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The Impact of Memory Change on Everyday Life Among Older Adults: Association with Cognition and Self-Reported Memory
Journal of the International Neuropsychological Society ( IF 2.6 ) Pub Date : 2021-01-14 , DOI: 10.1017/s1355617720001344
Komal T Shaikh 1, 2 , Erica L Tatham 1, 2 , Susan Vandermorris 2 , Theone Paterson 2, 3 , Kathryn Stokes 2 , Morris Freedman 4, 5, 6 , Brian Levine 4, 7, 8 , Jill B Rich 1, 2 , Angela K Troyer 2, 8
Affiliation  

Objectives:Many older adults experience memory changes that can have a meaningful impact on their everyday lives, such as restrictions to lifestyle activities and negative emotions. Older adults also report a variety of positive coping responses that help them manage these changes. The purpose of this study was to determine how objective cognitive performance and self-reported memory are related to the everyday impact of memory change.Methods:We examined these associations in a sample of 94 older adults (age 60–89, 52% female) along a cognitive ability continuum from normal cognition to mild cognitive impairment.Results:Correlational analyses revealed that greater restrictions to lifestyle activities (|rs| = .36–.66), more negative emotion associated with memory change (|rs| = .27–.76), and an overall greater burden of memory change on everyday living (|rs| = .28–.61) were associated with poorer objective memory performance and lower self-reported memory ability and satisfaction. Performance on objective measures of executive attention was unrelated to the impact of memory change. Self-reported strategy use was positively related to positive coping with memory change (|r| = .26), but self-reported strategy use was associated with more negative emotions regarding memory change (|r| = .23).Conclusions:Given the prevalence of memory complaints among older adults, it is important to understand the experience of memory change and its impact on everyday functioning in order to develop services that target the specific needs of this population.

中文翻译:

记忆变化对老年人日常生活的影响:与认知和自我报告记忆的关联

目标:许多老年人会经历记忆变化,这些变化会对他们的日常生活产生有意义的影响,例如对生活方式活动的限制和负面情绪。老年人还报告了各种积极的应对反应,帮助他们应对这些变化。本研究的目的是确定客观认知表现和自我报告的记忆与记忆变化的日常影响之间的关系。方法:我们在 94 名老年人(年龄 60-89 岁,52% 女性)的样本中检查了这些关联沿着从正常认知到轻度认知障碍的认知能力连续体。结果:相关分析表明,对生活方式活动的限制更大(|rs| = .36–.66),与记忆变化相关的负面情绪更多(|rs| = .27–.76),并且日常生活中记忆变化的总体负担更大(|rs| = .28–.61) 与较差的客观记忆表现和较低的自我报告的记忆能力和满意度有关。执行注意力客观测量的表现与记忆变化的影响无关。自我报告的策略使用与积极应对记忆变化呈正相关(|r| = .26),但自我报告的策略使用与更多关于记忆变化的负面情绪相关(|r| = .23). 结论:鉴于老年人的记忆问题普遍存在,了解记忆变化的经历及其对日常功能的影响对于开发针对该人群特定需求的服务非常重要。
更新日期:2021-01-14
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