Subjective memory decline in healthy community-dwelling elders. What does this complain mean?

被引:38
作者
Balash, Y. [1 ,2 ]
Mordechovich, M.
Shabtai, H.
Merims, D.
Giladi, N. [2 ]
机构
[1] Tel Aviv Sourasky Med Ctr, Movement Disorders Unit, IL-64239 Tel Aviv, Israel
[2] Tel Aviv Univ, Sackler Sch Med, IL-69978 Tel Aviv, Israel
来源
ACTA NEUROLOGICA SCANDINAVICA | 2010年 / 121卷 / 03期
关键词
anxiety; depression; memory decline; COGNITIVE IMPAIRMENT; OLDER-PEOPLE; DEPRESSION; DEMENTIA; POPULATION; INDIVIDUALS; ASSOCIATION; PERFORMANCE; PREVALENCE; AGE;
D O I
10.1111/j.1600-0404.2009.01159.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives - Subjective feelings of memory decline are fairly common among the elderly. The causes of this are heterogeneous, and may be related to both affective and cognitive disorders. We attempted to explore the associations between subjective and cognitive measures. Materials and Methods - Healthy subjects were studied. They completed questionnaires regarding memory difficulties and lifestyle habits, the Geriatric Depression scale (GDS), and the Spielberger State-Trait Anxiety Inventory. Cognitive functions were tested using the Mini-Mental State Exam and supplemented with NeuroTrax, a computerized neurophysiological battery. Univariate logistic regression model was applied to estimate odd ratios (OR) and 95% confidence intervals of associations. Results - Of 341 consecutive non-depressed subjects, 257 participants (75.4%) reported subjective memory decline (SMD). Subjects with and without SMD did not differ in age, gender, education, marital status, employment and life-style. Subjects with SMD had elevated GDS scores (OR = 1.14, 95% CI: 1.003-1.29), white anxiety level showed a tendency to be increased (OR = 1.03, 95% CI: 0.99-1.06). Comparison of cognitive performance has not revealed differences in cognitive domains between subjects with and without SMD. Conclusions - SMD in healthy elderly people is associated with sub-clinical depression even among those without objectively measured cognitive decline.
引用
收藏
页码:194 / 197
页数:4
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