Look who is complaining: Psychological factors predicting subjective cognitive complaints in a large community sample of older adults.

IF 1.7 4区 心理学 Applied Neuropsychology-Adult Pub Date : 2024-05-01 Epub Date: 2021-12-09 DOI:10.1080/23279095.2021.2007387
Diede Smit, Janneke Koerts, Dorien F Bangma, Anselm B M Fuermaier, Lara Tucha, Oliver Tucha
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Abstract

Subjective cognitive complaints (SCCs) are not directly related to objective impairments in cognition. This study examines the role of psychological factors in predicting SCCs in the domains of executive functioning, memory, and attention in older adults. A community sample of 1,219 Dutch adults, aged 40 year or older, completed the BRIEF-A, MSEQ, FEDA, NEO-FFI, DASS-21, and a demographic questionnaire. Participants were randomly divided into exploratory (n = 813) and confirmatory samples (n = 406). In the exploratory sample, we analyzed whether personality factors, symptoms of depression and anxiety, perceived stress, and demographics could predict SCCs in the different cognitive domains. For this purpose, a two-step regression approach with bootstrapping was used. To independently validate the results, these analyses were repeated in the confirmatory sample. Concerning executive functioning, complaints regarding the ability to regulate behavior and emotional responses were predicted by lower agreeableness levels and higher levels of neuroticism and perceived stress. Complaints regarding the ability to actively solve problems in different circumstances were predicted by a lower conscientiousness level, higher agreeableness level, and more depressive symptoms. Attentional complaints were predicted by lower levels of conscientiousness and extraversion, together with a higher level of neuroticism. For memory, no significant predictors were consistently found. Psychological factors are of influence on the subjective experience of cognitive complaints. In particular personality factors, perceived stress, and symptoms of depression, seem to predict SCCs in the domains of executive functioning and attention. Clinicians should take these factors into account in older adults who have SCCs.

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看看谁在抱怨?预测社区老年人主观认知抱怨的心理因素。
主观认知抱怨(SCC)与客观认知障碍并无直接关系。本研究探讨了心理因素在预测老年人执行功能、记忆力和注意力领域的 SCC 方面所起的作用。1,219 名年龄在 40 岁或 40 岁以上的荷兰成年人完成了 BRIEF-A、MSEQ、FEDA、NEO-FFI、DASS-21 和人口统计学问卷调查。参与者被随机分为探索样本(n = 813)和确认样本(n = 406)。在探索样本中,我们分析了人格因素、抑郁和焦虑症状、感知压力和人口统计学特征是否可以预测不同认知领域的 SCC。为此,我们采用了带引导的两步回归法。为了独立验证结果,在确认样本中重复了这些分析。在执行功能方面,有关行为调节能力和情绪反应的投诉可由较低的合意水平、较高的神经质水平和感知压力水平预测。关于在不同情况下积极解决问题的能力的投诉,可以通过较低的自觉性水平、较高的合意性水平和较多的抑郁症状来预测。较低的自觉性和外向性水平以及较高的神经质水平可以预测注意力方面的抱怨。在记忆力方面,没有发现明显的预测因素。心理因素对认知抱怨的主观体验有影响。尤其是人格因素、感知到的压力和抑郁症状似乎可以预测执行功能和注意力领域的 SCC。对于患有 SCC 的老年人,临床医生应将这些因素考虑在内。
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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
自引率
11.80%
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0
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>12 weeks
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