Validation of the Fear and Avoidance of Memory Loss scale in community‐based older adults

Author:

Farina Francesca R.123,Pavithra Pavithra4,An Hosanna1,Marquez Melissa1,O'Loughlin Patricia3,Regan John3,Taddeo Michelle1,Bennett Marc5,Lenaert Bert67,Griffith James W.1

Affiliation:

1. Feinberg School of Medicine Department of Medical Social Sciences Northwestern University Chicago Illinois USA

2. Global Brain Health Institute Trinity College Dublin Dublin Ireland

3. School of Psychology Trinity College Dublin Dublin Ireland

4. School of Medicine Trinity College Dublin Dublin Ireland

5. School of Psychology University College Dublin Dublin Ireland

6. Faculty of Psychology Open University Heerlen the Netherlands

7. Faculty of Health, Medicine and Life Sciences, Limburg Brain Injury Centre Maastricht University Maastricht the Netherlands

Abstract

AbstractIntroductionAlzheimer's disease and related dementias (ADRD) are among the most feared conditions. However, research around ADRD‐specific fear and avoidance behaviors is lacking. Here, we validated a novel measure of fear and avoidance specific to memory loss, the Fear and Avoidance of Memory Loss (FAM) scale, and examined associations between fear avoidance and psychosocial functioning in older adults.MethodsWe assessed FAM Scale internal reliability and concurrent validity, and candidate subscales across two samples (total N = 813). We then examined associations between fear avoidance and memory performance, anxiety, depressive symptoms, sleep, social functioning, and quality of life.ResultsWe identified two subscales: fear and avoidance, which yielded strong psychometric validity. Higher fear was associated with memory failures and sleep disturbance. Higher avoidance was associated with memory failures, poorer verbal memory, reduced social functioning, and quality of life.DiscussionWe present the first measure of fear avoidance specific to memory loss. We propose that targeting fear avoidance can promote ADRD risk reduction and resiliency.

Funder

Irish Research Council

Publisher

Wiley

Subject

Psychiatry and Mental health,Neurology (clinical)

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