Subjective memory complaints, depressive symptoms and cognition in patients attending a memory outpatient clinic

Lehrner, Johann; Moser, Doris; Klug, Stefanie; Gleiß, Andreas; Auff, Eduard; Dal‐Bianco, Peter; Pußwald, Gisela

doi:10.1017/s1041610213002263

Cited by 60 publications

(65 citation statements)

References 30 publications

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“…The unavailability of data on depression and depressive symptoms as an unmeasured confounder is also a major limitation of this study because it has been suggested that the associations with subjective indicators of health especially memory may be confounded by prevalence of depression. 34 In conclusion, subjective memory complaints are associated with a higher risk of incident stroke, especially in persons with a high level of education. In these persons, cognitive tests are not of incremental value because they might perform well, despite their subjective memory dysfunction.…”

Section: January 2015mentioning

confidence: 89%

Subjective Memory Complaints and the Risk of Stroke

Sajjad

Mirza

Portegies

et al. 2015

Stroke

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This study was embedded in the Rotterdam Study, a large prospective population-based cohort that started in 1990 among inhabitants aged ≥55 years residing in a district of Rotterdam, the Netherlands Background and Purpose-Persons with cognitive impairment, as assessed by cognitive tests, are at a higher risk of stroke.Subjective memory complaints might be an earlier marker for stroke, especially in persons with higher education. Their cognitive reserve might mask their cognitive impairment during cognitive testing. In a population-based setting, we investigated the association between subjective memory complaints and stroke. We simultaneously investigated the association between Mini-Mental State Examination and stroke. We also assessed whether these associations varied with educational level. Methods-9152 participants from the Rotterdam Study (baseline 1990-1993 or 2000-2001) completed the subjective memory complaints questionnaire and underwent Mini-Mental State Examination assessment. Subsequently, the entire cohort was followed for incident stroke until 2012. We used Cox proportional hazard models to estimate the associations between subjective memory complaints and Mini-Mental State Examination, with stroke. Results-During a follow-up of 111 593 person years, 1134 strokes were identified, of which 663 were ischemic and 99 hemorrhagic. In the fully adjusted model, presence of subjective memory complaints was independently associated with a higher risk of stroke (hazard ratio, 1.20; 95% confidence interval, 1.04-1.39), but a higher Mini-Mental State Examination was not (hazard ratio per point increase, 0.99; 95% confidence interval, 0.95-1.02). The association between subjective memory complaints and risk of stroke was modified by educational level, with a higher risk of stroke in persons with a higher level of education (hazard ratio, 1.39; 95% confidence interval, 1.07-1.81). Conclusions-Subjective

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Section: January 2015mentioning

confidence: 89%

Subjective Memory Complaints and the Risk of Stroke

Sajjad

Mirza

Portegies

et al. 2015

Stroke

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“…Some previous studies suggest that subjective cognitive complaints are related to cognitive performance (Lam et al, 2005;Jessen et al, 2007) whereas other studies did not find such a relationship Vestberg et al, 2010). This may be explained by different methodological approaches in relation to clarifying the complaints by a single question or a scale (Reid and Maclullich, 2006) and whether the complaints are solicited or volunteered (Lehrner et al, 2013). Furthermore, it is of importance whether the setting is longitudinal or cross sectional.…”

Section: Introductionmentioning

confidence: 94%

Subjective cognitive complaints included in diagnostic evaluation of dementia helps accurate diagnosis in a mixed memory clinic cohort

Salem

Vogel

Ebstrup

et al. 2015

Int J Geriatr Psychiatry

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“…Previous work indicates that these variables are significantly related to both the outcomes of interest and perceptions of memory performance, hence we accounted for their potential confounding effects (Begum et al, 2014; Ficker, Lysack, Hanna, & Lichtenberg, 2014; Lehrner et al, 2014; Snitz et al, 2012). Neuroticism was assessed using a personality scale developed for the MIDUS study (Lachman & Weaver, 1997).…”

Section: Methodsmentioning

confidence: 99%

Subjective Memory in a National Sample: Predicting Psychological Well-Being

Mogle

Hill²,

Madrigal

2017

Gerontology

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Background: Individual perception of memory performance (i.e., subjective memory) is assessed using a variety of approaches. This article focuses on 2 such approaches: (1) self-comparison assessments that attempt to capture changes in memory ability over a period of time and (2) age-anchored comparisons that assess how an individual perceives their memory in relation to others their age. These different types of assessment may relate to psychological well-being differently due to the underlying mechanisms of assessment. Objective: The purpose of these analyses is to examine 2 measures of subjective memory (i.e., a self-comparison measure and an age-anchored comparison measure) as predictors of psychological well-being among adults in mid- and late life. Methods: Participants (n = 3,434) in the Midlife in the United States Study completed measures of subjective memory, depressive affect, and life satisfaction. Structural equation modeling was used to examine whether the self-comparison and age-anchored comparison measures had differential predictive utility regarding psychological well-being. Results: Higher age-anchored comparison ratings were related to higher life satisfaction scores. There was a significant interaction between the 2 items such that individuals with lower ratings on both subjective memory measures had the poorest outcomes. Additionally, age-anchored comparisons interacted with age: older adults had the poorest outcomes when they reported poorer age-anchored comparisons. Conclusion: These findings highlight the importance of precise measurement in the consideration of subjective memory. How an individual was asked to rate his or her perception of memory influenced the relationships between subjective memory and psychological well-being. This study contributes valuable insight into the importance of the assessment models of subjective memory.

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Subjective memory complaints, depressive symptoms and cognition in patients attending a memory outpatient clinic

Abstract: A large proportion of patients seeking help in a memory outpatient clinic report considerable SMC, with an increasing degree from cognitively healthy elderly to aMCI. Depressive status increases SMC consistently across groups with different cognitive status.

Cited by 60 publications

References 30 publications

Subjective Memory Complaints and the Risk of Stroke

Subjective Memory Complaints and the Risk of Stroke

Subjective cognitive complaints included in diagnostic evaluation of dementia helps accurate diagnosis in a mixed memory clinic cohort

Subjective Memory in a National Sample: Predicting Psychological Well-Being

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