Introduction: 

Older adults with subjective cognitive decline (SCD) would benefit from routine cognitive testing as they are twice as likely to develop dementia. Worries about concerning test results may diminish participation. The current study aimed to characterize the pattern of worries among older adults with and without SCD.

Methods: 

Adults 50 years or above completed the Attitudes Around Cognitive Testing questionnaire on Mechanical Turk.com or in a primary care setting. Mechanical Turk.com is an online crowdsourcing site where requesters (eg, researchers) post jobs (eg, surveys or tasks) and workers (eg, respondents) choose which jobs to do for pay. Respondents were asked about perceived cognitive decline and about different types of worries they anticipated having if they received concerning test results.

Results: 

We report data for 393 respondents (online: n=296, primary care: n=97), mean age of 63 years, age range of 50 to 91 years, and 60% endorsing SCD. Compared with No SCD, those with SCD anticipated a higher number of worries centered disproportionately on worries of becoming depressed, ashamed or embarrassed, feeling “stupid” and unable to do things, and being put in a nursing home. We observed this SCD pattern of worries in both samples.

Discussion: 

Individuals with SCD worry about the emotional consequences of cognitive testing. This at-risk group would benefit from interventions focused on these concerns to increase patient engagement with cognitive tests.

中文翻译：

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具有主观认知能力下降的老年人担心认知测试结果对情感的影响。

介绍： 

具有主观认知下降（SCD）的老年人将从常规认知测试中受益，因为他们患痴呆症的可能性是其两倍。担心有关测试结果可能会降低参与度。当前的研究旨在描述患有和不患有SCD的老年人的担忧模式。

方法： 

50岁或以上的成年人通过Mechanical Turk.com或在初级保健机构中完成了“关于认知测试的态度”问卷。Mechanical Turk.com是一个在线众包网站，请求者（例如，研究人员）发布工作（例如，调查或任务），而工作人员（例如，受访者）选择要支付薪水的工作。受访者被问到关于认知能力下降的问题，以及他们是否收到关于测试结果的预期的不同类型的担忧。

结果： 

我们报告了393名受访者的数据（在线：n = 296，初级保健：n = 97），平均年龄为63岁，年龄范围为50至91岁，有60％的人支持SCD。与没有SCD的人相比，有SCD的人预期会有更多的忧虑，而更多的忧虑是变得沮丧，羞愧或尴尬，感到“愚蠢”，无能为力并被送入养老院。我们在两个样本中都观察到这种担忧的SCD模式。

讨论： 

SCD患者担心认知测试的情感后果。该风险人群将受益于针对这些问题的干预措施，以增加患者对认知测试的参与度。