학술논문

Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population.
Document Type
Journal Article
Source
Journal of Alzheimer's Disease. 2021, Vol. 81 Issue 2, p545-555. 11p.
Subject
*COGNITIVE ability
*OLDER people
*PRIMARY care
*GERIATRIC Depression Scale
*MONTREAL Cognitive Assessment
Language
ISSN
1387-2877
Abstract
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. [ABSTRACT FROM AUTHOR]