Psychosocial and Cognitive Performance Correlates of Subjective Cognitive Complaints in Help-Seeking Versus Non-Help-Seeking Community-Dwelling Adults

2019 ◽  
Vol 33 (2) ◽  
pp. 93-102 ◽  
Author(s):  
Alexander F. Lubitz ◽  
Michael Eid ◽  
Michael Niedeggen
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Performance ◽  
Divided Attention ◽  
Help Seeking ◽  
Community Dwelling ◽  
Cognitive Resources ◽  
Psychosocial Variables ◽  
Cognitive Complaints ◽  
Attention Performance ◽  
Subjective Cognitive Complaints

The clinical use of subjective cognitive complaints (SCCs) has been questioned, especially when considering the influence of depression. Further problems describe the registration of SCCs with a focus on memory and different sample selections, with only few studies that directly compare those who seek help because of SCCs and community-dwelling adults. The present study aimed to (1) evaluate differences in psychosocial variables in help-seeking adults and community-dwelling adults with a lower level of complaints and (2) to further explore the relationship between SCCs and cognitive performance in help-seekers. Fifty-five help-seeking adults (HS) were compared to 55 age-, sex-, and education-matched non-help-seeking adults (NHS). Multiple regression analyses revealed that depressive symptoms were linked to experiencing more SCCs mainly in NHS. Altogether, less variance was explained by psychosocial variables in HS, whereas adding cognitive variables—especially divided attention performance—led to a substantial increase in explained variance. Mediation analysis further revealed a possible mediation of depressive symptoms on SCC by divided attention performance. Taken together, our results underpin the importance of assessing SCCs comprehensively to detect a functional relationship between cognitive performance and complaints, especially in HS. In this group, it is likely that depression precedes problems in divided attention, which in turn lead to SCC. Therefore, future studies should further investigate the link between SCC and cognitive functions which rely on more cognitive resources, as these might be first to be affected by cognitive decline.

scholarly journals DIRECTIONALITY BETWEEN COGNITION AND DEPRESSIVE SYMPTOMS: A LONGITUDINAL CROSS-LAGGED PANEL ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S166-S166
Author(s):  
Randolph Chan ◽  
Jennifer Y M Tang ◽  
Tianyin Liu ◽  
Gloria H Y Wong
Keyword(s):  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Older People ◽  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Community Dwelling ◽  
Cognitive Complaints ◽  
Subjective Cognitive Function ◽  
Subjective Cognitive Complaints

Abstract Background and Objectives: The relationship between objective and subjective cognitive function and depressive symptoms is complex and potentially multidirectional. This longitudinal prospective study examined the directionality of their relationship among a community sample of older people with no known diagnosis or treatment for dementia or depression. Research Design and Methods: We examined the temporal relationship between objective cognitive functioning, subjective cognitive complaints, and depressive symptoms in 1,814 community-dwelling older people at baseline and one-year follow-up using regression and two-wave cross-lagged panel analyses, after controlling for demographic and health confounders. Results: Cross-lagged analysis showed that depressive symptoms at follow-up were directly predicted by baseline subjective cognitive complaints, but not baseline objective cognitive functioning. The effect differed across objective cognitive functioning levels. In people with clinically significant cognitive impairment at baseline, objective cognitive decline but not baseline subjective cognitive complaints predicted depressive symptoms. In people with mild objective cognitive impairment at baseline, baseline subjective complaints but not objective cognitive decline predicted depressive symptoms. Discussion and Implications: The effects of objective and subjective cognitive decline on depressive symptoms varied across older people with different levels of cognitive impairment. Awareness and insight of one’s cognitive status may contribute to the development/progression in depressive symptom in people with mild cognitive impairment. Mechanisms unrelated to appraisal may be involved in increased depressive symptoms among older persons with significant objective cognitive impairment.

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.

scholarly journals Evaluating the Efficacy of a Cognitive Skills Training Program for Spanish-Speaking Adults with Subjective Cognitive Complaints

2019 ◽  
Vol 34 (7) ◽  
pp. 1270-1270
Author(s):  
Y Patino ◽  
P Sinclair ◽  
J Osher ◽  
K Torres
Keyword(s):  
Training Program ◽  
Cognitive Performance ◽  
Cognitive Training ◽  
Cultural Sensitivity ◽  
Cognitive Skills ◽  
Skills Training ◽  
Spanish Version ◽  
Cognitive Complaints ◽  
Spanish Speaking ◽  
Subjective Cognitive Complaints

Abstract Objective The purpose of this pilot study was to examine the efficacy of a five-week Spanish cognitive skills training program on 18 participants with subjective cognitive complaints. Participants and Method Eighteen Spanish-speaking participants completed a series of cognitive and emotional measures pre- and post-training, including objective measures of cognitive functioning (Montreal Cognitive Assessment, Spanish-version; MoCA), self-reported mood measures (Beck Depression Inventory, BDI; Beck Anxiety Inventory, BAI-Spanish version), and subjective cognitive complaints questionnaire (Subjective Cognitive Decline Questionnaire, Spanish version). Drawing from existing literature on effective interventions for subjective cognitive impairment (Reijnders et al., 2015), this research focused on delivering a five-week intervention program in Spanish, which included psychoeducation on cognition, cognitive strategy training, and applied practice of mindfulness techniques. Furthermore, this intervention incorporated Personalismo and indirect communication, which was applied by engaging with participants in a warm and culturally appropriate manner (Jiménez et al., 2014). Results Participants demonstrated significant improvement in overall MoCA scores. Improvements in subjective cognitive performance, as well as decreases in depression and anxiety (as indicated by the BDI and BAI, respectively) were noted. Results also showed that changes in mood, anxiety, and subjective cognitive performance were not predictive of improvements in MoCA performance, lending support to the hypothesis that skills learned in the program contributed to improved cognitive performance. Conclusions Overall, these results demonstrate that linguistically and culturally tailored psychoeducation regarding cognition, cognitive skills training, and mindfulness, can positively impact subjective and objective cognitive performance, as well as psychological wellbeing among Spanish-speaking adults. References Jiménez, A.L., Alegría, M., Camino-Gaztambide, R.F., & Zayas I, L.V. (2014) Cultural sensitivity: What should we understand about Latinos? In R. Parekh (ed.) The Massachusetts General Hospital Textbook on Diversity and Cultural Sensitivity in Mental Health (pp.61-70). New York, NY: Springer. Rebok, G. W., Ball, K., Guey, L. T., Jones, R. N., Kim, H. Y., King, J. W., … ACTIVE Study Group (2014). Ten-year effects of the advanced cognitive training for independent and vital elderly cognitive training trial on cognition and everyday functioning in older adults. Journal of the American Geriatrics Society, 62(1), 16–24. doi:10.1111/jgs.12607.

scholarly journals F74. CLINICAL SYMPTOMS AND NOT OBJECTIVE COGNITIVE PERFORMANCE DRIVE SUBJECTIVE COGNITIVE COMPLAINTS IN PATIENTS WITH SCHIZOPHRENIA

2018 ◽  
Vol 44 (suppl_1) ◽  
pp. S248-S248
Author(s):  
Jack Cotter ◽  
Kiri Granger ◽  
John Evenden ◽  
Jennifer Barnett ◽  
Michael Sand
Keyword(s):  
Cognitive Performance ◽  
Clinical Symptoms ◽  
Cognitive Complaints ◽  
Subjective Cognitive Complaints

What Do Cognitive Complaints in a Sample of Memory Clinic Outpatients Reflect?

GeroPsych ◽  
2011 ◽  
Vol 24 (4) ◽  
pp. 187-195 ◽  
Author(s):  
Anna Mascherek ◽  
Daniel Zimprich ◽  
Roland Rupprecht ◽  
Frieder R. Lang
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Functioning ◽  
Cognitive Performance ◽  
Semantic Fluency ◽  
Regression Analyses ◽  
Memory Clinic ◽  
Cognitive Complaints ◽  
Cognitive Measures ◽  
Conflicting Evidence ◽  
Subjective Cognitive Complaints

Conflicting evidence exists concerning the value of cognitive complaints in the course of assessing cognitive performance in individuals. The present study examines whether cognitive complaints are differentially related to cognitive functioning in groups with different diagnoses. 169 older outpatients (76 years on average) were divided into three groups and diagnosed with subjective cognitive complaints, mild cognitive impairment, or dementia. They were then administered a self-rating questionnaire on cognitive complaints, with semantic fluency and global cognitive functioning being assessed as cognitive measures. Multiple regression analyses revealed that, after controlling for depression, age, sex, and education, global cognitive functioning was not related to cognitive complaints. Semantic fluency was related to cognitive complaints depending on the group. Results suggest that cognitive complaints reflect, in part, actual cognitive performance.

Sign in / Sign up

Export Citation Format

Share Document