1. Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population.
- Author
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Rodríguez D, Ayers E, Weiss EF, and Verghese J
- Subjects
- Black or African American, Aged, Aged, 80 and over, Cognition Disorders diagnosis, Cross-Cultural Comparison, Depression epidemiology, Depression psychology, Female, Hispanic or Latino, Humans, Male, Memory Disorders psychology, Middle Aged, Neuropsychological Tests, Surveys and Questionnaires, Aging psychology, Cognition physiology, Cognition Disorders psychology, Cognitive Dysfunction psychology, Primary Health Care statistics & numerical data
- Abstract
Background: Very few studies have explored the utility of subjective cognitive complaints (SCCs) in primary care settings., Objective: 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., Methods: 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., Results: 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., Conclusion: 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.
- Published
- 2021
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