The role of disability and depressive symptoms in the relation between objective cognitive performance and subjective cognitive decline

• DOI: 10.3389/fpsyt.2022.963703
• Publication Date: 2022-11-24T06:05:45Z
• Authors: Deborah Pacifico; Serena Sabatini; Maddalena Fiordelli; Emiliano Albanese
• Keywords: Cognitive Decline; Depression; Cognitive remediation therapy

Subjective cognitive decline (SCD) and subjective memory (SMD) are common among older people. Evidence linking SCD SMD with impairment is inconsistent. Moreover, little known about the associations of disability. We aimed to explore objective performance, disability, depressive symptoms.In a cross-sectional study we conducted face interviews in randomized sample people aged ≥65 years living Canton Ticino, southern Switzerland, between May 2021 April 2022. measured MyCog, subsection Cognitive Decline Questionnaire (SCD-Q); functioning Community Screening Instrument for Dementia; consortium establish registry alzheimer's disease (CERAD) 10-word list learning task; disability symptoms world health organization assessment schedule 2.0 (WHO-DAS 2.0) Euro-Depression (EURO-D) scales, respectively.Of 250 participants 93.6% reported at least one difficulty, 40.0% SMD. Both were associated poorer cognitive/memory independently greater more symptoms. But high cognition no longer associated. Disability fully mediated performance decline.Routine clinical assessments function should include formal enquires SMD, also account