Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population

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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.

Original languageEnglish (US)
Pages (from-to)545-555
Number of pages11
JournalJournal of Alzheimer's Disease
Volume81
Issue number2
DOIs
StatePublished - 2021

Keywords

  • Cognitive function
  • cross-sectional
  • depressive symptoms
  • primary care
  • subjective health complaint
  • underserved populations

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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