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Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population
Danelly Rodríguez1, Emmeline Ayers1, Erica F Weiss1
1Departments of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Background:
Very few studies have explored the utility of subjective cognitive complaints (SCCs) in primary care settings.
Objective:
We aim to investigate associations between SCCs (item-level), objective cognitive function (across domains and global), and mood in a diverse primary care population, including subjects with mild cognitive impairment.
Methods:
We studied 199 (75.9%females; 57.8%Hispanics; 42.2%African Americans) older adults (mean age 72.5 years) with memory concerns at a primary care clinic. A five-item SCC questionnaire, and objective cognitive assessments, including the Montreal Cognitive Assessment (MoCA) and the Geriatric Depression Scale, were administered.
Results:
Logistic regression analyses showed associations between SCC score and depressive symptoms. A memory-specific ("memory worsening") SCC predicted scores on the MoCA (p = 0.005) in Hispanics.
Conclusion:
SCCs are strongly linked to depressive symptoms in African Americans and Hispanics in a primary care setting; a specific type of SCC is related to global cognitive function in Hispanics.
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