scholarly journals COVID-19: Impact of Diagnosis Threat and Suggestibility on Subjective Cognitive Complaints

2021 ◽  
pp. 100253
Author(s):  
Daniella Winter ◽  
Yoram Braw
Keyword(s):  
Cognitive Complaints ◽  
Diagnosis Threat ◽  
Subjective Cognitive Complaints

scholarly journals A-09 The Relationship Between Subjective Cognitive Complaints, Depression, and Executive Functioning in mTBI Veterans

2020 ◽  
Vol 35 (6) ◽  
pp. 782-782
Author(s):  
T Scott ◽  
J Spellman ◽  
N Walker ◽  
J Rivera ◽  
D Waltzman ◽  
...  
Keyword(s):  
Working Memory ◽  
Executive Functioning ◽  
Principal Component ◽  
Trail Making Test ◽  
Cognitive Complaints ◽  
Adult Intelligence Scale ◽  
Neuropsychological Measures ◽  
Trail Making ◽  
Subjective Complaints ◽  
Subjective Cognitive Complaints

Abstract Objective Among individuals with mild traumatic brain injury (mTBI), those with depression report greater subjective cognitive complaints than those without depression. In mTBI patients with general cognitive complaints, depression may account for poor performance on objective neuropsychological measures. This study seeks to expand this research by examining depression, subjective executive functioning (EF) complaints, and objective EF performance in Veterans with mTBI. Method Fifty-seven Veterans with deployment-related mTBI (12% female; age M = 42.0, SD = 13.6; years education M = 15.0, SD = 1.8) with (n = 29) or without (n = 28) a chart diagnosis of depression. Participants were administered the Behavioral Rating Inventory of Executive Functioning (BRIEF) and objective neuropsychological measures of working memory (i.e., Weschler Adult Intelligence Scale-IV Working Memory Index) and aspects of EF (i.e., Trail Making Test B and Delis-Kaplan Executive Functioning System (D-KEFS) subtests). Results Principal component analysis identified similar domains of EF to the BRIEF, including: task monitoring (Trail Making Test B, D-KEFS Letter Fluency, and D-KEFS Tower Test, eigenvalue = 1.93) and shifting (D-KEFS: Color-Word Interference Conditions 3 and 4, and Category Switching, eigenvalue = 1.24). Individuals with depression had greater subjective EF complaints in each BRIEF domain than non-depressed individuals (p’s ≤ .01). However, subjective complaints in these domains were not related to objective performance (r’s = −0.17,-0.19, p’s > .05). Moreover, depressed and non-depressed individuals performed similarly on all EF measures (p’s > .05). Conclusions mTBI Veterans with depression report more subjective EF complaints than those without depression. The lack of association between subjective complaints and objective EF performance suggests it is important to treat depression in mTBI patients to remedy perceived cognitive deficits.

scholarly journals Applying generalizability theory to examine assessments of subjective cognitive complaints: whose reports should we rely on – participant versus informant?

2021 ◽  
pp. 1-11
Author(s):  
Q. C. Truong ◽  
C. Choo ◽  
K. Numbers ◽  
A. G. Merkin ◽  
H. Brodaty ◽  
...  
Keyword(s):  
Predominantly White ◽  
Generalizability Theory ◽  
The Elderly ◽  
Community Dwelling ◽  
Assessment Tools ◽  
Sample Population ◽  
Cognitive Complaints ◽  
Longitudinal Measurement ◽  
Measurement Design ◽  
Subjective Cognitive Complaints

ABSTRACT Objectives: This study aimed to apply the generalizability theory (G-theory) to investigate dynamic and enduring patterns of subjective cognitive complaints (SCC), and reliability of two widely used SCC assessment tools. Design: G-theory was applied to assessment scales using longitudinal measurement design with five assessments spanning 10 years of follow-up. Setting: Community-dwelling older adults aged 70–90 years and their informants, living in Sydney, Australia, participated in the longitudinal Sydney Memory and Ageing Study. Participants: The sample included 232 participants aged 70 years and older, and 232 associated informants. Participants were predominantly White Europeans (97.8%). The sample of informants included 76 males (32.8%), 153 females (65.9%), and their age ranged from 27 to 86 years, with a mean age of 61.3 years (SD = 14.38). Measurements: The Memory Complaint Questionnaire (MAC-Q) and the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). Results: The IQCODE demonstrated strong reliability in measuring enduring patterns of SCC with G = 0.86. Marginally acceptable reliability of the 6-item MAC-Q (G = 0.77–0.80) was optimized by removing one item resulting in G = 0.80–0.81. Most items of both assessments were measuring enduring SCC with exception of one dynamic MAC-Q item. The IQCODE significantly predicted global cognition scores and risk of dementia incident across all occasions, while MAC-Q scores were only significant predictors on some occasions. Conclusions: While both informants’ (IQCODE) and self-reported (MAC-Q) SCC scores were generalizable across sample population and occasions, self-reported (MAC-Q) scores may be less accurate in predicting cognitive ability and diagnosis of each individual.

scholarly journals Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population

2021 ◽  
pp. 1-11
Author(s):  
Danelly Rodríguez ◽  
Emmeline Ayers ◽  
Erica F. Weiss ◽  
Joe Verghese
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
African Americans ◽  
Primary Care Clinic ◽  
Depression Scale ◽  
Cognitive Complaints ◽  
Care Clinic ◽  
Primary Care Population ◽  
Subjective Cognitive Complaints

Background: Very few studies have explored the utility of subjective cognitive complaints (SCCs) in primary care settings. Objective: We aim to investigate associations between SCCs (item-level), objective cognitive function (across domains and global), and mood in a diverse primary care population, including subjects with mild cognitive impairment. Methods: We studied 199 (75.9%females; 57.8%Hispanics; 42.2%African Americans) older adults (mean age 72.5 years) with memory concerns at a primary care clinic. A five-item SCC questionnaire, and objective cognitive assessments, including the Montreal Cognitive Assessment (MoCA) and the Geriatric Depression Scale, were administered. Results: Logistic regression analyses showed associations between SCC score and depressive symptoms. A memory-specific (“memory worsening”) SCC predicted scores on the MoCA (p = 0.005) in Hispanics. Conclusion: SCCs are strongly linked to depressive symptoms in African Americans and Hispanics in a primary care setting; a specific type of SCC is related to global cognitive function in Hispanics.

Subjective Cognitive Complaints: Predictors and Health Outcomes in People Living with HIV

2021 ◽  
Author(s):  
Vaughn E. Bryant ◽  
Robert A. Fieo ◽  
Andrew J. Fiore ◽  
Veronica L. Richards ◽  
Eric C. Porges ◽  
...  
Keyword(s):  
Health Outcomes ◽  
People Living With Hiv ◽  
Cognitive Complaints ◽  
Living With Hiv ◽  
Subjective Cognitive Complaints

scholarly journals Investigating the Longitudinal Relationship Between Subjective Cognitive Complaints and Objective Cognition

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 592-593
Author(s):  
Francesca Falzarano ◽  
Karen Siedlecki ◽  
Jillian Minahan
Keyword(s):  
Risk Factor ◽  
Processing Speed ◽  
Cognitive Aging ◽  
Spatial Visualization ◽  
Cognitive Complaints ◽  
Memory Functioning ◽  
Valid Predictor ◽  
The Relationship ◽  
Longitudinal Relationships ◽  
Subjective Cognitive Complaints

Abstract Research examining the relationship between subjective cognitive complaints and objective cognitive performance has been mixed. Despite the lack of clear evidence demonstrating an association, subjective cognitive complaints are used as a criterion for the diagnosis of mild cognitive impairment and is considered a risk factor for Alzheimer’s disease. Cross-lagged panel analyses were used in the current study to examine the longitudinal relationships between subjective cognitive complaints (using the Memory Functioning Questionnaire) and objective cognition (e.g., reasoning, memory, spatial visualization, processing speed, and vocabulary) in healthy adults over 60 from the Virginia Cognitive Aging Project (N=441). Results indicated that objective and subjective cognition were only weakly related but that objective cognition is a stronger predictor of subjective cognitive complaints then vice versa. Although subjective cognitive complaints may be an early indicator of pathological aging, results indicate that subjective cognitive complaints may not be a valid predictor of objective cognitive decline.

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