Memory complaints; the association with psycho-affective and health problems and the role of personality characteristics - A 6-year follow-up study
Memory complaints; the association with psycho-affective and health problems and the role of personality characteristics - A 6-year follow-up study
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DOI：
10.1016/s0165-0327(01)00453-0
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发表时间：
2002-11-01
影响因子：
6.6
通讯作者：
Jonker, C
中科院分区：
文献类型：
--
作者：
Comijs, HC;Deeg, DJH;Jonker, C
背景资料：目的是调查无明显认知能力下降的老年人的记忆投诉是否与抑郁症状、焦虑症状、身体健康和人格特征相关。此外，它是调查人格特征是否有修改效果的记忆投诉与抑郁和焦虑症状和身体健康的关联。方法：本研究采用阿姆斯特丹纵向老化研究（LASA）。在为期6年的三个观察周期内对参与者进行了检查。他们被问及记忆投诉，并检查了认知功能，身体健康，抑郁和焦虑症状，以及人格特征：掌握，自我效能感和神经质。通过广义估计方程（GEE）对数据进行分析。结果如下：记忆投诉与身体健康问题、抑郁和焦虑症状、低掌控感、低自我效能感和高神经质有关。记忆抱怨与身体健康问题、抑郁和焦虑症状之间的关联在高掌握、高自我效能感和低神经质的人中显着更强。局限性：我们使用了一个保守的认知能力下降的标准，因此我们可能在随访期间包括了一些认知能力下降的人。为了尽量减少选择偏差，我们在回归模型中纳入了实际的认知表现。结论：我们的研究结果表明，当老年人抱怨他们的记忆力，并没有表现出实际的认知能力下降，人们应该意识到，这些投诉可能反映了心理情感或健康问题。(C)2002年，Elsevier Science BY。All rights reserved.
Background: The objective is to investigate whether memory complaints in older persons without manifest cognitive decline are associated with depressive symptoms, anxiety symptoms, physical health and personality characteristics. Furthermore, it is investigated whether personality characteristics have a modifying effect on the association of memory complaints with depressive and anxiety symptoms and physical health. Methods: The study was carried out using the Longitudinal Aging Study Amsterdam (LASA). Participants were examined during three observation cycles covering a period of 6 years. They were asked about memory complaints, and were examined on cognitive functioning, physical health, depressive and anxiety symptoms, and the personality characteristics: mastery, perceived self-efficacy and neuroticism. The data were analysed by means of Generalised Estimating Equations (GEE). Results: Memory complaints were associated with physical health problems, depressive and anxiety symptoms, low feelings of mastery, low perceived self-efficacy and high neuroticism. The associations between memory complaints and physical health problems, depressive and anxiety symptoms were significantly stronger in people with high mastery, high perceived self-efficacy and low neuroticism. Limitations: We used a conservative criterion for cognitive decline and therefore we might have included some people with cognitive decline during our follow-up. In order to minimise selection bias we included actual cognitive performance in our regression models. Conclusions: Our findings suggest that when older persons complain about their memory and do not show actual cognitive decline, one should be aware that these complaints might reflect psycho-affective or health problems. (C) 2002 Elsevier Science BY. All rights reserved.