of variables that capture various aspects of neighborhood differences, demographics, socioeconomic status and housing attributes, and their evolution, revealing a two-dimensional factorial structure. Neighborhoods are grouped according to these two factorial axes that capture the structure of correlations among the variables. Subsequently, the analysis focuses on a selected number of “extreme” neighborhoods to identify patterns of convergence/divergence and the driving factors behind them, including structural trends and policy initiatives implemented during the two decades considered.

Examining the Long-Term Sequelae of SARS-CoV2 Infection in Patients Seen in an Outpatient Psychiatric Department.

BackgroundThe acute phase of Coronavirus disease-19 (COVID-19) is well known. However, there is now an increasing number of patients suffering from the post-acute sequelae of COVID-19 (PASC Post COVID-19 condition occurs in individuals with a history of probable or confirmed SARS CoV-2 infection, usually 3 months from the onset of COVID-19 with symptoms and that last for at least 2 months and cannot be explained by an alternative diagnosis), including neuropsychiatric symptoms. The purpose of this report is to describe the sociodemographic, diagnostic and treatment characteristics of patients evaluated in an outpatient psychiatric setting for PASC.MethodsA retrospective review of 30 individuals with documented COVID-19 illness treated at a university hospital-based Post-COVID-19 Recovery Program were referred to an outpatient psychiatric department for consultation and treatment from December 2020 to July 2021. All individuals complained of neuropsychiatric symptoms including anxiety, depression, fatigue and cognitive problems. Data on sociodemographic characteristics, psychiatric diagnosis, prominent psychological themes and treatment prescribed were described and, where applicable, analyzed with SPSS software.ResultsThe study population consisted of patients between 25 and 82 years old, with a predominance of women between 46 and 60 years. Approximately half of the patient population had a primary diagnosis of major depressive disorder, often combined with prominent anxiety. Over two-thirds of the patient population reported a combination of depression, fatigue and cognitive complaints, predominantly memory and slowed processing speed. Prominent stressors and psychological themes included social and occupational decline, isolation, lack of empathy and understanding from family, friends and employers, and apprehension about future ability to return to their baseline level of function. Treatments recommended included individual and group psychotherapy, medication and cognitive rehabilitation. Modafinil and antidepressants, often in combination, were the most commonly used medications, intended to target the pervasive fatigue, depressive, and anxiety these individuals were facing.ConclusionClinical experience from this patient population underscored the significant medical, emotional, neurocognitive and functional sequelae of PASC. Management of these individuals requires a collaborative approach with the availability of psychotherapeutic interventions, pharmacologic treatment, neurocognitive assessment and remediation to address these symptoms.

An observational study of the correlation of efi severity with depression

IntroductionPatients with high fraility indices experience poor mental health due to multiple co morbidity and social isolation.ObjectivesThis was a retrospective observational analysis that studied the correlation of Electronic frailty indices and GAD scores with Depression scores in a rural population.MethodsAn annual frailty assessment is offered to elderly patients and we screen routinely for anxiety and depression using the PHQ-9 score and GAD score. This was an observational study examining the correlation of the Electronic Frailty Indices (EFI) depression and anxiety scores.ResultsOf the 118 patients ranging from mild to severe frailty we found a positive correlation of the EFI with the Depression and anxiety scores. Within the data set, the correlation coefficient of EFI scores and PHQ 9 scores was found to be 0.819. Similarly within the same data set we found a correlation coefficient of EFI and GDS scores of 0.651. The higher the EFI the greater was the scale of dependency and comorbidity and this correlation was consistent across the data set with depression and anxiety. We believe physical impairment, loss of independence and social isolation cognitive decline contribute to loss of self-esteem.ConclusionsOur study found a positive correlation between frailty severity based on EFI scores and depression and anxiety severity. Early detection in deterioration of mental health will enable supportive measures and targeted treatment strategies. Our study shows the strong correlation of EFI severity scores with worse mental health.DisclosureNo significant relationships.

Prodromal phase and first episode psychosis in schizophrenia: early signs and diagnosis

IntroductionThe detection of the initial prodrome of schizophrenia (SK) before the first episode psychosis remains a major concern in current psychiatric research.ObjectivesIn this paper we aimed to analyse clinical and psychopathological aspects of prodromes leading to first-lifetime psychotic episodes and to highlight the high-risk features in order to establish preventive strategies and to provide early intervention in SK.MethodsThis is a retrospective observational descriptive study conducted in the ‘Prof. Dr. Alexandru Obregia’ Clinical Hospital of Psychiatry in Bucharest, Romania. We collected data from the medical records of 139 patients previously diagnosed with SK who were admitted to our clinic. For all included patients, diagnoses were recorded according to the DSM-IV TR and ICD-10 classification criteria. Data collected included patient demographics and clinical information. All analyses were conducted using SPSS package.ResultsOf the 139 patients included in this study, 130 patients (93,5%) presented prodromal symptoms. 73 of these patients (52,5%) presented with negative symptoms that were more common in our study in single male patients that had low academic performance and a family history of mental illness, findings consistent with the literature. A decline in social functioning decline was observed in 64 patients (46%) prior to their first admission. 87 patients (62,6%) had a prodromal phase which lasted more than one year.ConclusionsThese findings support the value of early psychopathology in predicting the diagnosis of SK, but clinical guidelines are needed for a more systematic evaluation of the SK prodrome.DisclosureNo significant relationships.

Glycoproteins of Capsosiphon fulvescens modulate synaptic clustering of PSD95 and prevent social isolation-induced cognitive decline in aged male rats

Social isolation and loneliness inducing cognitive decline are serious health problems in the elderly. Although the hydrophilic glycoproteins of Capsosiphon fulvescens (Cf-hGP) prevent aging-induced cognitive impairment, its effects on social isolation-induced cognitive dysfunction are unclear. This study investigated the efficacy of Cf-hGP against cognitive dysfunction in aged rats and delineated its underlying mechanisms. The oral administration of Cf-hGP (15 mg/kg/d, 4 weeks) reversed the social isolation-induced decreases in phosphorylation of extracellular signal‑regulated protein kinase 1/2 (ERK1/2), postsynaptic density protein 95, and α-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptor subunit 1 and increased expression of metabotropic glutamate receptor 5 in the synaptosome of the dorsal hippocampus. Furthermore, Cf-hGP prevented social isolation-induced spatial memory impairment, and its effects were attenuated by inhibition of ERK1/2 or deglycosylation of Cf-hGP. Cf-hGP-induced clustering of ERK1/2-mediated postsynaptic density protein 95 in the dorsal hippocampus improves memory formation in socially isolated aged rats, and protein glycosylation contributes to enhancing the Cf-hGP effect.

Using a Computer-Based Virtual Environment to Assess Social Cognition in Aging: An Exploratory Study of the REALSoCog Task.

Although previous studies have suggested that some component processes of social cognition decline in normal aging, several methodological limitations can be pointed out. Traditional sociocognitive tasks assess processes separately and lack ecological validity. In the present study, the main aim was to propose an integrative social cognition assessment in normal aging using an original computer-based task developed in non-immersive virtual reality. Forty-five young adults (YA) and 50 older adults (OA) were asked to navigate in a simulated city environment and to judge several situations that they encountered. These situations investigated social norms by displaying control or (conventional/moral) transgressions. Following each situation, the participants were asked several questions in order to assess their ability to make moral judgments, affective and cognitive theory of mind, emotional reactivity and empathy, and the propensity to act in a socially appropriate or inappropriate way. The main results showed (i) a preserved ability to detect moral and conventional transgressions with advancing age; (ii) participants’ preserved cognitive ToM abilities; (iii) an age-related decline in affective ToM, that disappeared when the victim was a senior; (iv) preserved emotional reactivity and emotional empathy in normal aging; (v) an increase in inappropriate behavioral intentions in normal aging. Offering more naturalistic conditions, this new task is an interesting integrative measure of sociocognitive functioning to better reflect social behavior in daily living.

Are Adolescents in One‐Parent Families a Previously Unnoticed Group in Inclusive Career Guidance?

In Germany, schools are largely responsible for adolescents’ career development. Corresponding interventions in career guidance must take into account various endogenous and exogenous factors of individualized development to foster successful post‐school transitions. Parents, in particular, are one of the most significant influencing factors when it comes to shaping after‐school plans usually having a highly positive effect along with teacher support. Children in one‐parent families constitute a group that has received little attention so far in the context of career guidance analysis. They are at a higher risk of social decline into precarious circumstances and of living in families with lower education levels as well as less parental care time. In addition, one‐parent families more often report that they are unable to adequately support their children concerning career development, ultimately impacting the children’s post‐school transition. Based on the theoretical model of career competence, a sample from eight German schools (N = 1998) is used to investigate to what extent adolescents in one‐parent families differ from their peers in other family compositions regarding both support and development of career competence. Each school’s location and teacher support are included in the calculations. This study shows that adolescents in one‐parent families display below‐average levels concerning three of the analysed facets (occupational knowledge, exploration, and self‐regulation).

The janus-faced nature of radical voting: Subjective social decline at the roots of radical right and radical left support

This study advances the decline of Parent-Relative Subjective Social Status (PRSSS) as a reconciling factor among radical right and radical left supporters. While self-employed workers, men and rural residents perceive socioeconomic decline relative to their parents and support the radical right, the well-educated, urbanites and low-income individuals are likely to feel similar decline given the rising levels of unemployment and social inequality. These structural changes may push the latter to support a party which stresses income inequality, a catchcry of the radical left. Using a 2017 Eurobarometer Survey, logistic regressions show positive associations between low PRSSS (versus equal or high PRSSS) and support for right- and left-wing radicalism in 28 European countries. The traditional attitudes of each group magnify the PRSSS effects on radical support: these are reinforced by anti-immigrant support for the radical right and by preference for redistribution for the radical left.

Social Engagement and Distress Among Home Care Recipients During the COVID-19 Pandemic in Ontario, Canada: A Retrospective Cohort Study.

ObjectivesTo examine factors associated with distressing social decline and withdrawal during the COVID-19 pandemic for home care recipients.DesignRetrospective cohort.Setting and participantsHome care recipients age 18 years or older in Ontario, Canada without severe cognitive impairment with an assessment and follow-up between September 1, 2018 and August 31, 2020.MethodsData were collected using the interRAI home care. Outcomes of interest were distressing decline in social participation and social withdrawal. Independent variables were entered into multivariable longitudinal generalized estimating equations. Interaction terms with the pandemic were tested. Those significant at P < .01 were retained in final models and reported as odds ratios (ORs), 95% confidence intervals (CIs).ResultsWe compared 26,492 and 19,126 home care recipients before and during the pandemic, respectively. The pandemic was associated with greater odds of experiencing distressing social decline (OR 1.28, 95% CI 1.22‒1.34) and withdrawal (OR 1.09, 95% CI 1.04‒1.15). Living alone (OR 1.13, 95% CI 1.05‒1.22), frailty (OR 3.21, 95% CI 2.76‒3.73), health instability (OR 2.22, 95% CI 2.02‒2.44), and depression (OR 2.14, 95% CI 2.01‒2.29) increased the odds of distressing social decline. Older age (OR 0.71, 95% CI 0.65‒0.77), functional impairment (OR 0.58, 95% CI 0.51‒0.67), and receiving caregiving (OR 0.73, 95% CI 0.67‒0.79) decreased the odds. Home care recipients with mild/moderate dementia were less likely to experience distressing social decline during the pandemic. Those who lived alone were more likely. Frailty (OR 9.49, 95% CI 7.69‒11.71) and depression (OR 2.76, 95% CI 2.55‒3.00) increased the odds of social withdrawal. Functional impairment (OR 0.32, 95% CI 0.27‒0.39), congestive heart failure (OR 0.77, 95% CI 0.70‒0.84), and receiving caregiving (OR 0.50, 95% CI 0.46‒0.55) decreased the odds. Home care recipients age 18‒64 years and older than 75 years were less likely to experience social withdrawal during the pandemic.Conclusions and implicationsSocial support interventions should focus on supporting those living alone, with frailty, health instability, or depression.

The Acceptability of Digital Technology and Tele-Exercise in the Age of COVID-19: Cross-sectional Study.

BackgroundWith the COVID-19 pandemic, telehealth has been increasingly used to offset the negative outcomes of social isolation and functional decline in older adults. Crucial to the success of telehealth is end user adoption.ObjectiveThis study aims to investigate perception and acceptability of digital technology among Asian older adults.MethodsThe Healthy Ageing Promotion Program for You (HAPPY) dual-task exercise was conducted virtually to participants aged ≥60 years. Questionnaires were administered digitally and collected data on demographics, perceptions of digital technology and evaluation of HAPPY, the 6-item Lubben Social Network Scale, intrinsic capacity using the Integrated Care for Older People tool, and a functional screening with the FRAIL scale and five chair rises. Descriptive analysis was used.ResultsA total of 42 participants were digitally interviewed. The mean age was 69.1 (4.7) years. Hearing, vision, and 3-item recall difficulty were present in 14% (n=6), 12% (n=5), and 24% (n=10) of participants, respectively. Of the participants, 29% (n=12) had possible sarcopenia and 14% (n=6) were prefrail. Around 24% (n=10) were at risk of social isolation. Most of the participants (n=38, 91%) agreed that technology is good, and 79% (n=33) agreed that technology would allow them to be independent for longer. Over three-quarters of participants (n=33, 79%) agreed that they have the necessary knowledge, and 91% (n=38) had technological assistance available. However, 57% (n=24) were still apprehensive about using technology. Despite 71% (n=30) of older adults owning their devices, 36% (n=15) felt finances were limiting. Through digital HAPPY, 45% (n=19) of participants reported feeling stronger, 48% (n=20) had improved spirits, and 40% (n=17) and 38% (n=16) had improved mood and memory, respectively.ConclusionsThe majority of older adults in this study believed in digital technology and had the necessary knowledge and help, but almost half still felt apprehensive and had financial barriers to adopting technology. A digitally administered exercise program especially in a group setting is a feasible option to enhance intrinsic capacity in older adults. However, more work is needed in elucidating sources of apprehension and financial barriers to adopting technology.

What Explains the Electoral Crisis of Social Democracy? A Systematic Review of the Literature

AbstractWhile there are some signs of revitalization, social democracy has witnessed a deep electoral crisis over the last decades. The causes for the decline of social democratic parties are highly contested among researchers. This article provides a systematic review of the literature which spans several fields such as party politics, political sociology and political economy. Four kinds of explanations (sociological, materialist, ideational and institutional) are distinguished and scrutinized on the basis of empirical studies published since 2010. The findings indicate that there is not one explanation that stands out but that the electoral crisis of social democracy is a complex phenomenon with multiple causes, such as socio-structural changes, fiscal austerity and neoliberal depolarization. In addition, the findings suggest that a liberal turn on sociocultural issues does not necessarily lead to vote losses. Further research should explore more deeply how short-term and long-term factors have worked together in the process of social democratic decline.

Very Early-Onset Schizophrenia in a 7-Year-Old Girl

Schizophrenia most commonly starts during early adulthood but it can emerge during childhood. Pediatric schizophrenia is used to describe schizophrenia occurring before 18 years of age. It can further be categorized into early onset type which occurs prior to 18 years and the very early onset type occurring prior to 13 years.&#x0D; Miss AD, a 7-year-old female presented to our facility about 1 year ago with a 3-months history of illness. Initially, she stopped communicating with anyone; there was associated social withdrawal, sluggishness and decline in her academics. A few weeks later, she started talking and laughing to herself and 2 weeks prior to presentation, she started seeing strange things in clear consciousness and claiming her classmates were ganging up against her. Her teachers and parents were ignorant of the nature of her illness at the onset and as such, she was maltreated.&#x0D; At presentation, a diagnosis of very early onset schizophrenia was made and she was commenced on treatment with oral Risperidone which was gradually increased over a period of 1 year of her ongoing treatment to 2mg total daily dosage. Additionally, oral chlorpromazine and Benzhexol were added; she is currently on 50mg nocte and 0.125mg daily respectively. During the course of her treatment, she showed significant improvement but no complete remission, residual symptoms such as starring on-end with occasional talking and laughing to herself persisted.

Speech Perception and Dichotic Listening Are Associated With Hearing Thresholds and Cognition, Respectively, in Unaided Presbycusis.

Presbycusis or age-related hearing loss is a prevalent condition in the elderly population, which affects oral communication, especially in background noise, and has been associated with social isolation, depression, and cognitive decline. However, the mechanisms that relate hearing loss with cognition are complex and still elusive. Importantly, recent studies show that the use of hearing aids in presbycusis, which is its standard management, can induce neuroplasticity and modify performance in cognitive tests. As the majority of the previous studies on audition and cognition obtained their results from a mixed sample of subjects, including presbycusis individuals fitted and not fitted with hearing aids, here, we revisited the associations between hearing loss and cognition in a controlled sample of unaided presbycusis. We performed a cross-sectional study in 116 non-demented Chilean volunteers aged ≥65 years from the Auditory and Dementia study cohort. Specifically, we explored associations between bilateral sensorineural hearing loss, suprathreshold auditory brain stem responses, auditory processing (AP), and cognition with a comprehensive neuropsychological examination. The AP assessment included speech perception in noise (SIN), dichotic listening (dichotic digits and staggered spondaic words), and temporal processing [frequency pattern (FP) and gap-in-noise detection]. The neuropsychological evaluations included attention, memory, language, processing speed, executive function, and visuospatial abilities. We performed an exploratory factor analysis that yielded four composite factors, namely, hearing loss, auditory nerve, midbrain, and cognition. These four factors were used for generalized multiple linear regression models. We found significant models showing that hearing loss is associated with bilateral SIN performance, while dichotic listening was associated with cognition. We concluded that the comprehension of the auditory message in unaided presbycusis is a complex process that relies on audition and cognition. In unaided presbycusis with mild hearing loss (<40 dB HL), speech perception of monosyllabic words in background noise is associated with hearing levels, while cognition is associated with dichotic listening and FP.

Empirical benchmarks for changes in social and emotional skills over time.

This study provides empirical benchmarks that quantify typical changes in students' reports of social and emotional skills in a large, diverse sample. Data come from six cohorts of students (N=361,815; 6% Asian, 8% Black, 68% White, 75% Latinx, 50% Female) who responded to the CORE survey from 2015 to 2018 and help quantify typical gains/declines in growth mindset, self-efficacy, self-management, and social awareness. Results show fluctuations in skills between 4th and 12th grade (changes ranging from -.33 to .23standard deviations). Growth mindset increases in fourth grade, declines in fifth to seventh grade, then mostly increases. Self-efficacy, self-management, and social awareness decline in sixth to eighth grade. Self-management and social awareness, but not self-efficacy, show increases in 10th to 12th grade.

Hearing Loss in Patients With Diabetes: Does Sex Make a Difference?

Hearing impairment can have a significant impact on the well-being and health outcomes of affected individuals, including those with diabetes mellitus (DM). This can range from the basic ability to communicate effectively with others to social isolation, depression, and cognitive decline. Several studies have provided evidence that patients with DM are at an increased risk of hearing loss compared with the general population.1–4 A better understanding of the factors that modulate this increase in risk will provide guidance for prevention strategies and the better management of prevalent hearing loss.

Social isolation is associated with future decline of physical performance in community-dwelling older adults: a 1-year longitudinal study.

Social isolation and decline of physical function, such as muscle strength and physical performance, are known to be associated with deterioration of functional capacity. However, the relationship between social isolation and physical function has not been sufficiently clarified by a longitudinal observational study. The aim of this study was to examine whether social isolation is associated with a future decline in physical function in older people. The participants were 166 community-dwelling older people (aged ≥ 65years). Social isolation and physical function were assessed using the 6-item Lubben Social Network Scale and handgrip strength, knee extensor strength, usual walking time, and the Timed Up and Go (TUG) test in both the baseline and follow-up surveys. To define the presence or absence of physical function decline over time, we used the minimal detectable change. The associations between social isolation and physical function were analyzed using logistic regression analysis adjusted for confounding factors. Further, to examine the possibility of drop-out bias, inverse probability weighting (IPW) was performed. The results of the logistic regression analysis adjusted for confounding factors showed social isolation at baseline was significantly associated with future TUG decline (OR 2.88, 95% CI 1.15-7.22). Social isolation was not associated with a decline in other physical functions. Similar results were found in an analysis using IPW. Social isolation was an independent risk factor for future TUG decline in community-dwelling older people. Our results indicated that assessment of social isolation may be necessary to assess the risk of physical performance decline.

결정적 사건기법을 활용한 코로나 19시대의 비대면 온라인 교양 체육수업에 대한 경험과 개선사항 탐색

The purpose of this study is to provide basic data for face-to-face and non-face-to-face liberal arts classes in the future by exploring experiences and improvements in non-face-to-face online liberal arts classes in the COVID-19 era using Critical Incidences Technique (CIT). To this end, a study was conducted on 164 college students participating in university liberal arts and sports classes non-face-to-face, and the results of the study are as follows. The final categorization factors of positive experiences when participating in non-face-to-face liberal arts sports were safety, flexibility in time utilization, opportunity to acquire theoretical knowledge, and acquisition of physical activity time. On the other hand, negative factors were found in non-face-to-face liberal arts and sports classes due to lower quality of classes, social and physical decline that can be obtained through face-to-face classes, and poor evaluation system for classes. In conclusion, non-face-to-face classes in college liberal arts and sports classes show both positive and negative factors, and eventually, if instructors make various efforts to achieve learning goals, they can prevent the quality of classes from falling and bring about normalization of liberal arts and sports classes.

The Longitudinal Association Between Social Isolation and Cognitive Decline Among Canadian Older Adults

Abstract Social isolation is an emerging public health concern with an emphasis on its potential preventive impact on cognitive impairment. We hypothesize that change in social isolation is associated with cognitive decline over two years. Latent growth models were used to test the hypothesis using data from the FRéLE longitudinal study among 1643 Canadian community-dwelling older adults aged 65 years and over. We assessed social isolation using social participation, social networks, and support from various social ties. We found that less contact with friends and children, less social support from friends, children, and partner, and the absence of partner were significantly associated with cognitive decline. Higher baseline social participation was related to the lower rate of cognitive decline over time. Fewer contacts with grandchildren were associated with cognitive decline over time. Our study suggests that public health policies in age-friendly cities and intergenerational contacts may promote cognitive health in older adults.