Subjective Memory Complaints, Cognitive Performance, and Psychological Factors in Healthy Older Adults

Author:

Steinberg Susanne I.1,Negash Selamawit2,Sammel Mary D.3,Bogner Hillary4,Harel Brian T.56,Livney Melissa G.2,McCoubrey Hannah2,Wolk David A.7,Kling Mitchel A.2,Arnold Steven E.2

Affiliation:

1. Department of Psychiatry, Crozer Chester Medical Center, One Medical Center Boulevard, Upland, PA, USA

2. Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA

3. Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, USA

4. Department of Family Medicine and Community Health and the Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA

5. Director Clinical Sciences, CogState, Inc., New Haven, CT, USA

6. Assistant Clinical Professor, Yale Child Study Center, New Haven, CT, USA

7. Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA

Abstract

Objective: To determine whether subjective memory complaints (SMCs) are associated with performance on objective cognitive measures and psychological factors in healthy, community-dwelling older adults. Method: The cohort was composed of adults, 65 years and older with no clinical evidence of cognitive impairment (n = 125). Participants were administered: CogState computerized neurocognitive battery, Prospective Retrospective Memory Questionnaire, personality and meaning-in-life measures. Results: SMCs were associated with poorer performance on measures of executive function (p = 0.001). SMCs were also associated with impaired delayed recall (p = 0.006) but this did not remain significant after statistical adjustment for multiple comparisons. SMCs were inversely associated with conscientiousness (p = 0.004) and directly associated with neuroticism (p < 0.001). Higher scores on SMCs were associated with higher perceived stress (p = 0.001), and ineffective coping styles (p = 0.001). Factors contributing to meaning-in-life were associated with fewer SMCs (p < 0.05). Conclusions: SMCs may reflect early, subtle cognitive changes and are associated with personality traits and meaning-in-life in healthy, older adults.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Neuroscience

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