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The nature of cognitive complaints in healthy older adults with and without objective memory decline.

Abstract

Cognitive and memory complaints were assessed in 100 healthy older adults on two occasions over 2.5 years as part of a 6-year study assessing cognition, mood, and general health factors. Diminished memory for names and actions and lapses in concentration were common complaints, regardless of the individuals' actual cognitive status. No change in cognitive complaints occurred over time, even for individuals whose memory had declined over 6 years. Cognitive complaints correlated with anxiety, depression, and general mental health but not with objectively measured memory or cognition, education or age. Complaints did not differ with gender, apolipoprotein E epsilon4 genotype, cardiovascular risk factors, or intake of sedating medications. Thus, cognitive complaints could not differentiate memory-declining older adults from cognitively normal older adults and were more closely associated with mood and general mental health than actual cognitive status, age, or potential risk factors for Alzheimer's disease. Thus, the evaluation of cognitive complaints must be broad and must consider the correspondence of complaints not only to relevant measurable cognitive abilities but also to the affect of the individual.

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  • Authors

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    MeSH

    Affect
    Aged
    Cognition Disorders
    Female
    Geriatric Assessment
    Humans
    Male
    Memory Disorders
    Middle Aged
    Neuropsychological Tests
    Psychiatric Status Rating Scales
    Retrospective Studies

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18938676

    Citation

    TY - JOUR T1 - The nature of cognitive complaints in healthy older adults with and without objective memory decline. AU - Weaver Cargin,J, AU - Collie,A, AU - Masters,C, AU - Maruff,P, PY - 2008/10/22/pubmed PY - 2009/1/9/medline PY - 2008/10/22/entrez SP - 245 EP - 57 JF - Journal of clinical and experimental neuropsychology JO - J Clin Exp Neuropsychol VL - 30 IS - 2 N2 - Cognitive and memory complaints were assessed in 100 healthy older adults on two occasions over 2.5 years as part of a 6-year study assessing cognition, mood, and general health factors. Diminished memory for names and actions and lapses in concentration were common complaints, regardless of the individuals' actual cognitive status. No change in cognitive complaints occurred over time, even for individuals whose memory had declined over 6 years. Cognitive complaints correlated with anxiety, depression, and general mental health but not with objectively measured memory or cognition, education or age. Complaints did not differ with gender, apolipoprotein E epsilon4 genotype, cardiovascular risk factors, or intake of sedating medications. Thus, cognitive complaints could not differentiate memory-declining older adults from cognitively normal older adults and were more closely associated with mood and general mental health than actual cognitive status, age, or potential risk factors for Alzheimer's disease. Thus, the evaluation of cognitive complaints must be broad and must consider the correspondence of complaints not only to relevant measurable cognitive abilities but also to the affect of the individual. SN - 1380-3395 UR - https://www.unboundmedicine.com/medline/citation/18938676/The_nature_of_cognitive_complaints_in_healthy_older_adults_with_and_without_objective_memory_decline_ L2 - http://www.tandfonline.com/doi/abs/10.1080/13803390701377829?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed ER -