Subjective cognitive impairment and quality of life: a systematic review

Hill, Nikki L.; Madrigal, Caroline; Muñoz, Elizabeth; DePasquale, Nicole; Wion, Rachel K.; Whitaker, Emily

doi:10.1017/s1041610217001636

Cited by 118 publications

(80 citation statements)

References 49 publications

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“…We found that both static measures of frailty and cognitive impairment and change in frailty and cognitive impairment were associated with QoL, which is in line with previous research (Hill et al, 2017;Langlois et al, 2012). Here, we add to this research by demonstrating that demographic and social context, including employment status, influences these relationships.…”

Section: Discussionsupporting

confidence: 90%

The impact of frailty and cognitive impairment on quality of life: employment and social context matter

Godin

Armstrong

Wallace

et al. 2018

Int. Psychogeriatr.

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Background:How cognitive impairment and frailty combine to impact on older adults’ Quality of Life (QoL) is little studied, but their inter-relationships are important given how often they co-occur. We sought to examine how frailty and cognitive impairment, as well as changes in frailty and cognition, are associated with QoL and how these relationships differ based on employment status and social circumstances.Methods:Using the Survey of Health, Ageing, and Retirement in Europe data, we employed moderated regression, followed by simple slopes analysis, to examine how the relationships between levels of health (i.e., of frailty and cognition) and QoL varied as a function of sex, age, education, social vulnerability, and employment status. We used the same analysis to test whether the relationships between changes in health (over two years) and QoL varied based on these same moderators.Results:Worse frailty (b = −1.61, p < .001) and cognitive impairment (b = −0.08, p < .05) were each associated with lower QoL. Increase in frailty (b = −2.17, p < .001) and cognitive impairment (b = −0.25, p < .001) were associated with lower QoL. The strength of these relationships varied depending on interactions with age, sex, education, social vulnerability, and employment status. Higher social vulnerability was consistently associated with lower QoL in analyses examining both static health (b = −3.16, p < .001) and change in health (b = −0.66, p < .001).Conclusions:Many predictors of QoL are modifiable, providing potential targets to improve older adults’ QoL. Even so, the relationships between health, cognition, and social circumstances that shape QoL in older adults are complex, highlighting the importance for individualized interventions.

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Section: Discussionsupporting

confidence: 90%

The impact of frailty and cognitive impairment on quality of life: employment and social context matter

Godin

Armstrong

Wallace

et al. 2018

Int. Psychogeriatr.

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“…The psychological symptoms most often associated with MCI were depression, anxiety, and apathy (Aleman et al, 2017; da Silva Rodrigues, Carvalho Figueiredo, Montes, Hidekel, & Gruart Vila, 2017; Mirza et al, 2017). Previous studies suggest that people with MCI may experience frustration because of the difficulties they have in independently carrying out the activities of their daily lives (Rickenbach, Condeelis, & Haley, 2015), leading them to suffer from high levels of anxiety, depression, and dysfunctional social interactions (Hill et al, 2017), all potentially contributing to the deterioration of their HRQL. In people with MCI, these psychological symptoms may even be the first manifestations of a neurodegenerative process, appearing before the appearance of cognitive symptoms (Agüera Ortiz & López Alvarez, 2017).…”

Section: Discussionmentioning

confidence: 99%

Psychometric properties of the Spanish version of the mild cognitive impairment questionnaire

Clement‐Carbonell

Cabañero‐Martínez

Fernández‐Alcántara

et al. 2020

Research in Nursing & Health

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The prevalence of mild cognitive impairment (MCI) has significantly increased in recent years. No specific instruments are available in Spanish for assessing health-related quality of life (HRQoL) in people with MCI. The aim of this study was to adapt transculturally and validate the mild cognitive impairment questionnaire (MCQ) in Spanish people with MCI.A standardized transcultural adaptation process was carried out, and the structural equivalence of the Spanish version of the scale was examined. In addition, we studied the reliability and construct validity of the instrument. The sample comprised 100 people with MCI, with a mean age of 79.5 years. In a confirmatory factor analysis, we found the instrument had a one-factor structure and adequate internal consistency. Related to the construct validity, we found meaningful relationships with measures of HRQoL and depression. Our results indicate that the Spanish version of the MCQ is a reliable and valid tool for measuring HRQoL in Spanish patients with MCI. The availability of specific tools, such as the MCQ allows nurses to evaluate new intervention strategies to improve the HRQoL of these patients. Furthermore, this scale can be used by researchers and clinicians to improve the standards of care provided to this population. K E Y W O R D S linguistic validation, mild cognitive impairment, psychometric properties, quality of life

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“…Approximately 25% of older adults report cognitive problems (Fritsch, McClendon, Wallendal, Hyde, & Larsen, 2014). Although these reports are associated with an increased risk for future cognitive decline, daily functional diffi culties, and decreased well-being, the phenomenon has not been well studied from the perspective of older adults themselves (Hill et al, 2017;Reisberg, Shulman, Torossian, Leng, & Zhu, 2010). Qualitative studies have examined early cognitive problems among older adults, but fi ndings to date are unable to diff erentiate between those who will and will not experience progressive cognitive decline (Buckley, Saling, Frommann, Wolfsgruber, & Wagner, 2015).…”

Section: Story Circlesmentioning

confidence: 99%