Incongruence of subjective memory impairment ratings and the experience of memory problems in older adults without dementia: a mixed methods study
Incongruence of subjective memory impairment ratings and the experience of memory problems in older adults without dementia: a mixed methods study
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DOI：
10.1080/13607863.2017.1337715
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发表时间：
2018-01-01
影响因子：
3.4
通讯作者：
Kolanowski, Ann
中科院分区：
文献类型：
--
作者：
Hill, Nikki;Mogle, Jacqueline;Kolanowski, Ann
目的：本研究的目的是描述患有主观记忆障碍 (SMI) 的老年人的经历，并检查 SMI 严重程度与 SMI 对日常生活影响的相关程度。方法：采用混合方法收敛设计。患有 SMI 的参与者（n = 19，平均年龄 80.7 岁）是从社区环境中招募的。使用主题分析对半结构化访谈进行分析；这些发现与问卷调查和认知状态数据的描述性统计相结合。结果：SMI 的影响因个人归因于体验的个人意义而异。与轻度认知缺陷的参与者报告的更普遍的问题相比，具有正常认知的老年人报告了情景记忆问题。记忆问题的影响范围从沮丧/尴尬到回避社交活动，但情绪影响的程度并未反映在SMI严重程度或认知状态中。结论：SMI在没有痴呆的老年人中很常见，但对功能和幸福感的影响是可变的，并且似乎与客观认知无关。未来的研究需要验证这些关联，并为准确反映老年人经历的 SMI 措施的制定提供信息。
Objectives: The objective of this study was to describe the experiences of older adults living with subjective memory impairment (SMI) and examine the extent to which SMI severity was associated with impact of SMI on daily life.Method: A mixed methods convergent design was utilized. Participants with SMI (n = 19, mean age 80.7 years) were recruited from community settings. Semi-structured interviews were analyzed using thematic analysis; these findings were integrated with descriptive statistics from questionnaire and cognitive status data.Results: The impact of SMI varied depending on the personal meaning individuals attributed to the experience. Older adults with normal cognition reported episodic memory problem compared to more pervasive problems reported by participants with mild cognitive deficits. The impact of memory problems ranged from frustration/embarrassment to avoidance of social activities, but the degree of emotional impact was not reflected in SMI severity or cognitive status.Conclusion: SMI is common in older adults without dementia but the impact on function and well-being is variable and does not seem to be associated with objective cognition. Future research is needed to validate these associations and to inform the development of SMI measures that accurately reflect older adults' experiences.