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Memory Compensation Strategies in Older People with Mild Cognitive Impairment

Published online by Cambridge University Press:  27 January 2020

Pinghsiu Lin Open the ORCID record for Pinghsiu Lin [Opens in a new window] ,
Haley M. LaMonica ,
Sharon L. Naismith  and
Loren Mowszowski
Pinghsiu Lin
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia
Haley M. LaMonica
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia Central Clinical School, The University of Sydney, NSW, Australia
Sharon L. Naismith
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia School of Psychology, The University of Sydney, NSW, Australia Charles Perkins Centre, The University of Sydney, NSW, Australia
Loren Mowszowski*
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia School of Psychology, The University of Sydney, NSW, Australia
*
Correspondence and reprint requests to: Dr. Loren Mowszowski, Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, 94 Mallett St, Camperdown, NSW 2050, Australia. E-mail: [email protected]
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Abstract

Objectives:

With the rapid growth of the older population worldwide, understanding how older adults with mild cognitive impairment (MCI) use memory strategies to mitigate cognitive decline is important. This study investigates differences between amnestic and nonamnestic MCI subtypes in memory strategy use in daily life, and how factors associated with cognition, general health, and psychological well-being might relate to strategy use.

Methods:

One hundred forty-eight participants with MCI (mean age = 67.9 years, SD = 8.9) completed comprehensive neuropsychological, medical, and psychological assessments, and the self-report ‘Memory Compensation Questionnaire’. Correlational and linear regression analyses were used to explore relationships between memory strategy use and cognition, general health, and psychological well-being.

Results:

Memory strategy use does not differ between MCI subtypes (p > .007) despite higher subjective everyday memory complaints in those with amnestic MCI (p = .03). The most marked finding showed that increased reliance-type strategy use was significantly correlated with more subjective memory complaints and poorer verbal learning and memory (p < .01) in individuals with MCI. Moreover, fewer subjective memory complaints and better working memory significantly predicted (p < .05) less reliance strategy use, respectively, accounting for 10.6% and 5.3% of the variance in the model.

Conclusions:

In general, the type of strategy use in older adults with MCI is related to cognitive functioning. By examining an individual’s profile of cognitive dysfunction, a clinician can provide more personalized clinical recommendations regarding strategy use to individuals with MCI, with the aim of maintaining their day-to-day functioning and self-efficacy in daily life.

Keywords

Cognitive declineCognitive strategiesMemory rehabilitationMemory Compensation QuestionnaireEveryday functioningAgeingElderly/AgeingEveryday FunctionLearning and MemoryRehabilitationCognitive and Other
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 26 , Special Issue 1: Rehabilitation , January 2020 , pp. 86 - 96
Copyright
Copyright © INS. Published by Cambridge University Press, 2020. 

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