scholarly journals The role of physical health on the relationship between subjective memory complaints, anxiety, and depression in older adults during the COVID‐19 pandemic

2021 ◽  
Vol 17 (S10) ◽  
Author(s):  
Julia L Sheffler ◽  
Diamond Taylor ◽  
Hollyn Saliga
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S654-S654
Author(s):  
Elizabeth A Gallagher

Abstract Cognitive health is a rising public health concern in the U.S. Currently, approximately 5.7 million older adults suffer from Alzheimer’s disease (AD), and by the year 2050 this number is expected to increase to 14 million. Subjective memory complaints (SMC) are shown to be an early indicator of cognitive decline, and accordingly included as a clinical criterion for diagnoses of MCI, an indicator of pre-dementia states, and a research criterion for AD diagnoses. Among older adults, depressive symptoms hinder the accuracy of memory self-ratings. However, there has yet to be consensus regarding the nature of how depressive symptoms may condition the relationship between SMC and cognitive performance. The aims of the present study are to both investigate whether SMC is related to episodic memory and to determine whether depressive symptoms act as a moderator for the relationship between SMC and episodic memory among older adults. This research used nationally representative sample of 8,123 older adults aged 65 and older who completed the Leave Behind Questionnaire in the 2012 and 2014 waves of the Health and Retirement Study. Linear regression was performed and results showed that there was a significant main effect of SMC on episodic memory performance, in that older adults with increased SMC have worse episodic memory. There was also a significant moderating effect of depressive symptoms, in that depressive symptoms cause older adults to underestimate their memory abilities. In order to use SMC as a tool for early detection efforts it is critical to understand these complex relationships.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 892-892
Author(s):  
Kristi Wisniewski ◽  
Eun Young Choi ◽  
Christopher Beam ◽  
Elizabeth Zelinski

Abstract Subjective memory complaints (SMCs) are self-reported changes in memory performance and may indicate prospective dementia. Cognitive function and depressive symptoms are negatively correlated; however, depression’s influence on the relationship between SMCs and cognition is unclear. Data were drawn from the Long Beach Longitudinal Study, a three-panel study of community-dwelling older adults from southern California who were assessed every three years. The present study included participants ages 54-89 who completed a 20-item immediate recall task at each wave and the Memory Functioning Questionnaire Frequency of Forgetting (FOF) subscale, a measure of SMC, on 2+ occasions from 1994-2014 (n=788; Mage=73 years at baseline, Meduc=15 years). Higher FOF scores indicated fewer memory complaints. Depression was measured as the average Geriatric Depression Scale score across occasions. Bivariate linear latent growth models over age adjusted for age, sex, and education (covariates associated with cognition). The SMC and recall slopes were positively correlated (parameter estimate=1.40; p<0.05). After controlling for depression, the slope-slope correlation was not significant (parameter estimate=0.83; p=0.127). However, after removing cognitively-relevant items from the Geriatric Depression Scale then adjusting for depression, the SMC slope-recall slope correlation trended toward significance (parameter estimate=0.99; p=0.070) suggesting that the cognitively relevant items were confounding the slope-slope correlation. These findings indicate that depression impacts the relationship between SMC and objective memory over age; therefore, depression may limit the clinical utility of SMCs as a cognitive screening measure. Future studies should assess depression using scales devoid of cognitive items to differentiate its influence on subjective and objective memory performance.


2016 ◽  
Vol 17 (7) ◽  
pp. 1125-1131 ◽  
Author(s):  
Ryota Sakurai ◽  
Hiroyuki Suzuki ◽  
Susumu Ogawa ◽  
Hisashi Kawai ◽  
Hideyo Yoshida ◽  
...  

2014 ◽  
Vol 14 (3) ◽  
pp. 175-181 ◽  
Author(s):  
Yohko Maki ◽  
Tomoharu Yamaguchi ◽  
Tetsuya Yamagami ◽  
Tatsuhiko Murai ◽  
Kenji Hachisuka ◽  
...  

2018 ◽  
Vol 24 (10) ◽  
pp. 1110-1120 ◽  
Author(s):  
Nikita L. Frankenmolen ◽  
Eduard J. Overdorp ◽  
Luciano Fasotti ◽  
Jurgen A.H.R. Claassen ◽  
Roy P.C. Kessels ◽  
...  

AbstractObjectives: Subjective memory complaints (SMC) in older adults are associated with a decline in everyday functioning and an increased risk for future cognitive decline. This study examines the effect of a memory strategy training compared to a control memory training on memory functioning in daily life. Methods: This was a randomized controlled trial with baseline, post-treatment, and 6-month follow-up assessments conducted in 60 older adults (50–87 years) with SMC. Participants were randomly assigned to either seven sessions of memory strategy training or seven sessions of control memory training. Both interventions were given in small groups and included psycho-education. Primary outcome measure was memory functioning in daily life. Objective measures of memory performance and self-reported measures of strategy use were included as secondary outcome measures. Results: Participants in each intervention group reported an improvement in personal memory goals (p<.0005), up to 6 months after training. An interaction effect showed that participants following memory strategy training reported a larger improvement in personal memory goals (p=.002). Both intervention groups improved on two memory tests (p<.001 and p<.01). In the memory strategy training group, an increase in strategy use in daily life was the strongest predictor (p<.05) of improvement in subjective memory functioning. Conclusions: Older adults with subjective memory complaints benefit from memory strategy training, especially in their memory functioning in daily life. (JINS, 2018, 24, 1110–1120)


2019 ◽  
Vol 31 (12) ◽  
pp. 1699-1707 ◽  
Author(s):  
Toshinori Nishizawa ◽  
Ayako Morita ◽  
Takeo Fujiwara ◽  
Katsunori Kondo

ABSTRACTBackground:Subjective memory complaints (SMC) have been suggested as an early marker of mild cognitive impairment and dementia. However, there is a paucity of evidence on the effects of early life conditions on the development of SMC in old age. This study is aimed at investigating the association between childhood socioeconomic status (SES) and SMC in community-dwelling older adults.Methods:We used the data of the Japan Gerontological Evaluation Study, a population-based cohort study of people aged 65 years or older enrolled from 28 municipalities across Japan. Childhood SES and SMC in everyday life were assessed from the self-report questionnaire administered in 2010 (n = 16,184). Poisson regression was performed to determine their association, adjusted for potential confounders and life-course mediators and examined cohort effects.Results:We identified SMC in 47.4% of the participants. After adjusting for sex, age, and number of siblings, low and middle childhood SES were associated with 29% (prevalence ratio [PR]: 1.29, 95% confidence interval [CI]: 1.22, 1.36) and 10% higher prevalence of SMC (PR: 1.10, 95%CI: 1.04, 1.17), respectively, compared with high childhood SES (p for trend <.001). The interaction terms between childhood SES and age groups were not statistically significant.Conclusion:Childhood SES is significantly associated with SMC among community-dwelling older adults. Efforts to minimize childhood poverty may diminish or delay the onset of SMC and dementia in later life.


Author(s):  
R.-Y. Chao ◽  
T.-F. Chen ◽  
Y.-L. Chang

Background: Although evidence suggests that subjective memory complaints (SMCs) could be a risk factor for dementia, the relationship between SMCs and objective memory performance remains controversial. Old adults with or without mild cognitive impairment (MCI) may represent a highly heterogeneous group, based partly on the demonstrated variability in the level of executive function among those individuals. It is reasonable to speculate that the accuracy of the memory-monitoring ability could be affected by the level of executive function in old adults. Objective: This study investigated the effects of executive function level on the consistency between SMCs and objective memory performance while simultaneously considering demographic and clinical variables in nondemented older adults. Setting: Participants were recruited from both the memory clinics and local communities. Participants: Participants comprised 65 cognitively normal (CN) older adults and 54 patients with MCI. Measurements: Discrepancy scores between subjective memory evaluation and objective memory performance were calculated to determine the degree and directionality of the concordance between subjective and objective measures. Demographic, emotional, genetic, and clinical information as well as several executive function measurements were collected. Results: The CN and MCI groups exhibited similar degrees of SMC; however, the patients with MCI were more likely to overestimate their objective memory ability, whereas the CN adults were more likely to underestimate their objective memory ability. The results also revealed that symptoms of depression, group membership, and the executive function level together predicted the discrepancy between the subjective and objective measures of memory function; however, the executive function level retained its unique predictive ability even after the symptoms of depression, group membership, and other factors were controlled for. Conclusion: Although both noncognitive and cognitive factors were necessary for consideration, the level of executive function may play a unique role in understanding the equivocal relationship of the concurrence between subjective complaints and objective function measures. Through a comprehensive evaluation, high-risk individuals (i.e., CN individuals heightened self-awareness of memory changes) may possibly be identified or provided with the necessary intervention during stages at which objective cognitive impairment remains clinically unapparent.


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