The impact of subjective memory complaints on quality of life in community‐dwelling older adults

Maki, Yohko; Yamaguchi, Tomoharu; Yamagami, Tetsuya; Murai, Tatsuhiko; Hachisuka, Kenji; Miyamae, Fumiko; Ito, Kae; Awata, Shuichi; Ura, Chiaki; Takahashi, Ryutaro; Yamaguchi, Hideyo

doi:10.1111/psyg.12056

Cited by 54 publications

(51 citation statements)

References 33 publications

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“…47 In this context, memory training and educational interventions seem useful for elevating self-efficacy and for promoting active transfer of strategies to maintain independence and improve health-related quality of life in the elderly. 48 Particular attention should be paid to subjects with MCI, who may recognize their own cognitive decline and, consequently, develop mood disorders and other afflictions, as well as demonstrate reduced self-esteem and affliction due to fear of developing dementia. 49 Surely, in these subjects, cognitive training should be conducted with full attention to the mental state of the individual, because the risk exists of aggravating their awareness of memory decline, exacerbating the sense of self-efficacy with consequent worsening of quality of life.…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Cognitive Training for Elderly: Results from My Mind Project

Giuli

Papa

Lattanzio

et al. 2016

Rejuvenation Research

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Cognitive decline and dementia represent very important public health problems that impact the ability to maintain social function and independent living. The aim of this study was to investigate the effects of a nonpharmacological intervention consisting of comprehensive cognitive training in elderly people having one of three different cognitive statuses. In all, 321 elderly people with a diagnoses of mild–moderate Alzheimer's disease (AD), with mild cognitive impairment (MCI) and without cognitive decline were randomly assigned to two groups: experimental group (EG, who underwent intervention) and control group (CG), according to a prospective randomized intervention study. In the three groups, immediately after the end of the intervention, we observed a significant effect on some cognitive and noncognitive outcomes in the EGs. At the end of the intervention, we found an intermediate intervention effect on the Alzheimer's Disease Assessment Scale (ADAS) score of subjects with AD, as well as on functional status, as measured by using the Instrumental Activities of Daily Living scale. A significant intervention effect was also observed on enhancement of auditory verbal short-term memory and subjective memory complaints of subjects with MCI. The group of subjects without cognitive decline obtained a significant intervention effect on subjective complaints outcomes. The obtained results demonstrated that participation in the intervention could improve performance with respect to specific cognitive functions and psychological statuses. The role of healthy lifestyle programs, such as the use of comprehensive interventions, has been shown to be efficient for enhancing memory and other abilities in aged individuals with and without cognitive decline.

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Section: Discussionmentioning

confidence: 99%

“…49 Surely, in these subjects, cognitive training should be conducted with full attention to the mental state of the individual, because the risk exists of aggravating their awareness of memory decline, exacerbating the sense of self-efficacy with consequent worsening of quality of life. 48 …”

Section: Discussionmentioning

confidence: 99%

The Effects of Cognitive Training for Elderly: Results from My Mind Project

Giuli

Papa

Lattanzio

et al. 2016

Rejuvenation Research

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“…In an aging population, cognitive impairment is a major driver of both health‐related quality of life (HRQOL) and health‐care costs. Even before the diagnosis of dementia, individuals with subjective cognitive complaints report worse quality of life; care partners of these individuals experience higher levels of anxiety and burnout . As individuals progress from subjective complaints to mild cognitive impairment to dementia, health utilization and cost increase dramatically.…”

Section: Introductionmentioning

confidence: 99%

Quality of education impacts late‐life cognition

Mantri

Nwadiogbu

Fitts

et al. 2019

Int J Geriat Psychiatry

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Objectives: Screening tests of global cognition detect racial differences in scores even after adjustment for educational attainment. Differential educational environments in adolescence may affect individual cognitive function. This study examines the impact of high school educational quality on late-life cognition among community-dwelling older adults. Methods/design: Data were collected from community-dwelling individuals from the Philadelphia Healthy Brain Aging (PHBA) cohort at the University of Pennsylvania Health System. The present analysis included subjects from the PHBA over the age of 55 years without a diagnosis of Parkinson's disease or dementia, who had attended high school in the City of Philadelphia. Cognition was assessed using the Montreal Cognitive Assessment (MoCA); clinical information was abstracted from the subject's electronic health record. High school information was obtained from the Philadelphia Board of Education. After univariable correlations were defined, we performed stepwise multiple linear regression models to determine the most significant predictors of late-life cognitive status. Results: A total of 130 subjects meeting inclusion criteria were included in the analysis. Years of education, race, educational level, school district, and financial status were all positively associated with MoCA. Significant negative associations included composite vascular risk, attendance at highly segregated schools, and historical poverty status. In stepwise multiple linear regression modeling, the impact of race on cognition remained significant when educational attainment was added to the model but was no longer significant once segregation status was added. Conclusions: This work suggests that academic and community factors beyond years of education have a marked impact on late-life cognition. KEYWORDS cognition, dementia, healthy aging, mild cognitive impairment, quality of education 1 | INTRODUCTION In an aging population, cognitive impairment is a major driver of both health-related quality of life (HRQOL) and health-care costs. Even before the diagnosis of dementia, individuals with subjective cognitive complaints report worse quality of life; 1-3 care partners of these individuals experience higher levels of anxiety and burnout. 4,5 As individuals progress from subjective complaints to mild cognitive impairment to dementia, health utilization and cost increase dramatically. In the United States alone, the monetary cost of dementia care, including both direct costs such as physician visits and medications, and also indirect costs such as informal care by spouses and children, was estimated at $236 billion in 2016. 6 Even conservative estimates assuming a plateau or decline in dementia prevalence acknowledge a doubling of inflation-adjusted care costs by 2040. 7 Additionally, on detailed neuropsychological testing and in advanced imaging studies,

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“…In the case of older people, subjective memory complaints have been particularly associated with the management of daily living activities and perceived quality of life, and they have been studied as possible indicators of cognitive decline, mild cognitive impairment (MCI) and even dementia (e.g., Farias et al, 2009; Hong et al, 2014; Juncos-Rabadan et al, 2012; Maki et al, 2014; Montejo et al, 2012; Ogata et al, 2015; Rönnlund et al, 2015a; Rönnlund et al, 2015b; Waldorff et al, 2012). Despite the great importance of subjective memory complaints in elderly populations, the characterization of the same phenomenon in younger groups is also relevant to explore how memory changes are perceived across development, and how this self-report can be used in the evaluation of memory difficulties in specific age groups (Ginó et al, 2010; Pearman, 2009).…”

Section: Introductionmentioning

confidence: 99%

Subjective Memory Complaints in Portuguese Young Adults: Contributions from the Adaptation of the Prospective and Retrospective Memory Questionnaire

Pereira

Albuquerque

2018

PSYCHOL BELG

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Self-report instruments that allow to characterize the frequency of daily memory failures are essential for a comprehensive assessment of memory functioning. In this context, we aimed to provide preliminary evidence of validity and reliability for the European Portuguese adaptation of the Prospective and Retrospective Memory Questionnaire (PRMQ). A total of 1052 healthy participants completed an online survey with the PRMQ. The exploration of the construct validity suggested the tripartite model with a general memory, a prospective memory, and a retrospective memory factors to have the best adjustment to the data. Measurement invariance across age and sex groups was also verified. The questionnaire revealed good convergent validity with a general self-report measure of memory (0.778 < r < 0.853), and satisfactory values of internal consistency (0.779 < Cronbach’s alpha < 0.887) and of test-retest reliability (0.815 < r < 0.852). There were no prominent effects of sex and age in the PRMQ scores. Although the sample encompassed mainly younger and highly educated adults, this study presented the first evidence of validity and reliability for the European Portuguese version of the questionnaire.

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The impact of subjective memory complaints on quality of life in community‐dwelling older adults

Cited by 54 publications

References 33 publications

The Effects of Cognitive Training for Elderly: Results from My Mind Project

The Effects of Cognitive Training for Elderly: Results from My Mind Project

Quality of education impacts late‐life cognition

Subjective Memory Complaints in Portuguese Young Adults: Contributions from the Adaptation of the Prospective and Retrospective Memory Questionnaire

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