MEMORY COMPLAINTS IN OLDER ADULTS - FACT OR FICTION
MEMORY COMPLAINTS IN OLDER ADULTS - FACT OR FICTION
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DOI：
10.1001/archneur.1991.00530130069022
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发表时间：
1991-01-01
影响因子：
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通讯作者：
BLEECKER, ML
中科院分区：
文献类型：
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作者：
BOLLA, KI;LINDGREN, KN;BLEECKER, ML
患者抱怨记忆力不佳可能是阿尔茨海默病等病理过程的早期症状。因此，确定患者对记忆障碍的抱怨是否准确地反映了真实的记忆障碍是很重要的。在199名健康的社区成年人(39-89岁)中，研究了记忆主诉(元记忆)与客观记忆表现、情绪、年龄、言语智力和性别之间的关系。记忆抱怨显示，与记忆测试中的表现相比，记忆抱怨与抑郁情绪的关联更强。越来越多的抑郁症状报告与更多的总体记忆问题有关。言语智力、年龄和性别也是导致记忆问题的原因之一。言语智商较高的患者报告的抱怨较少，对遗忘的重视程度也较低。年长的人报告说，他们健忘的频率更高，使用记忆技术的频率也更高。还描述了特定类型的记忆抱怨、遗忘的严重性以及所使用的记忆辅助工具的类型。这些结果表明，老年人对记忆障碍的自我评估可能更多地与抑郁情绪有关，而不是与记忆测试中的糟糕表现有关。
Complaints of poor memory by patients may be an early symptom of a pathologic process like Alzheimer's disease. It is therefore important to determine if patients' complaints of memory impairments are an accurate reflection of real memory disturbance. The relationship between memory complaints (metamemory) and objective memory performance, mood, age, verbal intelligence, and sex was examined in a group of 199 healthy, community dwelling adults (39 to 89 years old). Memory complaints demonstrated a stronger association with depressed mood than with performance on memory tests. Increasing reports of depressive symptoms were associated with more overall memory complaints. Verbal intelligence, age, and sex also contributed to memory complaints. Patients with higher verbal intelligence reported fewer complaints and placed less emphasis on forgetting. Older individuals reported greater frequency of forgetting and greater frequency of using memory techniques. Specific types of memory complaints, seriousness of forgetting, and types of memory aids employed are also described. These results showed that self-rating of memory disturbance by older adults may be related more to depressed mood than to poor performance on memory tests.