Subjective Memory Complaints Predict Decline in Memory, Instrumental Activities of Daily Living, and Social Participation in Older Adults: A Fixed-Effects Model

Overview

Journal Am J Occup Ther

Specialties Occupational Medicine
Rehabilitation Medicine

Date 2023 Aug 22

PMID 37606938

Authors

Chang Dae Lee

Erin R Foster

Affiliations

Soon will be listed here.

Abstract

Importance: Although subjective memory complaints (SMCs) have been suggested to be associated with future memory impairment, limitations in instrumental activities of daily living (IADLs), and social participation restriction, these associations are still inconclusive.

Objective: To determine whether changes in SMCs over time predict decline in memory, IADLs, and social participation in older adults.

Design: Longitudinal study.

Setting: Community.

Participants: Sample 1 included 2,493 community-dwelling older adults drawn from the Health and Retirement Study (HRS) data collected between 2004 and 2018. Sample 2 included 1,644 community-dwelling older adults drawn from the HRS data collected between 2008 and 2018.

Outcomes And Measures: Self-reported SMCs, memory function, self-reported IADL performance, and self-reported social participation.

Results: The mean age of Sample 1 at baseline was 70.16 yr; 1,468 (58.88%) were female. In Sample 1, immediate and delayed memory (all ps < .001) and IADL performance (p < .01) declined over time. Increases in SMCs over time significantly predicted future immediate and delayed memory declines (p < .01 and p < .001, respectively) and future IADL performance decline (p < .001), after controlling for depressive symptoms. The mean age of Sample 2 at baseline was 71.52 yr; 928 (56.45%) were female. In Sample 2, social participation declined over time (all ps < .001). Increases in SMCs over time significantly predicted future social participation decline (p < .05), after controlling for depressive symptoms.

Conclusions And Relevance: Increases in SMCs predict future decline in memory, IADL performance, and social participation after accounting for depressive symptoms. What This Article Adds: SMCs can be used as an early indicator of future memory impairment, IADL limitations, and social participation restrictions in older adults. Furthermore, interventions that minimize SMCs may help older adults achieve successful aging.

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References

Jessen F, Amariglio R, van Boxtel M, Breteler M, Ceccaldi M, Chetelat G . A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer's disease. Alzheimers Dement. 2014; 10(6):844-52. PMC: 4317324. DOI: 10.1016/j.jalz.2014.01.001. View

Ronnlund M, Vestergren P, Mantyla T, Nilsson L . Predictors of self-reported prospective and retrospective memory in a population-based sample of older adults. J Genet Psychol. 2011; 172(3):266-84. DOI: 10.1080/00221325.2010.538450. View

Cleary P . Subjective and objective measures of health: which is better when?. J Health Serv Res Policy. 1996; 2(1):3-4. DOI: 10.1177/135581969700200102. View

Cherbuin N, Sargent-Cox K, Easteal S, Sachdev P, Anstey K . Hippocampal atrophy is associated with subjective memory decline: The PATH Through Life study. Am J Geriatr Psychiatry. 2014; 23(5):446-55. DOI: 10.1016/j.jagp.2014.07.009. View

Cordier R, Chen Y, Clemson L, Byles J, Mahoney N . Subjective memory complaints and difficulty performing activities of daily living among older women in Australia. Aust Occup Ther J. 2018; 66(2):227-238. DOI: 10.1111/1440-1630.12548. View

Jonker C, Geerlings M, Schmand B . Are memory complaints predictive for dementia? A review of clinical and population-based studies. Int J Geriatr Psychiatry. 2000; 15(11):983-91. DOI: 10.1002/1099-1166(200011)15:11<983::aid-gps238>3.0.co;2-5. View

Burmester B, Leathem J, Merrick P . Subjective Cognitive Complaints and Objective Cognitive Function in Aging: A Systematic Review and Meta-Analysis of Recent Cross-Sectional Findings. Neuropsychol Rev. 2016; 26(4):376-393. DOI: 10.1007/s11065-016-9332-2. View

Hohman T, Beason-Held L, Lamar M, Resnick S . Subjective cognitive complaints and longitudinal changes in memory and brain function. Neuropsychology. 2010; 25(1):125-30. PMC: 3103103. DOI: 10.1037/a0020859. View

Adams M . Routine Check-Ups and Other Factors Affecting Discussions With a Health Care Provider About Subjective Memory Complaints, Behavioral Risk Factor Surveillance System, 21 States, 2011. Prev Chronic Dis. 2016; 13:E15. PMC: 4747434. DOI: 10.5888/pcd13.150471. View

10.

Reid L, MacLullich A . Subjective memory complaints and cognitive impairment in older people. Dement Geriatr Cogn Disord. 2006; 22(5-6):471-85. DOI: 10.1159/000096295. View

11.

Abdulrab K, Heun R . Subjective Memory Impairment. A review of its definitions indicates the need for a comprehensive set of standardised and validated criteria. Eur Psychiatry. 2008; 23(5):321-30. DOI: 10.1016/j.eurpsy.2008.02.004. View

12.

Sonnega A, Faul J, Ofstedal M, Langa K, Phillips J, Weir D . Cohort Profile: the Health and Retirement Study (HRS). Int J Epidemiol. 2014; 43(2):576-85. PMC: 3997380. DOI: 10.1093/ije/dyu067. View

13.

Yates J, Clare L, Woods R . Subjective memory complaints, mood and MCI: a follow-up study. Aging Ment Health. 2015; 21(3):313-321. PMC: 5351791. DOI: 10.1080/13607863.2015.1081150. View

14.

Connolly D, Garvey J, McKee G . Factors associated with ADL/IADL disability in community dwelling older adults in the Irish longitudinal study on ageing (TILDA). Disabil Rehabil. 2016; 39(8):809-816. DOI: 10.3109/09638288.2016.1161848. View

15.

Vlachos G, Cosentino S, Kosmidis M, Anastasiou C, Yannakoulia M, Dardiotis E . Prevalence and determinants of subjective cognitive decline in a representative Greek elderly population. Int J Geriatr Psychiatry. 2019; 34(6):846-854. DOI: 10.1002/gps.5073. View

16.

Pearman A, Hertzog C, Gerstorf D . Little evidence for links between memory complaints and memory performance in very old age: longitudinal analyses from the Berlin Aging Study. Psychol Aging. 2014; 29(4):828-42. DOI: 10.1037/a0037141. View

17.

Stewart R . Subjective cognitive impairment. Curr Opin Psychiatry. 2012; 25(6):445-50. DOI: 10.1097/YCO.0b013e3283586fd8. View

18.

Mitchell A, Beaumont H, Ferguson D, Yadegarfar M, Stubbs B . Risk of dementia and mild cognitive impairment in older people with subjective memory complaints: meta-analysis. Acta Psychiatr Scand. 2014; 130(6):439-51. DOI: 10.1111/acps.12336. View

19.

Treves T, Verchovsky R, Klimovitzky S, Korczyn A . Incidence of dementia in patients with subjective memory complaints. Int Psychogeriatr. 2005; 17(2):265-73. DOI: 10.1017/s1041610205001596. View

20.

Millan-Calenti J, Tubio J, Pita-Fernandez S, Gonzalez-Abraldes I, Lorenzo T, Fernandez-Arruty T . Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Arch Gerontol Geriatr. 2009; 50(3):306-10. DOI: 10.1016/j.archger.2009.04.017. View