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. Afive-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.
Original language | English (US) |
---|---|
Title of host publication | Handbook of Prevention and Alzheimer's Disease |
Publisher | IOS Press |
Pages | 563-574 |
Number of pages | 12 |
ISBN (Electronic) | 9781643684932 |
ISBN (Print) | 9781643684925 |
DOIs | |
State | Published - Feb 20 2024 |
Keywords
- Cognitive function
- Cross-sectional
- Depressive symptoms
- Primary care
- Subjective health complaint
- Underserved populations
ASJC Scopus subject areas
- General Medicine
- General Neuroscience