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Associations between Prospective and Retrospective Subjective Memory Complaints and Neuropsychological Performance in Older Adults: The Finger Study

Published online by Cambridge University Press:  04 September 2018

Laura Vaskivuo ,
Laura Hokkanen Open the ORCID record for Laura Hokkanen [Opens in a new window] ,
Tuomo Hänninen ,
Riitta Antikainen ,
Lars Bäckman ,
Tiina Laatikainen ,
Teemu Paajanen ,
Anna Stigsdotter-Neely ,
Timo Strandberg  and
Jaakko Tuomilehto
...Show all authors
Laura Vaskivuo*
Affiliation:
Department of Public Health Solutions, Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland
Laura Hokkanen
Affiliation:
Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland
Tuomo Hänninen
Affiliation:
Neurocenter/ Neurology, Kuopio University Hospital, Finland
Riitta Antikainen
Affiliation:
University of Oulu, Center for Life Course Health Research, Oulu, Finland Medical Research Center Oulu, Oulu University Hospital and Oulu City Hospital, Oulu, Finland
Lars Bäckman
Affiliation:
Aging Research Center, Karolinska Institutet - Stockholm University, Stockholm, Sweden
Tiina Laatikainen
Affiliation:
Department of Public Health Solutions, Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland Institute of Public Health and Clinical Nutrition, University of Eastern Finland; Kuopio, Finland Hospital District of North Karelia, Joensuu, Finland
Teemu Paajanen
Affiliation:
Finnish Institute of Occupational Health, Helsinki, Finland
Anna Stigsdotter-Neely
Affiliation:
Department of Psychology, Umeå University, Umeå, Sweden and Department of Social and Psychological Sciences, Karlstad University, Karlstad, Sweden
Timo Strandberg
Affiliation:
University of Oulu, Center for Life Course Health Research, Oulu, Finland University of Helsinki, Clinicum, and Helsinki University Hospital, Helsinki, Finland
Jaakko Tuomilehto
Affiliation:
Department of Public Health Solutions, Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland South Ostrobothnia Central Hospital, Seinäjoki, Finland and Department of Public Health, University of Helsinki, Helsinki, Finland Dasman Diabetes Institute, Kuwait City, Kuwait, Danube University Krems, Krems, Austria and Kind Abdulaziz University, Jeddah, Saudi Arabia
Hilkka Soininen
Affiliation:
Neurocenter/ Neurology, Kuopio University Hospital, Finland Institute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland
Miia Kivipelto
Affiliation:
Department of Public Health Solutions, Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland Institute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland Division of Clinical Geriatrics, Center for Alzheimer Research, NVS, Karolinska Institutet, Stockholm, Sweden
Tiia Ngandu
Affiliation:
Department of Public Health Solutions, Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland Division of Clinical Geriatrics, Center for Alzheimer Research, NVS, Karolinska Institutet, Stockholm, Sweden
*
*Correspondence and reprint requests to: Laura Vaskivuo, Department of Public Health Solutions, Public Health Promotion Unit, National Institute for Health and Welfare, P.O 30, 00271 Helsinki, Finland. E-mail: [email protected]
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Abstract

Objectives: Subjective memory complaints (SMCs) are among the key concerns in the elderly, but their role in detecting objective cognitive problems is unclear. The aim of this study was to clarify the association between SMCs (both prospective and retrospective memory complaints) and neuropsychological test performance in older adults at risk of cognitive decline. Methods: This investigation is part of the FINGER project, a multicenter randomized controlled trial aiming at preventing cognitive decline in high-risk individuals. The cognitive assessment of participants was conducted at baseline using a modified neuropsychological test battery (NTB). SMCs were evaluated with the Prospective and Retrospective Memory Questionnaire (PRMQ) in a sub-sample of 560 participants (mean age, 69.9 years). Results: Having more prospective SMCs was associated with slower processing speed, but not with other NTB domains. Retrospective SMCs were linked to poorer function on NTB total score, processing speed, and memory. Executive function domain was not associated with any PRMQ ratings. Depressive symptoms and poor quality of life diluted the observed associations for NTB total score and memory. However, the association between PRMQ and processing speed remained even after full adjustments. Conclusions: Our results indicate that self-reported memory problems, measured with PRMQ, are associated with objectively measured cognitive performance. Such complaints in healthy elderly people also seem to reflect reduced mental tempo, rather than memory deficits. Slowing of processing speed may thus be negatively related to memory self-efficacy. It is also important to consider affective factors among those who report memory problems. (JINS, 2018, 24, 1099–1109)

Keywords

Subjective memory complaintsProspective memoryRetrospective memoryCognitive performanceMemoryProcessing speed
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 24 , Issue 10 , November 2018 , pp. 1099 - 1109
Copyright
Copyright © The International Neuropsychological Society 2018 

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