Longitudinal relationships among depressive symptoms and three types of memory self-report in cognitively intact older adults
Longitudinal relationships among depressive symptoms and three types of memory self-report in cognitively intact older adults
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DOI：
10.1017/s104161021900084x
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发表时间：
2020-06-01
影响因子：
7
通讯作者：
Sliwinski, Martin J.
中科院分区：
文献类型：
--
作者：
Hill, Nikki L.;Mogle, Jacqueline;Sliwinski, Martin J.
目的：目前的研究调查了认知完整的老年人自我报告的记忆问题是否随着时间的推移与抑郁症状同时发生，在抑郁症状之前或之后发生变化。设计：作为爱因斯坦衰老研究的一部分，每年通过亲自全面的医学和神经心理学检查收集数据。设置：社区居住的老年人在城市，多民族地区的纽约市进行了采访。参与者：本研究共纳入1，162名老年人（M-年龄= 77.65，SD = 5.03，63.39%为女性; 74.12%为白色）。每个参与者使用了多达11个年度波的数据。测量值：多水平模型测试了三种类型的记忆自我报告（记忆问题的频率，感知的一年下降和感知的十年下降）和抑郁症状之间的并发和滞后关联。结果如下：结果显示，自我报告的记忆问题频率与抑郁症状仅在基线年龄较大的参与者中存在协变。一年和十年记忆力下降的变化与所有年龄段的抑郁症状的变化有关。抑郁症状增加了第二年感知到的十年记忆衰退的可能性;然而，感知到的十年记忆衰退并不能预测未来的抑郁症状。此外，抑郁症状与自我报告的记忆问题频率或感知的一年记忆下降之间没有显着的时间关系。结论：我们的研究结果强调了测试不同类型的自我报告的记忆问题与抑郁症状的独特关联的重要性。
Objectives: The current study examined whether self-reported memory problems among cognitively intact older adults changed concurrently with, preceded, or followed depressive symptoms over time. Design: Data were collected annually via in-person comprehensive medical and neuropsychological examinations as part of the Einstein Aging Study. Setting: Community-dwelling older adults in an urban, multi-ethnic area of New York City were interviewed. Participants: The current study included a total of 1,162 older adults (M-age= 77.65,SD= 5.03, 63.39% female; 74.12% White). Data were utilized from up to 11 annual waves per participant. Measurements: Multilevel modeling tested concurrent and lagged associations between three types of memory self-report (frequency of memory problems, perceived one-year decline, and perceived ten-year decline) and depressive symptoms. Results: Results showed that self-reported frequency of memory problems covaried with depressive symptoms only in participants who were older at baseline. Changes in perceived one-year and ten-year memory decline were related to changes in depressive symptoms across all ages. Depressive symptoms increased the likelihood of perceived ten-year memory decline the next year; however, perceived ten-year memory decline did not predict future depressive symptoms. Additionally, no significant temporal relationship was observed between depressive symptoms and self-reported frequency of memory problems or perceived one-year memory decline. Conclusion: Our findings highlight the importance of testing the unique associations of different types of self-reported memory problems with depressive symptoms.