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The roles of study setting, response bias, and personality in subjective memory complaints of cognitively normal older adults

Published online by Cambridge University Press:  19 March 2020

Sarah M. Goldberg Open the ORCID record for Sarah M. Goldberg [Opens in a new window] ,
Oscar L. Lopez ,
Ann D. Cohen ,
William E. Klunk ,
Howard A. Aizenstein ,
Akiko Mizuno  and
Beth E. Snitz
Sarah M. Goldberg
Affiliation:
Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Oscar L. Lopez
Affiliation:
Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Ann D. Cohen
Affiliation:
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
William E. Klunk
Affiliation:
Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Howard A. Aizenstein
Affiliation:
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Akiko Mizuno
Affiliation:
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Beth E. Snitz*
Affiliation:
Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
*
Correspondence should be addressed to: Beth E. Snitz, Ph.D., Department of Neurology, University of Pittsburgh, 3501 Forbes Avenue, Suite 830, Pittsburgh, PA 15213, USA. Phone: +412.692.4820. Fax: +412.692.4031. Email: snitzbe@upmc.edu.
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Abstract

Objectives:

This study investigated subjective memory complaints in older adults and the roles of setting, response bias, and personality.

Design:

Cognitively normal older adults from two settings completed questionnaires measuring memory complaints, response bias, and personality.

Settings:

(A) Neuroimaging study with community-based recruitment and (B) academic memory clinic.

Participants:

Cognitively normal older adults who (A) volunteer for research (N = 92) or (B) self-referred to a memory clinic (N = 20).

Measurements:

Neuropsychological evaluation and adjudication of normal cognitive status were done by the neuroimaging study or memory clinic. This study administered self-reports of subjective memory complaints, response bias, five-factor personality, and depressive symptoms. Primary group differences were examined with secondary sensitivity analyses to control for sex, age, and education differences.

Results:

There was no significant difference in over-reporting response bias between study settings. Under-reporting response bias was higher in volunteers. Cognitive complaints were associated with response bias for two cognitive complaint measures. Neuroticism was positively associated with over-reporting in evaluation-seekers and negatively associated with under-reporting in volunteers. The relationship was reversed for Extraversion. Under-reporting bias was positively correlated with Agreeableness and Conscientiousness in volunteers.

Conclusion:

Evaluation-seekers do not show bias toward over-reporting symptoms compared to volunteers. Under-reporting response bias may be important to consider when screening for memory impairment in non-help-seeking settings. The Memory Functioning Questionnaire was less sensitive to reporting biases. Over-reporting may be a facet of higher Neuroticism. Findings help elucidate psychological influences on self-perceived cognitive decline and help seeking in aging and may inform different strategies for assessment by setting.

Keywords

agingmemorycognitive assessmentrisk factorspsychogeriatrics
Type
Original Research Article
Information
International Psychogeriatrics , Volume 33 , Special Issue 7: Issue Theme: Cognitive Aging: Subjective and Objective , July 2021 , pp. 665 - 676
Copyright
© International Psychogeriatric Association 2020

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References

Armistead-Jehle, P., Gervais, R. O. and Green, P. (2012a). Memory complaints inventory results as a function of symptom validity test performance. Archives of Clinical Neuropsychology, 27, 101–113. doi: 10.1093/arclin/acr081.CrossRefGoogle ScholarPubMed
Armistead-Jehle, P., Gervais, R. O. and Green, P. (2012b). Memory complaints inventory and symptom validity test performance in a clinical sample. Archives of Clinical Neuropsychology, 27, 725–734. doi: 10.1093/arclin/acs071.CrossRefGoogle Scholar
Aschwaden, D., Kliegel, M. and Allemand, M. (2018). Cognitive complaints mediate the effect of cognition on emotional stability across 12 years in old age. Psychology and Aging, 33(3), 425–438. doi: 10.1037/pag0000246.CrossRefGoogle Scholar
Barnes, L. L. and Bennett, D. A. (2014). Alzheimer’s disease in African Americans: risk factors and challenges for the future. Health Affairs, 33(4), 580–586.CrossRefGoogle ScholarPubMed
Becker, J. T., Boller, F., Saxton, J. and McGonigle-Gibson, K. L. (1987). Normal rates of forgetting of verbal and non-verbal material in Alzheimer’s disease. Cortex, 23, 59–72. doi: 10.10163/S0010-9452(87)80019-9.CrossRefGoogle ScholarPubMed
Begum, A., Morgan, C., Chiu, C., Tylee, A. and Stewart, R. (2011). Subjective memory impairment in older adults: etiology, salience and help seeking. International Journal of Geriatric Psychiatry, 27, 612–620. doi: 10.1002/gps.2760.CrossRefGoogle ScholarPubMed
Ben-Porath, Y. S. and Tellegen, A. (2008). MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2-Restructured Form) Manual for Administration, Scoring, and Interpretation. Minneapolis, MN: University of Minnesota Press.Google Scholar
Berg, A. I. and Johansson, B. (2014). Personality change in the oldest-old: is it a matter of compromised health and functioning? Journal of Personality, 82(1), 25–31. doi: 10.1111/joppy.12030.CrossRefGoogle ScholarPubMed
Broadbent, D. E., Cooper, P. F., FitzGerald, P., and Parkes, K. R. (1982). The cognitive failures questionnaire (CFQ) and its correlates. British Journal of Clinical Psychology, 21, 1–16.CrossRefGoogle ScholarPubMed
Buckley, R. F., Saling, M. M., Frommann, I., Wolfsgruber, S. and Wagner, M. (2015). Subjective cognitive decline from a phenomenological perspective: a review of the qualitative literature. Journal of Alzheimer’s Disease, 48(S1), S125–S140. doi: 10.3233/JAD-150095.CrossRefGoogle ScholarPubMed
Buckley, R. F. et al. (2016). A conceptualization of the utility of subjective cognitive decline in clinical trials of preclinical Alzheimer’s disease. Journal of Molecular Neuroscience, 60, 354–361. doi: 10.1007/s12031-016-0810-z.CrossRefGoogle ScholarPubMed
Chin, J., Oh, K. J., Sea, S. W. and Na, D. L. (2014). Are depressive symptomatology and self-focused attention associated with subjective memory impairment in older adults? International Psychogeriatrics, 26(4), 573–580. doi: 10.1017/S104161021300241X.CrossRefGoogle ScholarPubMed
Folstein, M. F., Foistein, S. E. and McHugh, P. R. (1975). ‘MiniMental State’: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
Gervais, R. O., Ben-Porath, Y. S., Wygant, D. B. and Green, P. (2008). Differential sensitivity of the Response Bias Scale (RBS) and MMPI-2 validity scales to memory complaints. The Clinical Neuropsychologist, 22(6), 1061–1079. doi: 10.1080/13854040701756930.CrossRefGoogle ScholarPubMed
Gervais, R. O., Ben-Porath, Y. S., Wygant, D. B. and Sellbom, M. (2010). Incremental validity of the MMPI-2-RF over-reporting scales and RBS in assessing the veracity of memory complaints. Archives of Clinical Neuropsychology, 25(4), 274–284. doi: 10.1093/arclin/acq018.CrossRefGoogle ScholarPubMed
Hänninen, T. et al. (1994). Subjective memory complaints and personality traits in normal elderly subjects. Journal of the American Geriatrics Society, 42(1), 1–4. doi: 10.1111/j.1532-5415.1994.tb06064.x.CrossRefGoogle ScholarPubMed
Hertzog, C., Hultsch, D. F. and Dixon, R. A. (1989). Evidence for the convergent validity of two self-report metamemory questionnaires. Developmental Psychology, 25(5), 687–700. doi: 10.1037/0012-1649.25.5.687.CrossRefGoogle Scholar
Hohman, T. J., Beason-Held, L. L., Lamar, M. and Resnick, S. M. (2011). Subjective cognitive complaints and longitudinal changes in memory and brain function. Neuropsychology, 25(1), 125–130. doi: 10.1037/a0020859.CrossRefGoogle ScholarPubMed
Holmen, J. et al. (2013). Gender differences in subjective memory impairment in a general population: the HUNT study, Norway. BMC Psychology, 1(19), 1–9. doi: 10.1186/2050-7283-1-19.CrossRefGoogle Scholar
Hülür, G., Hertzog, C., Pearman, A. M. and Gerstorf, D. (2015). Correlates and moderators of change in subjective memory and memory performance: findings from the health and retirement study. Gerontology, 61, 232–240. doi: 10.1159/000369010.CrossRefGoogle ScholarPubMed
Hurt, C. S., Burns, A., Brown, R. G. and Barrowclough, C. (2010). Perceptions of subjective memory complaint in older adults: the Illness Perception Questionnaire – Memory (IPQ-M). International Psychogeriatrics, 22(5), 750–760. doi: 10.1017/S1041610209991542.CrossRefGoogle Scholar
Hurt, C. S., Burns, A., Brown, R. G. and Barrowclough, C. (2012). Why don’t older adults with subjective memory complaints seek help? International Journal of Geriatric Psychiatry, 27, 394–400. doi: 10.1002/gps.2731.Google ScholarPubMed
Idler, E. (1993). Age differences in self-assessments of health: age changes, cohort differences, or survivorship? Journal of Gerontology, 48(6), S289–S300.CrossRefGoogle ScholarPubMed
Idler, E. and Cartwright, K. (2018). What do we rate when we rate our health? Decomposing age-related contributions to self-rated health. Journal of Health and Social Behavior, 59(1), 74–93. doi: 1177/0022146517750137.CrossRefGoogle ScholarPubMed
Jessen, F. et al. (2010). Prediction of dementia by subjective memory impairment: effects of severity and temporal association with cognitive impairment. Arch Gen Psychiatry, 67(4), 414–422. doi: 10.1001/archgenpsychiatry.2010.30.CrossRefGoogle ScholarPubMed
Jessen, F. et al. (2014). A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer’s disease. Alzheimer’s & Dementia, 10(6), 844–852. doi: 10.1016/j.jalz.2014.01.001.CrossRefGoogle ScholarPubMed
Jessen, F. et al. (2020). The characterization of subjective cognitive decline. The Lancet Neurology. doi: 10.1016/S1474-4422(19)30368-0.Google Scholar
Jonker, C., Geerlings, M. I. and Schmand, B. (2000). Are memory complaints predictive for dementia? A review of clinical and population-based studies. International Journal of Geriatric Psychiatry, 15, 983–991. doi: 10.1002/1099-1166(200011)15:11<983:AID-GPS238>3.0.CO;2-5.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
Kinnunen, M. L. et al. (2012). Personality profiles and health: longitudinal evidence among Finnish adults. Scandinavian Journal of Psychology, 53(6), 512–522. doi: 10.1111/j.1467-9450.2012.00969.x.CrossRefGoogle ScholarPubMed
Knopman, D. S. (2012). Subjective cognitive impairment: fickle but fateful. Neurology, 79(13), 1308–1309. doi: 10.1212/WNL.0b013e31826c1bd1.CrossRefGoogle ScholarPubMed
Lyness, J. M., Cox, C., Curry, J., Conwell, Y., King, D. A. and Caine, E. D. (1995). Older age and underreporting of depressive symptoms. Journal of American Geriatrics Society, 43(3), 216–221. doi: 10.1111/j.1532-5415.1995.tb07325.x.CrossRefGoogle ScholarPubMed
Marek, R. J., Ben-Porath, Y. S., Sellbom, M., McNulty, J. L. and Heinberg, L. J. (2015). Validity of Minnesota Multiphasic Personality Inventory – 2 – Restructured Form (MMPI-2-RF) scores as a function of gender, ethnicity, and age of bariatric surgery candidates. Surgery for Obesity and Related Diseases, 11(3), 627–634. doi: 10.1016/j.soard.2014.10.005.CrossRefGoogle ScholarPubMed
Mark, R. E. and Sitskoorn, M. M. (2013). Are subjective cognitive complaints relevant in preclinical Alzheimer’s disease? A review and guidelines for healthcare professionals. Reviews in Clinical Gerontology, 23, 61–74. doi: 10.1017/S0959259812000172.CrossRefGoogle Scholar
McCrae, R. R. and Costa, P. T. Jr. (2007). Brief versions of the NEO-PI-3. Journal of Individual Differences, 28(3), 116–128. doi: 10.1027/1614-0001.28.3.116.CrossRefGoogle Scholar
Mitchell, A. J. (2008). The clinical significance of subjective memory complaints in the diagnosis of mild cognitive impairment and dementia: a meta-analysis. International Journal of Geriatric Psychiatry, 23(11), 1191–1202. doi: 10.1002/gps.2053.CrossRefGoogle Scholar
Mol, M., Carpay, M., Ramakers, I., Rozendaal, N., Verhey, F. and Jolles, J. (2006). The effect of perceived forgetfulness on quality of life in older adults: a qualitative review. International Journal of Geriatric Psychiatry, 22, 393–400. doi: 10.1002/gps.1686.CrossRefGoogle Scholar
Mroczek, D. K., Spiro, A. III and Griffin, P. W. (2006). Personality and aging. In Birren, J. E. and Schaie, K. W. (Eds.) Handbook of the Psychology of Aging (pp. 363–377). Burlington, MA: Elsevier Academic Press.CrossRefGoogle Scholar
Nebes, R. D. et al. (2013). Cognitive aging in persons with minimal amyloid-β and white matter hyperintensities. Neuropsychologia, 51(11), 2202–2209. doi: 10.1016/j.neuropsychologia.2013.01.017.CrossRefGoogle ScholarPubMed
Orfei, M. D. et al. (2010). Anosognosia in mild cognitive impairment and mild Alzheimer’s disease: frequency and neuropsychological correlates. The American Journal of Geriatric Psychiatry, 18(12), 1133–1140. doi: 10.1097/JGP.0b013e3181dd1c50.CrossRefGoogle ScholarPubMed
Pearman, A., Andreoletti, C. and Isaacowitz, D. M. (2010). Sadness prediction and response: effects of age and agreeableness. Aging & Mental Health, 14(3), 355–363. doi: 10.1050/13607860903292586.CrossRefGoogle ScholarPubMed
Pearman, A. and Hertzog, C. (2014). Little evidence for links between memory complaints and memory performance in very old age: longitudinal analyses from the Berlin aging study. Psychology and Aging, 29(4), 828–842. doi: 10.1037/a0037141.CrossRefGoogle ScholarPubMed
Pearman, A. and Storandt, M. (2004). Predictors of subjective memory in older adults. The Journals of Gerontology: Series B, 59(1), P4–P6. doi: 10.1093/geronb/59.1.P4.CrossRefGoogle ScholarPubMed
Perrotin, A. et al. (2017). Subjective cognitive decline in cognitively normal elders from the community or from a memory clinic: differential affective and imaging correlates. Alzheimer’s & Dementia, 13(5), 550–560. doi: 10.1016/j.jalz.2016.08.011.CrossRefGoogle ScholarPubMed
Peterson, R. C. et al. (2018). Practice guideline update summary: mild cognitive impairment: report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology. Neurology, 90, 126–135. doi: 10.1212/WNL.0000000000004826.CrossRefGoogle Scholar
Rabin, L. A., Smart, C. M. and Amariglio, R. E. (2017). Subjective cognitive decline in preclinical Alzheimer’s disease. Annual Review of Clinical Psychology, 13, 369–396.CrossRefGoogle ScholarPubMed
Reid, L. M. and MacLullich, A.M.J. (2006). Subjective memory complaints and cognitive impairment in older people. Dementia and Geriatric Cognitive Disorders, 22, 471–485. doi: 10.1159/000096295.CrossRefGoogle ScholarPubMed
Reitan, R. M. (1958). Validity of the Trail-Making Tests as an indication of organic brain damage. Perceptual and Motor Skills, 8, 271–276. doi: 10.2466/pms.1958.8.3.271.CrossRefGoogle Scholar
Roberts, B. W. and Walton, K. E. (2006). Patterns of mean-level change in personality traits across the life course: a meta-analysis of longitudinal studies. Psychological Bulletin, 132(1), 1–25. doi: 10.1037/0033-2909.132.1.1.CrossRefGoogle ScholarPubMed
Singh-Manoux, A. et al. (2014). Subjective cognitive complaints and mortality: does the type of complaint matter? Journal of Psychiatric Research, 48, 73–78. doi: 10.1016/j.jpsychires.2013.10.005.CrossRefGoogle ScholarPubMed
Snitz, B. E., Yu, L., Crane, P. K., Chang, C. H., Hughes, T. F. and Ganguli, M. (2012). Subjective cognitive complaints of older adults at the population level: an item response theory analysis. Alzheimer Disease & Associated Disorder, 26(4), 344–351. doi: 10.1097/WAD.0b013e3182420bdf.CrossRefGoogle Scholar
Snitz, B. E. et al. (2015a). Amyloid-β imaging in older adults presenting to a memory clinic with subjective cognitive decline: a pilot study. Journal of Alzheimer’s Disease, 48, S151–S159. doi: 10.3233/JAD-150113.CrossRefGoogle ScholarPubMed
Snitz, B. E. et al. (2015b). Subjective cognitive complaints, personality and brain amyloid-beta in cognitively normal older adults. The American Journal of Geriatric Psychiatry, 23(9), 985–993.CrossRefGoogle ScholarPubMed
Snitz, B. E. et al. (2018). Risk of progression from subjective cognitive decline to mild cognitive impairment: the role of study setting. Alzheimer’s & Dementia, 14(6), 734–742.CrossRefGoogle ScholarPubMed
Spreen, O. and Strauss, E. (1998). A Compendium of Neuropsychological Tests. New York: Oxford University Press.Google Scholar
Steinberg, S. I. et al. (2013). Subjective memory complaints, cognitive performance, and psychological factors in health older adults. American Journal of Alzheimer’s Disease & Other Dementias, 28(8), 776–783. doi: 10.1177/1533317513504817.CrossRefGoogle Scholar
Stewart, R. (2012). Subjective cognitive impairment. Current Opinion Psychiatry, 25, 445–450. doi: 10.1097/YCO.0b013e3283586fd8.CrossRefGoogle ScholarPubMed
Stewart, R. et al. (2011). Longitudinal neuroimaging correlates of subjective memory impairment: 4-year prospective community study. The British Journal of Psychiatry, 198(3), 199–205. doi: 10.1192/bjp.bp.110.078683.CrossRefGoogle ScholarPubMed
Taylor, C. A., Bouldin, E. D. and McGuire, L. C. (2018). Subjective cognitive decline among adults aged ≥45 years – United States, 2015-2016. Morbidity and Mortality Weekly Report (MMWR), 67(27), 753–757.CrossRefGoogle Scholar
Tellegen, A. and Ben-Porath, Y. S. (2008). MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2-Restructured Form) Technical Manual. Minneapolis, Minnesota: University of Minnesota Press.Google Scholar
Wechsler, D. (1987). Wechsler Memory Scale Revised. New York: The Psychological Corporation.Google Scholar
Wilson, R. S., Evands, D. A., Bienias, J. L., Mendes de Leon, C. F., Schneider, J. A. and Bennett, D. A. (2003). Proneness to psychological distress is associated with risk of Alzheimer’s disease. Neurology, 61(11), 1479–1485. doi: 10.1212/01.WNL.0000096167.56734.59.CrossRefGoogle ScholarPubMed
Wygant, D. B. and Granacher, R. P. (2015). Assessment of validity and response bias in neuropsychiatric evaluations. NeuroRehabilitation, 36, 427–438. doi: 10.3233/NRE-151231.CrossRefGoogle ScholarPubMed
Yesavage, J. A. et al. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17(1), 37–49.CrossRefGoogle ScholarPubMed
Zelinski, E. M., Gilewski, M. J. and Anthony-Bergstone, C. R. (1990). Memory Functioning Questionnaire: concurrent validity with memory performance and self-reported memory failures. Psychological Aging, 5(3), 388–399. doi: 10.1037/0882-7974.5.3.388.CrossRefGoogle ScholarPubMed
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