Monaghan, Cormac, de Andrade Moral, Rafael, Kelly, Michelle and McHugh Power, Joanna (2026) Procrastination as a marker of cognitive decline: Evidence from longitudinal transitions in the older adult population. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring, 18 (1). ISSN 2352-8729
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Abstract
INTRODUCTION
Cognitive decline is a global health concern, making the identification of early, modifiable risk factors essential. While apathy is a recognized prodromal marker, procrastination may also signal early executive dysfunction.
METHODS
We used longitudinal secondary data from the United States Health and Retirement Study among adults aged 60+ . Cognitive function, procrastination, depression, and a proxy measure of apathy were assessed. Transitions between normative cognitive function, mild cognitive impairment (MCI), and dementia were modeled using a discrete‐time first‐order Markov model.
RESULTS
Procrastination scores were higher among individuals with MCI or dementia than those with normative cognitive function. Procrastination also interacted with age, disproportionately increasing the risk of decline in the oldest participants.
DISCUSSION
Procrastination was associated with cognitive impairment and predicted transitions to MCI, suggesting it may serve as both an early behavioral marker and compounding risk factor.
Highlights
Procrastination predicts cognitive decline in older adults.
Effects remain after accounting for apathy.
Longitudinal study links everyday behavior to dementia risk.
Procrastination may be a potentially modifiable early behavioral marker.
| Item Type: | Article |
|---|---|
| Keywords: | aging; apathy; dementia risk; executive dysfunction; mild cognitive impairment; procrastination; |
| Academic Unit: | Faculty of Science and Engineering > Mathematics and Statistics Faculty of Science and Engineering > Psychology Faculty of Science and Engineering > Research Institutes > Hamilton Institute |
| Item ID: | 21153 |
| Identification Number: | 10.1002/dad2.70245 |
| Depositing User: | Joanna McHugh Power |
| Date Deposited: | 29 Jan 2026 16:18 |
| Journal or Publication Title: | Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring |
| Publisher: | Wiley |
| Refereed: | Yes |
| Related URLs: | |
| Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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