Subjective Cognitive Complaints in Cognitively Healthy Older Adults and Their Relationship to Cognitive Performance and Depressive Symptoms

2017 ◽  
Vol 59 (3) ◽  
pp. 871-881 ◽  
Author(s):  
Hana Markova ◽  
Ross Andel ◽  
Hana Stepankova ◽  
Miloslav Kopecek ◽  
Tomas Nikolai ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Cognitive Performance ◽  
Cognitive Complaints ◽  
Healthy Older Adults ◽  
Subjective Cognitive Complaints

What do subjective cognitive complaints in persons with aging-associated cognitive decline reflect?

2005 ◽  
Vol 17 (3) ◽  
pp. 499-512 ◽  
Author(s):  
Matthias Kliegel ◽  
Daniel Zimprich ◽  
Anne Eschen
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Cognitive Performance ◽  
Ordinary Least Squares ◽  
Personality Factors ◽  
Least Squares Regression ◽  
Cognitive Complaints ◽  
Depressive Affect ◽  
And Gender ◽  
Subjective Cognitive Complaints

Background: Subjective cognitive complaints have been included in diagnostic concepts such as Aging-Associated Cognitive Decline (AACD) aiming to identify older adults with cognitive impairments at high risk of developing dementia. Although several studies in normal aging have found that subjective cognitive complaints are related to depressive affect and personality factors, little is known as to whether this is also true for older adults with AACD.Methods: In 123 older adults diagnosed with AACD and 291 controls, the role of actual cognitive performance, depressive affect, neuroticism and conscientiousness in predicting subjective cognitive complaints was investigated. In separate ordinary least squares regression analyses for both groups with gender, age, years of schooling, cognitive performance, depressive affect, neuroticism and conscientiousness as predicting variables, in the control participants, gender, age, depressive affect and neuroticism were related to subjective cognitive complaints, whereas in the AACD participants only gender and neuroticism accounted for variance in subjective cognitive complaints. Testing for group differences in predictive power, revealed differential effects for gender, depressive affect and neuroticism.Conclusions: As subjective cognitive complaints in the AACD group were related to neuroticism and gender rather than to cognitive performance, their inclusion in diagnostic concepts such as AACD should be revaluated. However, the nature of subjective cognitive complaints might be qualitatively different in persons diagnosed with AACD compared to those stated by normal older adults.

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 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.

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