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Influence of early maladaptive schemas, depression, and anxiety on the intensity of self-reported cognitive complaint in older adults with subjective cognitive decline

Published online by Cambridge University Press:  19 June 2017

Caroline Tandetnik Open the ORCID record for Caroline Tandetnik [Opens in a new window] ,
Thierry Hergueta ,
Philippe Bonnet ,
Bruno Dubois  and
Catherine Bungener
Caroline Tandetnik*
Affiliation:
Laboratory of Psychopathology and Health Psychology (EA4057), University Paris Descartes, Sorbonne Paris Cité, France University Pierre et Marie Curie-Paris 6, AP-HP, Hôpital de la Salpêtrière, Paris, France Centre des Maladies Cognitives et Comportementales, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
Thierry Hergueta
Affiliation:
Laboratory of Psychopathology and Health Psychology (EA4057), University Paris Descartes, Sorbonne Paris Cité, France University Pierre et Marie Curie-Paris 6, AP-HP, Hôpital de la Salpêtrière, Paris, France Centre des Maladies Cognitives et Comportementales, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
Philippe Bonnet
Affiliation:
Laboratory of Vision Action Cognition (EA7326), University Paris Descartes, Sorbonne Paris Cité, France
Bruno Dubois
Affiliation:
University Pierre et Marie Curie-Paris 6, AP-HP, Hôpital de la Salpêtrière, Paris, France Centre des Maladies Cognitives et Comportementales, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
Catherine Bungener
Affiliation:
Laboratory of Psychopathology and Health Psychology (EA4057), University Paris Descartes, Sorbonne Paris Cité, France
*
Correspondence should be addressed to: Caroline Tandetnik, Institut de la Mémoire et de la Maladie d'Alzheimer, Hôpital de la Pitié-Salpêtrière, 75013 Paris, France. Phone: +01 42 16 75 33; Fax: +01 42 16 75 04. Email: caroline.tandetnik@gmail.com.
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Abstract

Background:

Subjective cognitive decline (SCD) designates a self-reported cognitive decline despite preserved cognitive abilities. This study aims to explore, in older adults with SCD, the association between intensity of self-reported cognitive complaint and psychological factors including Young's early maladaptive schemas (EMSs) (i.e. enduring cognitive structures giving rise to beliefs about oneself and the world), as well as depression and anxiety.

Methods:

Seventy-six subjects (69.22 years ± 6.1) with intact cognitive functioning were recruited through an advertisement offering free participation in an intervention on SCD. After undergoing a neuropsychological examination (including global cognition (MMSE) and episodic memory (FCSRT)) and a semi-structured interview to assess depressive symptoms (MADRS), they completed a set of online self-reported questionnaires on SCD (McNair questionnaire), Young's EMSs (YSQ-short form), depression (HADS-D), and anxiety (HADS-A and trait-STAI-Y).

Results:

The McNair score did not correlate with the neuropsychological scores. Instead, it was highly (r > 0.400; p < 0.005) correlated with trait anxiety and three EMSs belonging to the “Impaired autonomy and performance” domain: Dependence/incompetence, Failure to achieve and Vulnerability to harm or illness. Our final regression model comprising depression, anxiety, and these three EMSs as predictors (while controlling for age, gender, and objective cognition) accounted for 38.5% of the observed variance in SCD intensity.

Conclusions:

The level of cognitive complaint is significantly associated with Young's EMSs in the category of “Impaired autonomy and performance”. We assume that SCD may primarily be driven by profound long-term inner beliefs about oneself that do not specifically refer to self-perceived memory abilities.

Keywords

anxietydepressionmemory complaintsubjective cognitive declineYoung's early maladaptive schemas
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 10 , October 2017 , pp. 1657 - 1667
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

Abdulrab, K. and Heun, R. (2008). Subjective memory impairment. A review of its definitions indicates the need for a comprehensive set of standardised and validated criteria. European Psychiatry, 23, 321–30. doi: 10.1016/j.eurpsy.2008.02.004.CrossRefGoogle ScholarPubMed
Balash, Y., Mordechovich, M., Shabtai, H., Giladi, N., Gurevich, T. and Korczyn, A. D. (2013). Subjective memory complaints in elders: depression, anxiety, or cognitive decline?. Acta Neurologica Scandinavica, 127, 344–350. doi: 10.1111/ane.12038.Google Scholar
Barazandeh, H., Kissane, D. W., Saeedi, N. and Gordon, M. (2016). A systematic review of the relationship between early maladaptive schemas and borderline personality disorder/traits. Personality and Individual Differences, 94, 130–139. doi: 10.1016/j.paid.2016.01.021.CrossRefGoogle Scholar
Beck, A. T. (1967). Depression: Clinical, Experimental, and Theoretical Aspects. Philadelphia: University of Pennsylvania Press.Google Scholar
Bruchon-Schweitzer, M. and Paulhan, I. (1993). Manuel de l'inventaire d'anxiété état-trait Forme Y (STAI-Y) Adapté par Bruchon-Schweitzer et Paulhan. Paris: Centre de Psychologie Appliquée.Google Scholar
Buckley, R. et al. (2013). Factors affecting subjective memory complaints in the AIBL aging study: biomarkers, memory, affect, and age. International Psychogeriatrics, 25, 1307–1315. doi: 10.1017/S1041610213000665.Google Scholar
Buschke, H., Sliwinski, M. J., Kuslansky, G. and Lipton, R. B. (1997). Diagnosis of early dementia by the double memory test: encoding specificity improves diagnostic sensitivity and specificity. Neurology, 48, 989–997.CrossRefGoogle ScholarPubMed
Cardebat, D., Doyon, B., Puel, M., Goulet, P. and Joanette, Y. (1990). Evocation lexicale formelle et sémantique chez des sujets normaux. Performances et dynamiques de production en fonction du sexe, de l'âge et du niveau d'étude. Acta Neurologica Belgica, 90, 207–217.Google Scholar
Chin, J., Oh, K. J., Seo, S. W. and Na, D. L. (2014). Are depressive symptomatology and self-focused attention associated with subjective memory impairment in older adults?. International Psychogeriatrics, 26, 573–580. doi: 10.1017/S104161021300241X.Google Scholar
Cothias, J., Camart, N., Martinez, S. and Deseez, C. (2011). Schémas précoces d'inadaptation et dépression chez des sujets âgés. Journal de Thérapie Comportementale et Cognitive, 21, 140–146. doi: 10.1016/j.jtcc.2011.08.002.Google Scholar
Crane, M. K., Bogner, H. R., Brown, G. K. and Gallo, J. J. (2007). The link between depressive symptoms, negative cognitive bias and memory complaints in older adults. Aging & mental health, 11, 708–715. doi:10.1080/13607860701368497.Google Scholar
Derouesné, C. (2003). La plainte mnésique. Cliniques méditerranéennes, 67, 14–24.Google Scholar
Dozois, D. J. A. and Beck, A. T. (2008). Cognitive schemas, beliefs and assumptions. In Dobson, K. S. and Dozois, D. J. A. (eds.), Risk Factors in Depression (pp. 119–143). San Diego: Elsevier Academic Press.Google Scholar
Dubois, B. et al. (2016). Preclinical Alzheimer's disease: definition, natural history, and diagnostic criteria. Alzheimer's and Dementia, 12, 292–323. doi: 10.1016/j.jalz.2016.02.002.CrossRefGoogle ScholarPubMed
Dubois, B., Slachevsky, A., Litvan, I. and Pillon, B. (2000). The FAB: a frontal assessment battery at bedside. Neurology, 55, 1621–1626.Google Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. doi: 10.1016/0022-3956(75)90026-6.CrossRefGoogle ScholarPubMed
Hawke, L. D. and Provencher, M. D. (2011). Schema theory and schema therapy in mood and anxiety disorders: a review. Journal of Cognitive Psychotherapy, 25, 257–276. doi: 10.1891/0889-8391.25.4.257.CrossRefGoogle Scholar
Holmen, J. et al. (2013). Gender differences in subjective memory impairment in a general population: the HUNT study, Norway. BMC Psychology, 1, 19. doi: 10.1186/2050-7283-1-19.Google Scholar
Ingram, R. E. and Luxton, D. D. (2005). Vulnerability-stress models. In Hankin, B. L. and Abela, J. R. Z. (eds.), Development of Psychopathology: A Vulnerability-Stress Perspective (pp. 32–46). Thousand Oaks: Sage Publications Ltd.CrossRefGoogle Scholar
Jessen, F. et al. (2013). AD dementia risk in late MCI, in early MCI, and in subjective memory impairment. Alzheimer's and Dementia, 10, 76–83. doi: 10.1016/j.jalz.2012.09.017.CrossRefGoogle ScholarPubMed
Jessen, F. et al. (2014). A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer's disease. Alzheimer's and Dementia, 10, 844–52. doi: 10.1016/j.jalz.2014.01.001.CrossRefGoogle ScholarPubMed
Jonker, C., Geerlings, M. I. and Schmand, B. (2000). Are memory complaints predictive for dementia? a review of clinical and population-based studies. International Journal of Geriatric Psychiatry, 15, 983–991.Google Scholar
Kalafat, M., Hugonot-Diener, L. and Poitrenaud, J. (2003). Standardisation et étalonnage français du “Mini Mental State”(MMS) version GRECO. Revue de neuropsychologie, 13, 209–236.Google Scholar
Lachenal-Chevallet, K., Mauchand, P., Cottraux, J., Bouvard, M. and Martin, R. (2006). Factor analysis of the schema questionnaire-short form in a nonclinical sample. Journal of Cognitive Psychotherapy, 20, 311–318. doi: 10.1891/088983906780643975.CrossRefGoogle Scholar
Lemperière, T. et al. (1984). Comparaison de différents instruments d’évaluation de la dépression à l'occasion d'une étude sur l'Athymil 30 mg. Annales Médico-Psychologiques, 142, 1206–1212.Google Scholar
Lépine, J. P., Godchau, M., Brun, P. and Lempérière, T. (1985). Evaluation of anxiety and depression among patients hospitalized on an internal medicine service. Annales Médico-Psychologiques, 143, 175–189.Google Scholar
McNair, D. M. and Kahn, R. J. (1983). Self-assessment of cognitive deficits. In Crook, T., Ferris, S. and Bartus, R. (eds.), Assessment in Geriatric Psychopharmacology (pp. 137–143). New Canaan: Mark Powley Associates.Google Scholar
Merema, M. R., Speelman, C. P., Foster, J. K. and Kaczmarek, E. A. (2013). Neuroticism (not depressive symptoms) predicts memory complaints in some community-dwelling older adults. The American Journal of Geriatric Psychiatry, 21, 729–736. doi: 10.1016/j.jagp.2013.01.059.CrossRefGoogle ScholarPubMed
Mitchell, A. J., Beaumont, H., Ferguson, D., Yadegarfar, M. and Stubbs, B. (2014). Risk of dementia and mild cognitive impairment in older people with subjective memory complaints: meta-analysis. Acta Psychiatrica Scandinavica, 130, 439–451. doi: 10.1111/acps.12336.CrossRefGoogle ScholarPubMed
Montgomery, S. A. and Asberg, M. (1979). A new depression scale designed to be sensitive to change. The British Journal of Psychiatry, 134, 382–389. doi: 10.1192/bjp.134.4.382.Google Scholar
Pearman, A. and Storandt, M. (2004). Predictors of subjective memory in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59, P4–P6.Google Scholar
Pearman, A., Hertzog, C. and Gerstorf, D. (2014). Little evidence for links between memory complaints and memory performance in very old age: longitudinal analyses from the Berlin Aging Study. Psychology and aging, 29, 828–842. doi: 10.1037/a0037141.Google Scholar
Pearman, A. and Storandt, M. (2005). Self-discipline and self-consciousness predict subjective memory in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 60, P153–P157.Google Scholar
Poitrenaud, J., Israël, L., Barrère, H. and Le Roch, K. (1997). Échelle de difficultés cognitives de McNair et Kahn. In Michel, B. F., Derouesné, C., Gely-Nargeot, M. C. (eds.), De la Plainte Mnésique à la Maladie d'Alzheimer (pp. 159–68). Marseille: Solal.Google Scholar
Rönnlund, M., Sundström, A., Adolfsson, R. and Nilsson, L. G. (2015). Self-reported memory failures: associations with future dementia in a population-based study with long-term follow-up. Journal of the American Geriatrics Society, 63, 1766–1773. doi: 10.1111/jgs.13611.CrossRefGoogle Scholar
Sarazin, M. et al. (2007). Amnestic syndrome of the medial temporal type identifies prodromal AD: a longitudinal study. Neurology, 69, 1859–1867. doi: 10.1212/01.wnl.0000279336.36610.f7.CrossRefGoogle ScholarPubMed
Slavin, M. J. et al. (2010). Prevalence and predictors of “subjective cognitive complaints” in the Sydney memory and ageing study. The American Journal of Geriatric Psychiatry, 18, 701–710.Google Scholar
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R. and Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press.Google Scholar
Tombaugh, T. N. (2004). Trail making test a and b: normative data stratified by age and education. Archives of Clinical Neuropsychology, 19, 203–214.CrossRefGoogle Scholar
Van der Linden, M. et al. (2004). L'épreuve de rappel libre/rappel indicé à 16 items (RL/RI-16). In Van der Linden, M. et al. (eds.), L'évaluation Des Troubles De la Mémoire: Présentation de Quatre Tests de Mémoire épisodique (Avec Leur étalonnage) (pp. 25–47). Marseille: Solal.Google Scholar
Young, J. E. and Brown, G. (2001). Young Schema Questionnaire. Special Edition. New York: Schema Therapy Institute.Google Scholar
Young, J. E., Klosko, J. S. and Weishaar, M. E. (2003). Schema Therapy: A Practitioner's Guide. New York: The Guilford Press.Google Scholar
Zigmond, A. S. and Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar