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Are depressive symptomatology and self-focused attention associated with subjective memory impairment in older adults?

Published online by Cambridge University Press:  10 January 2014

Juhee Chin ,
Kyung Ja Oh ,
Sang Won Seo  and
Duk L. Na
Juhee Chin
Affiliation:
Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Kyung Ja Oh*
Affiliation:
Department of Psychology, Yonsei University, Seoul, Korea
Sang Won Seo
Affiliation:
Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Duk L. Na
Affiliation:
Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
*
Correspondence should be addressed to: Dr Kyung Ja Oh, PhD, Department of Psychology, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-749, Korea. Phone: +82-2-2123-2441; Fax: +82-2-365-4354. Email: [email protected].
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Abstract

Background:

Subjective memory impairment (SMI) refers to conditions in which people complain of memory problems despite intact cognition. The primary purpose of the present study was to examine the roles of self-focused attention and depressive symptomatology in subjective memory complaints.

Methods:

One hundred and eight patients who visited a memory disorder clinic with complaints of memory decline, but who were found on subsequent neuropsychological assessment to have normal cognitive function, were recruited to participate in the study. The severity of subjective memory complaints was measured with the modified Multifactorial Memory Questionnaire. In addition, neuropsychological functions, self-focused attention, and depressive symptomatology were also assessed.

Results:

The results showed that the severity of SMI was not significantly correlated with any of the neuropsychological test scores except for the complex figure copy. The severity of SMI, however, was significantly correlated with self-focused attention and depressive symptomatology. Hierarchical regression analysis revealed that self-focused attention and depressive symptomatology significantly contributed to the severity of subjective memory complaints over and above the neuropsychological test performance. The interaction effects between self-focused attention/depressive symptomatology and objective memory performance on the severity of SMI were not significant.

Conclusions:

In conclusion, self-focused attention and depressive symptomatology appear to play important roles in the severity of SMI, even though it is not clear how these factors interact with objective memory performance. Clinical implications as well as limitations of the present study were discussed.

Keywords

memorydepressionneuropsychological testingcognitive impairment
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 4 , April 2014 , pp. 573 - 580
Copyright
Copyright © International Psychogeriatric Association 2014 

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References

Barnes, L. L., Schneider, J. A., Boyle, P. A., Bienias, J. L. and Bennett, D. A. (2006). Memory complaints are related to Alzheimer's disease pathology in older persons. Neurology, 67, 1581–1585.Google Scholar
Brown, R. J. (2004). Psychological mechanisms of medically unexplained symptoms: an integrative comceptual model. Psychological Bulletin, 130, 793–812.CrossRefGoogle Scholar
Carver, C. S. and Scheier, M. F. (1990). Origins and functions of positive and negative affect: a control-process view. Psychological Review, 97, 19–35.Google Scholar
Chin, J., Oh, K. J., Seo, S. W., Shin, H. and Na, D. L. (2010). The characteristics and subtypes of subjective memory impairment in older adults. Dementia and Neurocognitive Disorders, 9, 115–121.Google Scholar
Cho, M. J. et al. (1999). Validation of geriatric depression scale, Korean version in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 38, 48–63.Google Scholar
Edwards, E. R., Lindquist, K. and Yaffe, K. (2004). Clinical profile and course of cognitively normal patients evaluated in memory disorders clinics. Neurology, 62, 1639–1642.Google Scholar
Fischer, C. et al. (2008). Neurocognitive profiles in older adults with and without major depression. International Journal of Geriatric Psychiatry, 23, 851–856.Google Scholar
Geerlings, M. I., Jonker, C., Bouter, L. M., Ader, H. J. and Schmand, B. (1999). Association between memory complaints and incident Alzheimer's disease in elderly people with normal baseline cognition. American Journal of Psychiatry, 156, 531–537.Google Scholar
Hanninen, T. et al. (1994). Subjective memory complaints and personality traits in normal elderly subjects. Journal of the American Geriatrics Society, 42, 1–4.Google Scholar
Ingram, R. E. (1990). Self-focused attention in clinical disorders: review and a conceptual model. Psychological Bulletin, 107, 156–176.Google Scholar
Jonker, C., Launer, L. J., Hooijer, C. and Lindeboom, J. (1996). Memory complaints and memory impairment in older individuals. Journal of the American Geriatrics Society, 44, 44–49.Google Scholar
Jorm, A. F. et al. (2004). Memory complaints in a community sample aged 60–64 years: associations with cognitive functioning, psychiatric symptoms, medical conditions, APOE genotype, hippocampus and amygdala volumes, and white-matter hyperintensities. Psychological Medicine, 34, 1495–1506.Google Scholar
Jung, S. A. and Oh, K. J. (2004). A study for developing and validating maladaptive self-focused attention scale (MSFAS). Korean Journal of Clinical Psychology, 23, 471–482.Google Scholar
Kahn, R. L., Zarit, S. H., Hilbert, N. M. and Niederehe, G. (1975). Memory complaint and impairment in the aged: the effect of depression and altered brain function. Archieves of General Psychiatry, 32, 1569–1573.Google Scholar
Kang, Y. and Na, D. L. (2003). Seoul Neuropsychological Screening Battery. Incheon, South Korea: Human Brain Research & Consulting.Google Scholar
Kim, H. and Na, D. L. (1999). Normative data on the Korean version of the Boston Naming Test. Journal of Clinical and Experimental Neuropsychology, 21, 127–133.Google Scholar
Ku, H. M. et al. (2004). A study on the reliability and validity of Seoul-Instrumental Activities of Daily Living (S-IADL). Journal of Korean Neuropsychiatric Association, 43, 189–199.Google Scholar
Larrabee, G. J. and Crook, T. H. 3rd (1994). Estimated prevalence of age-associated memory impairment derived from standardized tests of memory function. International Psychogeriatrics, 6, 95–104.CrossRefGoogle ScholarPubMed
Lee, J. H., Kang, Y. and Na, D. L. (2000). Efficiencies of stroop interference indexes in healthy older adults and dementia patients. Korean Journal of Clinical Psychology, 19, 807–818.Google Scholar
Park, M. H., Min, J. Y., Min, H. Y., Lee, H. J., Lee, D. H. and Song, M. S. (2007). Subjective memory complaints and clinical characteristics in elderly Koreans: a questionnaire survey. International Journal of Nursing Studies, 44, 1400–1405.Google Scholar
Pearman, A. and Storandt, M. (2004). Predictors of subjective memory in older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 59, 4–6.Google Scholar
Rey, A. (1941). L'examen psychologique dans les cas d'encephalonathie traumatique. Archives de Psychologie, 28, 286–310.Google Scholar
Schmand, B., Jonker, C., Hooijer, C. and Lindeboom, J. (1996). Subjective memory complaints may announce dementia. Neurology, 46, 121–125.CrossRefGoogle ScholarPubMed
Schofield, P. W., Jacobs, D., Marder, K., Sano, M. and Stern, Y. (1997). The validity of new memory complaints in the elderly. Archives of Neurology, 54, 756–759.Google Scholar
Sinoff, G. and Werner, P. (2003). Anxiety disorder and accompanying subjective memory loss in the elderly as a predictor of future cognitive decline. International Journal of Geriatric Psychiatry, 18, 951–959.Google Scholar
Smith, G. E., Petersen, R. C., Ivnik, R. J., Malec, J. F. and Tangalos, E. G. (1996). Subjective memory complaints, psychological distress, and longitudinal change in objective memory performance. Psychology and Aging, 11, 272–279.Google Scholar
Troyer, A. K. and Rich, J. B. (2002). Psychometric properties of a new metamemory questionnaire for older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57, 19–27.CrossRefGoogle ScholarPubMed
Watkins, E. and Teasdale, J. D. (2004). Adaptive and maladaptive self-focused attention in depression. Journal of Affective Disorders, 82, 1–8.Google Scholar
Welsh, K. A., Butters, N., Hughes, J. P., Mohs, R. C. and Heyman, A. (1992). Detection and staging of dementia in Alzheimer's disease: use of the neuropsychological measures developed for the consortium to establish a registry for Alzheimer's disease. Archives of Neurology, 49, 448–452.Google Scholar
Wood, J. V., Saltzberg, J. A., Neale, J. M., Stone, A. A. and Rachmiel, T. B. (1990). Self-focused attention, coping responses, and distressed mood in everyday life. Journal of Personality and Social Psychology, 58, 1027–1036.Google Scholar