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Multimorbidity and its relation to subjective memory complaints in a large general population of older adults

Published online by Cambridge University Press:  03 November 2010

S. Aarts*
Affiliation:
Department of General Practice, School for Public Health and Primary Care: Caphri, Maastricht University, Maastricht, The Netherlands Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands
M. van den Akker
Affiliation:
Department of General Practice, School for Public Health and Primary Care: Caphri, Maastricht University, Maastricht, The Netherlands
K. J. Hajema
Affiliation:
Department of Health Promotion, Public Health Services, South Limburg, Sttard-Geleen, The Netherlands
A. M. van Ingen
Affiliation:
Department of Health Promotion, Public Health Services, South Limburg, Sttard-Geleen, The Netherlands
J. F. M. Metsemakers
Affiliation:
Department of General Practice, School for Public Health and Primary Care: Caphri, Maastricht University, Maastricht, The Netherlands
F. R. J. Verhey
Affiliation:
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands
M. P. J. van Boxtel
Affiliation:
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands
*
Correspondence should be addressed to: Sil Aarts, Department of General Practice, School for Public Health and Primary Care: Caphri, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands. Phone: +31 43 3882323; Fax: +31 43 3619344. Email: [email protected].
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Abstract

Background: Multimorbidity has been suggested to be associated with a variety of negative health-related outcomes. The present study was designed to evaluate the association between multimorbidity and subjective memory complaints.

Methods: This cross-sectional study was based on data obtained from a postal survey designed by the Public Health Service (Gemeentelijke Gezondheids Dienst, GGD) involving 15,188 persons aged 55 years and over living independently in Limburg, the Netherlands. Multivariate logistic regression analyses, adjusted for potentially important covariates, were performed to evaluate the association between self-reported multimorbidity and three outcomes related to subjective memory complaints.

Results: Multimorbidity was indeed related to subjective memory complaints. The association between multimorbidity and subjective memory complaints was positively influenced by age. Moreover, multimorbidity was related to the degree of worrying about memory complaints in people who perceived themselves as forgetful. Multimorbidity was also associated with reporting a larger increase in these subjective memory complaints during the past year. In this latter case, multimorbidity had more prognostic capability in men than in women. Psychological distress was related to all three subjective memory-related outcome measures.

Conclusions: In our sample, which was representative of the Dutch population, multimorbidity was associated with subjective memory complaints. The relationship between multimorbidity and subjective memory complaints differed between men and women and between age groups.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Berry, J. M. and West, R. L. (1993). Cognitive self-efficacy in relation to personal mastery and goal setting across the life span. International Journal of Behavioral Development, 16, 351379.Google Scholar
Comijs, H. C., Kriegsman, D. M., Dik, M. G., Deeg, D. J., Jonker, C. and Stalman, W. A. (2009). Somatic chronic diseases and 6-year change in cognitive functioning among older persons. Archives of Gerontology and Geriatrics, 48, 191196.CrossRefGoogle ScholarPubMed
Commissaris, C. J., Jolles, J., Verhey, F. R., Ponds, R. W., Damoiseaux, V. and Kok, G. J. (1993). Forgetful or demented? Who worries and why? Tijdschrift voor Gerontologie en Geriatrie, 24, 144149.Google ScholarPubMed
Donker, T., Comijs, H., Cuijpers, P., Terluin, B., Nolen, W., Zitman, F. and Penninx, B. (2010). The validity of the Dutch K10 and extended K10 screening scales for depressive and anxiety disorders. Psychiatry Research, 176, 4550.CrossRefGoogle ScholarPubMed
Douwes, M. and Hildebrandt, V. H. (2000). Vragen naar de mate van lichamelijke activiteit. Geneeskunde en Sport, 33, 916.Google Scholar
Elfgren, C., Gustafson, L., Vestberg, S. and Passant, U. (2010). Subjective memory complaints, neuropsychological performance and psychiatric variables in memory clinic attendees: a 3-year follow-up study. Archives of Gerontology and Geriatrics. E-published ahead of print, 7 March 2010.Google Scholar
Elwood, P. C., Pickering, J., Bayer, A. and Gallacher, J. E. (2002). Vascular disease and cognitive function in older men in the Caerphilly cohort. Age and Ageing, 31, 4348.CrossRefGoogle ScholarPubMed
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, 531537.CrossRefGoogle ScholarPubMed
Goebeler, S., Jylha, M. and Hervonen, A. (2007). Self-reported medical history and self-rated health at age 90: agreement with medical records. Aging: Clinical and Experimental Research, 19, 213219.Google ScholarPubMed
Guralnik, J. M. (1996). Assessing the impact of comorbidity in the older population. Annals of Epidemiology, 6, 376380.Google Scholar
Hanninen, T. et al. (1994). Subjective memory complaints and personality traits in normal elderly subjects. Journal of the American Geriatrics Society, 42, 14.Google Scholar
Hodek, J. M., Ruhe, A. K. and Greiner, W. (2010). Relationship between health-related quality of life and multimorbidity. Gesundheitswesen, 72, 455465.CrossRefGoogle ScholarPubMed
Hurt, C. S., Burns, A., Brown, R. G. and Barrowclough, C. (2010). Perceptions of subjective memory complaint in older adults: the Illness Perception Questionnaire – Memory (IPQ-M). International Psychogeriatrics, 22, 750760.CrossRefGoogle ScholarPubMed
Iliffe, S. and Pealing, L. (2010). Subjective memory problems. BMJ, 340, c1425.Google Scholar
Jonker, C., Dik, M. G., Van Kamp, G. J. and Deeg, D. J. (2000). [Apolipoprotein E4 and memory decline in the elderly]. Tijdschrift voor Gerontologie en Geriatrie, 31, 198202.Google Scholar
Jorm, A. F. (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, 14951506.Google Scholar
Lahr, D., Beblo, T. and Hartje, W. (2007). Cognitive performance and subjective complaints before and after remission of major depression. Cognitive Neuropsychiatry, 12, 2545.CrossRefGoogle ScholarPubMed
Ma, J., King, A. C., Wilson, S. R., Xiao, L. and Stafford, R. S. (2009). Evaluation of lifestyle interventions to treat elevated cardiometabolic risk in primary care (E-LITE): a randomized controlled trial. BMC Family Practice, 10, 71.Google Scholar
Mol, M. E., Van Boxtel, M. P., Willems, D. and Jolles, J. (2006). Do subjective memory complaints predict cognitive dysfunction over time? A six-year follow-up of the Maastricht Aging Study. International Journal of Geriatric Psychiatry, 21, 432441.Google Scholar
Mol, M., Carpay, M., Ramakers, I., Rozendaal, N., Verhey, F. and Jolles, J. (2007). The effect of perceived forgetfulness on quality of life in older adults: a qualitative review. International Journal of Geriatric Psychiatry, 22, 393400.Google Scholar
Mol, M. E., Ruiter, R. A., Verhey, F. R., Dijkstra, J. and Jolles, J. (2008). A study into the psychosocial determinants of perceived forgetfulness: implications for future interventions. Aging and Mental Health, 12, 167176.CrossRefGoogle ScholarPubMed
Mosher, C. E. et al. (2009). Associations between lifestyle factors and quality of life among older long-term breast, prostate, and colorectal cancer survivors. Cancer, 115, 40014009.CrossRefGoogle ScholarPubMed
Nguyen, H. T., Evans, M. K. and Zonderman, A. B. (2007). Influence of medical conditions on executive and memory functions in low socioeconomic status African Americans. Archives of Clinical Neuropsychology, 22, 689698.CrossRefGoogle ScholarPubMed
Ponds, R. W., Commissaris, K. J. and Jolles, J. (1997). Prevalence and covariates of subjective forgetfulness in a normal population in the Netherlands. International Journal of Aging and Human Development, 45, 207221.Google Scholar
Schmand, B., Jonker, C., Geerlings, M. I. and Lindeboom, J. (1997). Subjective memory complaints in the elderly: depressive symptoms and future dementia. British Journal of Psychiatry, 171, 373376.Google Scholar
van Boxtel, M. P., Buntinx, F., Houx, P. J., Metsemakers, J. F., Knottnerus, A. and Jolles, J. (1998). The relation between morbidity and cognitive performance in a normal aging population. Journal of Gerontology Series A: Biological Sciences and Medical Sciences, 53, 147154.CrossRefGoogle Scholar
van den Akker, M., Buntinx, F. and Knottnerus, J. (1996). Comorbidity or multimorbidity: what's in a name? A review of literature. European Journal of General Practice, 2, 6570.CrossRefGoogle Scholar
Vogeli, C. et al. (2007). Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. Journal of General Internal Medicine, 22, 391395.CrossRefGoogle ScholarPubMed
Waldorff, F. B., Siersma, V. and Waldemar, G. (2009). Association between subjective memory complaints and health care utilisation: a three-year follow up. BMC Geriatrics, 9, 43.CrossRefGoogle ScholarPubMed