Subjective memory complaints and concurrent memory performance in older patients of primary care providers.
Subjective memory complaints and concurrent memory performance in older patients of primary care providers.
复制标题
DOI：
10.1017/s1355617708081332
复制
发表时间：
2008-11
期刊：
影响因子：
--
通讯作者：
Saxton JA
中科院分区：
文献类型：
--
作者：
Snitz BE;Morrow LA;Rodriguez EG;Huber KA;Saxton JA
主观记忆主诉(SMC)在老年人中与当前的记忆损害不一致，但这种联系在初级保健提供者(PCP)环境中尚未得到很好的调查。为了表征老年PCP门诊患者SMC与客观记忆之间关系的复杂性，我们收集了匹兹堡大都市区及周边地区11个PCP办公室的65岁及以上、无痴呆诊断记录的门诊患者的神经心理学、主观记忆、抑郁和医疗表数据。结果表明，对当前记忆能力的自我估计与客观记忆表现的相关性最强；相反，对过去一年记忆恶化的感知没有相关性；特定的记忆相关活动只有微弱的相关性。女性比男性更有可能表现出SMC和客观记忆表现之间的不一致。在11名记忆障碍最严重的参与者中，只有两人支持SMC，只有四人有记忆问题的PCP图表文档。在非痴呆老年人中诱发SMCs在PCP环境中可能具有临床价值，但在更多记忆受损患者中，患者自我报告的显著局限性突出表明，有必要为PCP办公室使用的记忆障碍制定简短、客观的指标，当怀疑记忆力下降时。
Subjective memory complaints (SMCs) are known to be inconsistently related to current memory impairment in older adults but this association has not been well investigated in primary care provider (PCP) settings. To characterize the complexity of the relationship between SMCs and objective memory in older outpatients of PCPs, we collected neuropsychological, subjective memory, depression and medical chart data from outpatients aged 65 and older, without documented dementia diagnoses, in eleven PCP offices in and around the Pittsburgh metropolitan area. Results indicated that self-estimates of current memory ability were most strongly associated with objective memory performance; in contrast, perception of worsening memory over the past year showed no association; and specific memory-related activities were only weakly associated. Women were more likely than men to show inconsistency between SMCs and objective memory performance. Only two of the 11 most significantly memory-impaired participants endorsed SMCs and only four had PCP chart documentation of memory problems. Eliciting SMCs in non-demented older adults can be of clinical value in a PCP setting, but significant limitations of patient self-report in more memory-impaired patients underscore the need to develop brief, objective indicators of memory impairment for PCP office use when there is suspicion of decline.