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Subjective cognitive complaints across the adult life span: a 14-year analysis of trends and associations using the 1993, 2000 and 2007 English Psychiatric Morbidity Surveys

Published online by Cambridge University Press:  27 September 2013

A. Begum*
Affiliation:
Institute of Psychiatry, King's College London, London, UK
M. Dewey
Affiliation:
Institute of Psychiatry, King's College London, London, UK
A. Hassiotis
Affiliation:
Royal Free and University College Medical School, London, UK
M. Prince
Affiliation:
Institute of Psychiatry, King's College London, London, UK
S. Wessely
Affiliation:
Institute of Psychiatry, King's College London, London, UK
R. Stewart
Affiliation:
Institute of Psychiatry, King's College London, London, UK
*
* Address for correspondence: A. Begum, Ph.D., Section of Epidemiology (Box 60), Institute of Psychiatry, London SE5 8AF, UK. (Email: aysha.begum@iop.kcl.ac.uk)

Abstract

Background

Cognitive complaints are common in all age groups but most often researched in old age. We aimed to investigate prevalences and time trends over 14 years of subjective memory complaints (SMC) and subjective concentration complaints (SCC) in adults and investigate associations with mood disorders and cognitive function.

Method

Data from three English national mental health surveys carried out in 1993, 2000 and 2007 were analysed. SMC and SCC were measured using the Clinical Interview Schedule – Revised and cognitive function using the modified Telephone Interview for Cognitive Status.

Results

Both SMC and SCC increased up to middle age and then declined, followed by a second rise in the very oldest age groups. Age-specific prevalence of both increased across survey years but relationships with mental health and cognitive outcomes were relatively stable.

Conclusions

Cognitive complaints are most common in middle age and have become more prevalent over time.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

Andreasen, NC (1997). Linking mind and brain in the study of mental illnesses: a project for a scientific psychopathology. Science 275, 15861593.CrossRefGoogle Scholar
Au, A, Cheng, C, Chan, I, Leung, P, Li, P, Heaton, RK (2008). Subjective memory complaints, mood, and memory deficits among HIV/AIDS patients in Hong Kong. Journal of Clinical and Experimental Neuropsychology 30, 338348.Google Scholar
Babor, TR, Higgins-Biddle, JC, Saunders, JB, Monteiro, MG (2001). The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care. 2nd edn. World Health Organization: Geneva.Google Scholar
Barker, A, Jones, R, Jennison, C (1995). A prevalence study of age-associated memory impairment. British Journal of Psychiatry 167, 642648.CrossRefGoogle ScholarPubMed
Barsky, AJ (1988). The paradox of health. New England Journal of Medicine 318, 414418.Google Scholar
Begum, A, Morgan, C, Chiu, C, Tylee, A, Stewart, R (2012). Subjective memory impairment in older adults: aetiology, salience and help-seeking. International Journal of Geriatric Psychiatry 27, 612620.Google Scholar
Brindle, PM, Brown, MW, Brown, J, Griffith, HB, Turner, GM (1991). Objective and subjective memory impairment in pregnancy. Psychological Medicine 21, 647653.Google Scholar
Brugha, TS, Bebbington, PE, Singleton, N, Melzer, D, Jenkins, R, Lewis, G, Farrell, M, Bhugra, D, Lee, A, Meltzer, H (2004). Trends in service use and treatment for mental disorders in adults throughout Great Britain. British Journal of Psychiatry 185, 378384.CrossRefGoogle ScholarPubMed
Cadar, D, Pikhart, H, Mishra, G, Stephen, A, Kuh, D, Richards, M (2012). The role of lifestyle behaviors on 20-year cognitive decline. Journal of Aging Research 2012, 304014.Google Scholar
Calem, M, Bisla, J, Begum, A, Dewey, M, Bebbington, PE, Brugha, TS, Cooper, C, Jenkins, R, Lindesay, J, McManus, S, Meltzer, H, Spiers, N, Weich, S, Stewart, R (2012). Increased prevalence of insomnia and changes in hypnotics use in England over 15 years: analysis of the 1993, 2000, and 2007 National Psychiatric Morbidity Surveys. Sleep 35, 377384.CrossRefGoogle ScholarPubMed
Comijs, HC, Deeg, DJ, Dik, MG, Twisk, JW, Jonker, C, Deeg, DJH, Twisk, JWR (2002). Memory complaints; the association with psycho-affective and health problems and the role of personality characteristics. A 6-year follow-up study. Journal of Affective Disorders 72, 157165.CrossRefGoogle ScholarPubMed
Cooper, C, Bebbington, P, Lindesay, J, Meltzer, H, McManus, S, Jenkins, R, Livingston, G (2011). The meaning of reporting forgetfulness: a cross-sectional study of adults in the English 2007 Adult Psychiatric Morbidity Survey. Age and Ageing 40, 711717.Google Scholar
De Winter, A, Oldehinkel, A, Veenstra, R, Brunnekreef, J, Verhulst, F, Ormel, J (2005). Evaluation of non-response bias in mental health determinants and outcomes in a large sample of pre-adolescents. European Journal of Epidemiology 20, 173181.Google Scholar
Derouesné, C, Lacomblez, L, Thibault, S, Leponcin, M (1999). Memory complaints in young and elderly subjects. International Journal of Geriatric Psychiatry 14, 291301.Google Scholar
Dregan, A, Armstrong, D (2009). Age, cohort and period effects in the prevalence of sleep disturbances among older people: the impact of economic downturn. Social Science and Medicine 69, 14321438.Google Scholar
Dufouil, C, Fuhrer, R, Alperovitch, A, Dufouil, C, Fuhrer, R, Alperovitch, A (2005). Subjective cognitive complaints and cognitive decline: consequence or predictor? The Epidemiology of Vascular Aging Study. Journal of the American Geriatrics Society 53, 616621.Google Scholar
Dux, MC, Woodard, JL, Calamari, JE, Messina, M, Arora, S, Chik, H, Pontarelli, N, Dux, MC, Woodard, JL, Calamari, JE, Messina, M, Arora, S, Chik, H, Pontarelli, N (2008). The moderating role of negative affect on objective verbal memory performance and subjective memory complaints in healthy older adults. Journal of the International Neuropsychological Society 14, 327336.CrossRefGoogle ScholarPubMed
Foland-Ross, LC, Gotlib, IH (2012). Cognitive and neural aspects of information processing in major depressive disorder: an integrative perspective. Frontiers in Psychology 3, 489.Google Scholar
Gino, S, Mendes, T, Maroco, J, Ribeiro, F, Schmand, BA, De Mendonca, A, Guerreiro, M (2009). Memory complaints are frequent but qualitatively different in young and elderly healthy people. Gerontology 56, 272277.Google Scholar
Homayoun, S, Nadeau-Marcotte, F, Luck, D, Stip, E (2011). Subjective and objective cognitive dysfunction in schizophrenia – is there a link? Frontiers in Psychology 2, 148.Google Scholar
Horn, O, Sloggett, A, Ploubidis, GB, Hull, L, Hotopf, M, Wessely, S, Rona, RJ (2010). Upward trends in symptom reporting in the UK armed forces. European Journal of Epidemiology 25, 8794.Google Scholar
Jessen, F, Wiese, B, Bachmann, C, Eifflaender-Gorfer, S, Haller, F, Kolsch, H, Luck, T, Mosch, E, Van Den Bussche, H, Wagner, M, Wollny, A, Zimmermann, T, Pentzek, M, Riedel-Heller, SG, Romberg, HP, Weyerer, S, Kaduszkiewicz, H, Maier, W, Bickel, H (2010). Prediction of dementia by subjective memory impairment: effects of severity and temporal association with cognitive impairment. Archives of General Psychiatry 67, 414422.Google Scholar
Jonker, C, Geerlings, MI, Schmand, B (2000). Are memory complaints predictive for dementia? A review of clinical and population-based studies. International Journal of Geriatric Psychiatry 15, 983991.Google Scholar
Jordanova, V, Wickramesinghe, C, Gerada, C, Prince, M (2004). Validation of two survey diagnostic interviews among primary care attendees: a comparison of CIS-R and CIDI with SCAN ICD-10 diagnostic categories. Psychological Medicine 34, 10131024.Google Scholar
Jorm, AF, Butterworth, P, Anstey, KJ, Christensen, H, Easteal, S, Maller, J, Mather, KA, Turakulov, RI, Wen, W, Sachdev, P (2004). Memory complaints in a community sample aged 60–64 years: associations with cognitive functioning, psychiatric symptoms, medical conditions, APOE genotype, hippocampus and amygdala volumes, and white-matter hyperintensities [Erratum appears in Psychological Medicine 2007, 37, 763]. Psychological Medicine 34, 14951506.Google Scholar
Korkeila, K, Suominen, S, Ahvenainen, J, Ojanlatva, A, Rautava, P, Helenius, H, Koskenvuo, M (2001). Non-response and related factors in a nation-wide health survey. European Journal of Epidemiology 17, 991999.CrossRefGoogle Scholar
Lachman, ME (1986). Locus of control in aging research: a case for multidimensional and domain-specific assessment. Psychology and Aging 1, 3440.CrossRefGoogle ScholarPubMed
Lewis, G, Pelosi, AJ, Araya, R, Dunn, G (1992). Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychological Medicine 22, 465486.Google Scholar
Melzer, D, Buxton, J, Villamil, E (2004). Decline in common mental disorder prevalence in men during the sixth decade of life. Social Psychiatry and Psychiatric Epidemiology 39, 3338.Google Scholar
Petrie, KJ, Sivertsen, B, Hysing, M, Broadbent, E, Moss-Morris, R, Eriksen, HR, Ursin, H (2001). Thoroughly modern worries: the relationship of worries about modernity to reported symptoms, health, and medical care utilization. Journal of Psychosomatic Research 51, 395401.CrossRefGoogle ScholarPubMed
Ponds, RW, Commissaris, KJ, Jolles, J (1997). Prevalence and covariates of subjective forgetfulness in a normal population in The Netherlands. International Journal of Aging and Human Development 45, 207221.Google Scholar
Rayner, G, Wrench, JM, Wilson, SJ (2010). Differential contributions of objective memory and mood to subjective memory complaints in refractory focal epilepsy. Epilepsy and Behavior 19, 359364.Google Scholar
Rounsaville, BJ, Piling, J (2000). Alcohol Use Disorders Identification Test (AUDIT). In Handbook of Psychiatric Measures (ed. Rush, A. J. Jr.), pp. 460462. American Psychiatric Association: Washington, DC.Google Scholar
Seo, EH, Lee, DY, Kim, SG, Kim, KW, Kim, DH, Kim, BJ, Kim, M-D, Kim, SY, Kim, YH, Kim, J-L, Kim, JW, Moon, SW, Park, JH, Ryu, S-H, Yoon, JC, Lee, NJ, Lee, CU, Jhoo, JH, Choo, LH, Woo, JI (2010). Validity of the telephone interview for cognitive status (TICS) and modified TICS (TICSm) for mild cognitive impairment (MCI) and dementia screening. Archives of Gerontology and Geriatrics 52, 2630.CrossRefGoogle Scholar
Snitz, BE, Morrow, LA, Rodriguez, EG, Huber, KA, Saxton, JA, Snitz, BE, Morrow, LA, Rodriguez, EG, Huber, KA, Saxton, JA (2008). Subjective memory complaints and concurrent memory performance in older patients of primary care providers. Journal of the International Neuropsychological Society 14, 10041013.Google Scholar
Spiers, N, Bebbington, P, McManus, S, Brugha, TS, Jenkins, R, Meltzer, H (2011). Age and birth cohort differences in the prevalence of common mental disorder in England: National Psychiatric Morbidity Surveys 1993–2007. British Journal of Psychiatry 198, 479484.Google Scholar
Stewart, R, Dufouil, C, Godin, O, Ritchie, K, Maillard, P, Delcroix, N, Crivello, F, Mazoyer, B, Tzourio, C (2008). Neuroimaging correlates of subjective memory deficits in a community population. Neurology 70, 16011607.Google Scholar
Verkuil, B, Brosschot, JF, Thayer, JF (2007). A sensitive body or a sensitive mind? Associations among somatic sensitization, cognitive sensitization, health worry, and subjective health complaints. Journal of Psychosomatic Research 63, 673681.Google Scholar
Vestergren, P, Nilsson, L-G (2011). Perceived causes of everyday memory problems in a population-based sample aged 39–99. Applied Cognitive Psychology 25, 641646.Google Scholar
Villamil, E, Huppert, FA, Melzer, D (2006). Low prevalence of depression and anxiety is linked to statutory retirement ages rather than personal work exit: a national survey. Psychological Medicine 36, 9991009.Google Scholar
Wadsworth, EJK, Simpson, SA, Moss, SC, Smith, AP (2003). The Bristol Stress and Health Study: accidents, minor injuries and cognitive failures at work. Occupational Medicine 53, 392397.Google Scholar
Weis, J, Poppelreuter, M, Bartsch, HH (2009). Cognitive deficits as long-term side-effects of adjuvant therapy in breast cancer patients: ‘subjective’ complaints and ‘objective’ neuropsychological test results. Psychooncology 18, 775782.Google Scholar
Welch, DC, West, RL (1995). Self-efficacy and mastery: its application to issues of environmental control, cognition, and aging. Developmental Review 15, 150171.CrossRefGoogle Scholar
Wickrama, KAS, Noh, S, Elder, GH (2009). An investigation of family SES-based inequalities in depressive symptoms from early adolescence to emerging adulthood. Advances in Life Course Research 14, 147161.Google Scholar