Psychosocial and Cognitive Performance Correlates of Subjective Cognitive Complaints in Help-Seeking Versus Non-Help-Seeking Community-Dwelling Adults.

The clinical use of subjective cognitive complaints (SCCs) has been questioned, especially when considering the influence of depression. Further problems describe the registration of SCCs with a focus on memory and different sample selections, with only few studies that directly compare those who seek help because of SCCs and community-dwelling adults. The present study aimed to (1) evaluate differences in psychosocial variables in help-seeking adults and community-dwelling adults with a lower level of complaints and (2) to further explore the relationship between SCCs and cognitive performance in help-seekers. Fifty-five help-seeking adults (HS) were compared to 55 age-, sex-, and education-matched non-help-seeking adults (NHS). Multiple regression analyses revealed that depressive symptoms were linked to experiencing more SCCs mainly in NHS. Altogether, less variance was explained by psychosocial variables in HS, whereas adding cognitive variables-especially divided attention performance-led to a substantial increase in explained variance. Mediation analysis further revealed a possible mediation of depressive symptoms on SCC by divided attention performance. Taken together, our results underpin the importance of assessing SCCs comprehensively to detect a functional relationship between cognitive performance and complaints, especially in HS. In this group, it is likely that depression precedes problems in divided attention, which in turn lead to SCC. Therefore, future studies should further investigate the link between SCC and cognitive functions which rely on more cognitive resources, as these might be first to be affected by cognitive decline.

Complainer Profile Identification (CPI): properties of a new questionnaire on subjective cognitive complaints.

Subjective cognitive complaints (SCC) and their role as a possible indicator for subsequent dementia became of growing interest in recent research. In contrast to studies that focused primarily on memory complaints, we aimed to (a) evaluate a questionnaire to register SCC in multiple cognitive domains (Complainer Profile Identification, CPI), (b) assess the association between SCC and psychosocial variables, and (c) assess whether complainer types can be differentiated. Confirmatory factor analysis to evaluate construct validity was computed based on a sample of 734 healthy participants (mean [M] = 43.15 years). On a subsample of 644 participants, the relationship between the total level of SCC with age, depression, social integration, and aging stereotypes was assessed utilizing multiple regression analysis. Differences in complainer types were assessed by multivariate analysis of variance. The results indicate sound psychometric properties of the CPI. The overall level of SCC is largely influenced by depressiveness, whereas executive complainers show the highest level of depressive affect, being overall younger and less socially integrated.

Aging and working memory performance: Electrophysiological correlates of high and low performing elderly.

In this study we investigated age-related changes in WM capacity and their respective ERP correlates. We explicitly addressed the differentiation between high and low performing elderly to identify electrophysiological correlates of successful aging. Therefore, ERP and behavioral data was obtained from 45 young (mean = 22.73 years) and 35 older participants (mean = 68.49 years). Both groups performed a visual-spatial n-back task with two levels of difficulty. Additionally, related neuropsychological tests were administered. Older subjects performed less accurately in both conditions of the n-back task. Older age was additionally associated with a reduced fronto-central positivity (labeled as P200) in the 2-back task and an overall reduced amplitude of the parietal positivity (labeled as P300). The latter shifted to frontal leads in older subjects. Additionally, only in the group of the older participants, increased P200 and decreased parietal P300 amplitudes correlated with performance. Regarding older high and low performers, we observed a clear shift of frontal activity of both ERP components in the group of high performers. High performers additionally performed better in spatial working memory, verbal learning, and fluid intelligence tasks. We conclude, that increasing demands of working memory load are accompanied by a reallocation of resources in both young and older adults. With age, executive control and updating processes (indexed by both ERP components) are diminished or rely on more frontal processes for compensation. However, high performing older adults, who perform comparable to young adults, sustain comparable executive control processes, exceeding pure compensation.