Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population.
Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population.
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DOI：
10.3233/jad-201399
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Verghese J
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文献类型：
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作者：
Rodríguez D;Ayers E;Weiss EF;Verghese J
很少有研究探索主观认知投诉（SCCs）在初级保健设置的效用。我们的目的是调查SCCs（项目水平）、客观认知功能（跨领域和全局）和情绪之间的关系，包括轻度认知障碍的受试者。我们研究了199名在初级保健诊所有记忆问题的老年人（平均年龄72.5岁）（75.9%为女性；57.8%为西班牙裔；42.2%为非裔美国人）。采用五项SCC问卷和客观认知评估，包括蒙特利尔认知评估（MoCA）和老年抑郁量表。Logistic回归分析显示SCC评分与抑郁症状之间存在相关性。记忆特异性（“记忆恶化”）SCC预测西班牙裔人的MoCA得分（p = 0.005）。在初级保健机构中，SCCs与非裔美国人和西班牙裔美国人的抑郁症状密切相关；一种特殊类型的SCC与西班牙裔人的整体认知功能有关。
Very few studies have explored the utility of subjective cognitive complaints (SCCs) in primary care settings. We aim to investigate associations between SCCs (item-level), objective cognitive function (across domains and global), and mood in a diverse primary care population, including subjects with mild cognitive impairment. We studied 199 (75.9% females; 57.8% Hispanics; 42.2% African Americans) older adults (mean age 72.5 years) with memory concerns at a primary care clinic. A five-item SCC questionnaire, and objective cognitive assessments, including the Montreal Cognitive Assessment (MoCA) and the Geriatric Depression Scale, were administered. Logistic regression analyses showed associations between SCC score and depressive symptoms. A memory-specific (“memory worsening”) SCC predicted scores on the MoCA (p = 0.005) in Hispanics. SCCs are strongly linked to depressive symptoms in African Americans and Hispanics in a primary care setting; a specific type of SCC is related to global cognitive function in Hispanics.