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Published on: September 20, 2018
Clinical Manifestations.
Georgia Gopinath1, Rachel Yep1, Tulip Marawi1
1Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, ON, Canada.
Subjective cognitive decline (SCD) is more prevalent and strongly linked to depression and anxiety in South Asian and Chinese older adults compared to White older adults. Self- and study partner reports of SCD were consistent across ethnic groups.
Area of Science:
- Neurology
- Gerontology
- Psychiatry
Background:
- Subjective cognitive decline (SCD) is an early indicator of Alzheimer's disease.
- SCD is understudied in diverse ethnoracial groups, especially Asian populations.
- This study examines ethnic differences in SCD among Canadian older adults.
Purpose of the Study:
- Investigate ethnic variations in SCD burden.
- Analyze the association between self- and study partner-reported SCD.
- Identify demographic and neuropsychiatric factors linked to SCD across ethnic groups.
Main Methods:
- Utilized data from the Canadian Multi-Ethnic Research on Aging (CAMERA) cohort.
- Assessed SCD using the self- and study partner-reported Cognitive Functioning Index (CFI).
- Measured depression and anxiety symptoms and analyzed associations using linear regression, adjusting for covariates.
Main Results:
- South Asian and Chinese participants reported higher SCD than White participants.
- Self- and study partner-reported SCD were significantly associated across all participants.
- Depression and anxiety symptoms showed stronger associations with SCD in South Asian and Chinese individuals.
Conclusions:
- Self- and study partner-reported SCD are associated, irrespective of ethnicity.
- SCD burden is greater in South Asian and Chinese older adults.
- Ethnoracial differences and neuropsychiatric symptoms are crucial for assessing SCD in diverse populations.
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