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Subjective memory complaints, psychological distress, and longitudinal change in objective memory performance
G E Smith1, R C Petersen, R J Ivnik
1Department of Psychiatry and Psychology, Mayo Clinic Rochester, Minnesota 55905, USA. smitg@mayo.edu
Psychology and Aging
|June 1, 1996
Summary
Emotional status, not objective memory performance, better predicts subjective memory complaints in older adults. While cognitive decline correlates with memory problems, complaints are poor indicators of actual impairment.
Area of Science:
- Gerontology
- Cognitive Psychology
- Psychiatry
Background:
- Subjective memory complaints are common in older adults.
- Understanding the predictors of these complaints is crucial for assessing cognitive health.
- Previous research has explored links between memory performance and subjective reports.
Purpose of the Study:
- To investigate the predictors of subjective memory ratings in older adults.
- To compare the predictive power of emotional status versus objective memory performance on memory complaints.
- To assess the relationship between longitudinal cognitive changes and memory problems.
Main Methods:
- Utilized data from 294 participants (ages 55-97) from a normative study.
- Employed the Memory Function Questionnaire General Frequency of Forgetting Scale (MFQ-GEN).
- Used Symptom Checklist-90-Revised General Severity Index (GSI) and Mayo Cognitive Factor Scales (MCFS-LRN, MCFS-RET) for emotional and cognitive assessments.
Main Results:
- Emotional status (GSI) explained 20% of the variance in memory complaints (MFQ-GEN).
- Objective learning (MCFS-LRN) explained only 3% of the variance in memory complaints.
- Cognitive impairment predicted increased memory problems, but complaints had low sensitivity for identifying impairment.
Conclusions:
- Emotional well-being is a stronger predictor of subjective memory ratings than objective memory performance in older adults.
- Memory complaints are frequent but not always indicative of significant cognitive decline or impairment.
- Further research should consider emotional factors in understanding memory complaints in aging populations.