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Personality characteristics and affective status related to cognitive test performance and gender in patients with memory complaints

Published online by Cambridge University Press:  18 October 2007

SUSANNA VESTBERG ,
ULLA PASSANT ,
JARL RISBERG  and
CHRISTINA ELFGREN
SUSANNA VESTBERG
Affiliation:
Division of Psychogeriatrics, Dept of Clinical Sciences, Lund University, Sweden
ULLA PASSANT
Affiliation:
Division of Psychogeriatrics, Dept of Clinical Sciences, Lund University, Sweden
JARL RISBERG
Affiliation:
Department of Psychology, Lund University, Sweden
CHRISTINA ELFGREN
Affiliation:
Division of Psychogeriatrics, Dept of Clinical Sciences, Lund University, Sweden
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Abstract

The aims are to study personality characteristics of patients with memory complaints and to assess the presence of objective (OMI) versus subjective (SMI) memory impairment, the affective status, as well as potential gender differences. The patients were assessed by means of a neuropsychiatric examination and a neuropsychological test-battery. The Swedish version of the revised NEO Personality Inventory (NEO PI-R) and the Hospital Anxiety and Depression Scale (HADS) were used. The 57 patients (38 women, 19 men, mean age 56.9) differed from the Swedish normative group in three of the five personality factors: neuroticism, extraversion and agreeableness. This was mainly because of the scores of the female patients. Approximately half of the patients had OMI. No differences regarding personality factors or affective status were found between OMI and SMI patients. The female patients scored significantly higher than the male patients on symptoms of anxiety and depression. Neuroticism and symptoms of depression interacted with memory performance and gender. Our findings demonstrate the importance of applying an objective assessment of memory functions and a gender perspective when studying patients with memory complaints. (JINS, 2007, 13, 911–919.)

Keywords

Memory clinicFive factor modelNeuropsychologyMild cognitive impairmentPersonality inventorySubjective memory impairment
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 13 , Issue 6 , November 2007 , pp. 911 - 919
Copyright
© 2007 The International Neuropsychological Society

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References

REFERENCES

Addis, M.E. & Mahalik, J.R. (2003). Men, masculinity, and the contexts of help seeking. The American Psychologist, 58, 5–14.Google Scholar
Barker, A., Prior, J., & Jones, R. (1995). Memory complaint in attenders at a self-referral memory clinic: The role of cognitive factors, affective symptoms and personality. International Journal of Geriatric Psychiatry, 10, 777–781.Google Scholar
Bergman, H., Bergman, I., Engelbrektson, K., Holm, L., Johannesson, K., & Lindberg, S. (1988). Psykologhandbok vid Magnus Huss-kliniken. Del 1. (Vol. 4th ed.). Stockholm, Sweden: Karolinska Sjukhuset.
Chatterjee, A., Strauss, M.E., Smyth, K.A., & Whitehouse, P.J. (1992). Personality changes in Alzheimer's disease. Archives of Neurology, 49, 486–491.Google Scholar
Comijs, H.C., Deeg, D.J., Dik, M.G., Twisk, J.W., & Jonker, C. (2002). Memory complaints: The association with psycho-affective and health problems and the role of personality characteristics. A 6-year follow-up study. Journal of Affective Disorders, 72, 157–165.Google Scholar
Costa, P.T., Jr. & McCrae, R.R. (1987). Neuroticism, somatic complaints, and disease: Is the bark worse than the bite? Journal of Personality, 55, 299–316.Google Scholar
Costa, P.T. & McCrae, R.R. (1992). NEO PI-R TM Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc.
Cox, R.M., Alexander, G.C., & Gray, G.A. (2005). Who wants a hearing aid? Personality profiles of hearing aid seekers. Ear and Hearing, 26, 12–26.Google Scholar
Crook, T., Bartus, R.T., Ferris, S.H., Whitehouse, P., Cohen, G.D., & Gershon, S. (1986). Age-associated memory impairment: Proposed diagnostic criteria and measures of clinical change. Report of a National Institute of Mental Health Work Group. Developmental Neuropsychology, 2, 261–276.Google Scholar
De Jager, C.A. & Budge, M.M. (2005). Stability and predictability of the classification of mild cognitive impairment as assessed by episodic memory test performance over time. Neurocase, 11, 72–79.Google Scholar
Derouesné, C., Lacomblez, L., Thibault, S., & LePoncin, M. (1999). Memory complaints in young and elderly subjects. International Journal of Geriatric Psychiatry, 14, 291–301.Google Scholar
Elfgren, C., Gustafson, L., Vestberg, S., Risberg, J., Rosén, I., Ryding, E., & Passant, U. (2003). Subjective experience of memory deficits related to clinical and neuroimaging findings. Dementia and Geriatric Cognitive Disorders, 16, 84–92.Google Scholar
Folstein, M.F., Folstein, S.E., & 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.Google Scholar
Graham, J.E., Rockwood, K., Beattie, B.L., Eastwood, R., Gauthier, S., Tuokko, H., & McDowell, I. (1997). Prevalence and severity of cognitive impairment with and without dementia in an elderly population. The Lancet, 349, 1793–1796.Google Scholar
Gustafson, L., Brun, A., Johanson, A., Passant, U., & Risberg, J. (1995). Early clinical manifestations and the course of Alzheimers's disease related to regional cerebral blood flow and neuropathology. In K. Iqbal, J.A. Mortimer, B. Winblad, & H.M. Wisniewski (Eds.), Research advances in Alzheimer's diesease and related disorders (pp. 209–218). New York: John Wiley & Sons Ltd.
Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale—a review of validation data and clinical results. Journal of Psychosomatic Research, 42, 17–41.Google Scholar
Herzog, A.R. & Rodgers, W.L. (1989). Age differences in memory performance and memory ratings as measured in a sample survey. Psychology and Aging, 4, 173–182.Google Scholar
John, O.P. & Srivastava, S. (1999). The Big Five Trait taxonomy: History, measurement, and theroretical perspectives. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (2nd ed.) (pp. 102–138). New York: Guilford Press.
Jonker, C., Geerlings, M.I., & 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
Jorm, A.F., Butterworth, P., Anstey, K.J., Christensen, H., Easteal, S., Maller, J., Mather, K.A., Turakulov, R.I., Wen, W., & Sachdev, P. (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
Kaplan, E., Goodglass, H., & Weintraub, S. (1983). The Boston Naming Test (2nd ed.). Philadelphia: Lea and Febiger.
Kikuchi, Y., Inoue, T., Ito, M., Masuda, M., Yoshimura, K., & Watanabe, S. (1999). Health consciousness of young people in relation to their personality. Journal of Epidemiology, 9, 121–131.Google Scholar
Kliegel, M., Zimprich, D., & Eschen, A. (2005). What do subjective cognitive complaints in persons with aging-associated cognitive decline reflect? International Psychogeriatrics, 17, 499–512.Google Scholar
Levy, R., Howard, R.J., Richards, M., Amaducci, L.A., Derouesné, C., Hofman, A., Huppert, F., Rabins, P.V., Raptopoulos, P., Ustün, B., & Whitehouse, P.J. (1994). Aging-associated cognitive decline. Working Party of the International Psychogeriatric Association in collaboration with the World Health Organization. International Psychogeriatrics, 6, 63–68.Google Scholar
Lezak, M.D., Howieson, D.B., Loring, D.W., Hannay, H.J., & Fischer, J.S. (2004). Neuropsychological Assessment (4th ed. ed.). New York: Oxford University Press, Inc.
Löwe, B., Gräfe, K., Zipfel, S., Witte, S., Loerch, B., & Herzog, W. (2004). Diagnosing ICD-10 depressive episodes: Superior criterion validity of the Patient Health Questionnaire. Psychotherapy and Psychosomatics, 73, 386–390.Google Scholar
McCrae, R.R. & Costa, P.T. (2003). Personality in adulthood: A five-factor theory perspective. (2nd ed.). New York: The Guilford Press.
Meyer, G.J., Finn, S.E., Eyde, L.D., Kay, G.G., Moreland, K.L., Dies, R.R., Eisman, E J., Kubiszyn, T.W., & Reed, G.M. (2001). Psychological testing and psychological assessment. A review of evidence and issues. The American Psychologist, 56, 128–165.Google Scholar
Meyers, J.E. & Meyers, K.R. (1995). Rey Complex Figure Test and Recognition Trial. Odessa: Psychological Resources, Inc.
Modrego, P.J. & Ferrández, J. (2004). Depression in patients with mild cognitive impairment increases the risk of developing dementia of Alzheimer type: A prospective cohort study. Archives of Neurology, 61, 1290–1293.Google Scholar
Nilsson, L.-G., Bäckman, L., Erngrund, K., Nyberg, L., Adolfsson, R., Bucht, G., Karlsson, S., Widing, M., & Winblad, B. (1997). The Betula cohort study: Memory, health and aging. Aging, Neuropsychology and Cognition, 4, 1–29.Google Scholar
Nolan-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77, 1061–1072.CrossRefGoogle Scholar
Pearman, A. & Storandt, M. (2004). Predictors of subjective memory in older adults. The Journals of Gerontology. Series B. Psychological Sciences and Social Sciences, 59, 4–6.Google Scholar
Perrig-Chiello, P., Perrig, W.J., & Stähelin, H.B. (2000). Differential aspects of memory self-evaluation in old and very old people. Aging & Mental Health, 4, 130–136.Google Scholar
Petersen, R.C., Smith, G.E., Waring, S.C., Ivnik, R.J., Tangalos, E.G., & Kokmen, E. (1999). Mild cognitive impairment: Clinical characterization and outcome. Archives of Neurology, 56, 303–308.Google Scholar
Psykologiförlaget, A.B. (2003). NEO PI-R™ Manual Svensk version [Swedish version]. Stockholm, Sweden: Katarina Tryck AB.
Purser, J.L., Fillenbaum, G.G., & Wallace, R.B. (2006). Memory complaint is not necessary for diagnosis of mild cognitive impairment and does not predict 10-year trajectories of functional disability, word recall, or short portable mental status questionnaire limitations. Journal of the American Geriatrics Society, 54, 335–338Google Scholar
Reitan, R.M. (1958). Trail Making Test: Manual for Administration, Scoring and Interpretation. Indianapolis, IN: Indiana University Medical Center.
Ritchie, K. & Touchon, J. (2000). Mild cognitive impairment: Conceptual basis and current nosological status. The Lancet, 355, 225–228.Google Scholar
Salmon, D. & Hodges, J.R. (2005). Introduction: Mild cognitive impairment–cognitive, behavioral, and biological factors. Neurocase: Case Studies in Neuropsychology, Neuropsychiatry, and Behavioural Neurology, 11, 1–2.Google Scholar
Siegler, I.C., Welsh, K.A., Dawson, D.V., Fillenbaum, G.G., Earl, N.L., Kaplan, E.B., & Clark, C.M. (1991). Ratings of personality change in patients being evaluated for memory disorders. Alzheimer's Disease and Associated Disorders, 5, 240–250.Google Scholar
Tierney, M.C., Szalai, J.P., Snow, W.G., & Fisher, R.H. (1996). The prediction of Alzheimer disease. The role of patient and informant perceptions of cognitive deficits. Archives of Neurology, 53, 423–427.Google Scholar
Wechsler, D. (1992). Wechsler Adult Intelligence Scale–Revised. Manual. Stockholm, Sweden: Psykologiförlaget.
West, R.L., Welch, D.C., & Knabb, P.D. (2002). Gender and aging: Spatial self-efficacy and location recall. Basic and Applied Social Psychology, 24, 71–80.Google Scholar
Winblad, B., Palmer, K., Kivipelto, M., Jelic, V., Fratiglioni, L., Wahlund, L.-O., Nordberg, A., Bäckman, L., Albert, M., Almkvist, O., Arai, H., Basun, H., Blennow, K., De Leon, M., Decarli, C., Erkinjuntti, T., Giacobini, E., Graff, C., Hardy, J., Jack, C., Jorm, A., Ritchie, K., Van Duijn, C., Visser, P., & Petersen, R.C. (2004). Mild cognitive impairment—beyond controversies, towards a consensus: Report of the International Working Group on Mild Cognitive Impairment. Journal of Internal Medicine, 256, 240–246.Google Scholar
Zigmond, A.S. & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavia, 67, 361–370.Google Scholar