Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?

Autores
Molina Donoso, Matías; Parrao, Teresa; Meillon, Céline; Thumala, Daniela; Lillo, Patricia; Villagra, Roque; Ibanez Barassi, Agustin Mariano; Cerda, Mauricio; Zitko, Pedro; Amieva, Hélène; Slachevsky, Andrea
Año de publicación
2023
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Introduction: Subjective Cognitive Decline (SCD) refers to a self-perceived experience of decreased cognitive function without objective signs of cognitive impairment in neuropsychological tests or daily living activities. Despite the abundance of instruments addressing SCD, there is no consensus on the methods to be used. Our study is founded on 11 questions selected due to their recurrence in most instruments. The objective was to determine which one of these questions could be used as a simple screening tool. Methods: 189 participants aged 65 and over selected from Primary Care centers in Santiago de Chile responded to these 11 questions and were evaluated with the MiniMental State Examination (MMSE), the Free and Cued Selective Reminding Test (FCSRT), the Pfeffer functional scale, and the Geriatric Depression Scale (GDS). An Item ResponseTheory (IRT) method was performed to assess the contribution of each of the 11 questions to the SCD latent trait and its discrimination ability. Results: Based on the results of the exploratory factor analysis showing very high/low saturation of several questions on the factors, and the high residual correlation between some questions, the IRT methods led to select one question (“Do you feel like your memory has become worse?”) which revealed to be the most contributive and discriminant. Participants who answered yes had a higher GDS score. There was no association with MMSE, FCSRT, and Pfeffer scores. Conclusion: The question “Do you feel like your memory has become worse?” may be a good proxy of SCD and could be included in routine medical checkups.
Fil: Molina Donoso, Matías. Gerosciences Center for Brain Health and Metabolism; Chile. University of Bordeaux; Francia. Inserm; Francia
Fil: Parrao, Teresa. Gerosciences Center for Brain Health and Metabolism; Chile. Universidad Alberto Hurtado; Chile
Fil: Meillon, Céline. Inserm; Francia. University of Bordeaux; Francia
Fil: Thumala, Daniela. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Lillo, Patricia. Universidad de Chile; Chile. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Villagra, Roque. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Ibanez Barassi, Agustin Mariano. Universidad Autonoma del Caribe; Colombia. Universidad de San Andrés; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. University of California; Estados Unidos
Fil: Cerda, Mauricio. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Zitko, Pedro. Gerosciences Center for Brain Health and Metabolism; Chile. Universidad Adolfo Ibanez; Chile
Fil: Amieva, Hélène. Inserm; Francia. University of Bordeaux; Francia
Fil: Slachevsky, Andrea. Universidad de Chile; Chile. Gerosciences Center for Brain Health and Metabolism; Chile
Materia
ITEM RESPONSE THEORY (IRT)
MILD COGNITIVE IMPAIRMENT
NEUROCOGNITIVE DISORDERS
OLDER ADULTS
SUBJECTIVE COGNITIVE DECLINE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/220129
Acceder
id CONICETDig_29344c989883a36d5a66dcc6adc9fdb0
oai_identifier_str oai:ri.conicet.gov.ar:11336/220129
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?Molina Donoso, MatíasParrao, TeresaMeillon, CélineThumala, DanielaLillo, PatriciaVillagra, RoqueIbanez Barassi, Agustin MarianoCerda, MauricioZitko, PedroAmieva, HélèneSlachevsky, AndreaITEM RESPONSE THEORY (IRT)MILD COGNITIVE IMPAIRMENTNEUROCOGNITIVE DISORDERSOLDER ADULTSSUBJECTIVE COGNITIVE DECLINEhttps://purl.org/becyt/ford/3.1https://purl.org/becyt/ford/3Introduction: Subjective Cognitive Decline (SCD) refers to a self-perceived experience of decreased cognitive function without objective signs of cognitive impairment in neuropsychological tests or daily living activities. Despite the abundance of instruments addressing SCD, there is no consensus on the methods to be used. Our study is founded on 11 questions selected due to their recurrence in most instruments. The objective was to determine which one of these questions could be used as a simple screening tool. Methods: 189 participants aged 65 and over selected from Primary Care centers in Santiago de Chile responded to these 11 questions and were evaluated with the MiniMental State Examination (MMSE), the Free and Cued Selective Reminding Test (FCSRT), the Pfeffer functional scale, and the Geriatric Depression Scale (GDS). An Item ResponseTheory (IRT) method was performed to assess the contribution of each of the 11 questions to the SCD latent trait and its discrimination ability. Results: Based on the results of the exploratory factor analysis showing very high/low saturation of several questions on the factors, and the high residual correlation between some questions, the IRT methods led to select one question (“Do you feel like your memory has become worse?”) which revealed to be the most contributive and discriminant. Participants who answered yes had a higher GDS score. There was no association with MMSE, FCSRT, and Pfeffer scores. Conclusion: The question “Do you feel like your memory has become worse?” may be a good proxy of SCD and could be included in routine medical checkups.Fil: Molina Donoso, Matías. Gerosciences Center for Brain Health and Metabolism; Chile. University of Bordeaux; Francia. Inserm; FranciaFil: Parrao, Teresa. Gerosciences Center for Brain Health and Metabolism; Chile. Universidad Alberto Hurtado; ChileFil: Meillon, Céline. Inserm; Francia. University of Bordeaux; FranciaFil: Thumala, Daniela. Gerosciences Center for Brain Health and Metabolism; ChileFil: Lillo, Patricia. Universidad de Chile; Chile. Gerosciences Center for Brain Health and Metabolism; ChileFil: Villagra, Roque. Gerosciences Center for Brain Health and Metabolism; ChileFil: Ibanez Barassi, Agustin Mariano. Universidad Autonoma del Caribe; Colombia. Universidad de San Andrés; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. University of California; Estados UnidosFil: Cerda, Mauricio. Gerosciences Center for Brain Health and Metabolism; ChileFil: Zitko, Pedro. Gerosciences Center for Brain Health and Metabolism; Chile. Universidad Adolfo Ibanez; ChileFil: Amieva, Hélène. Inserm; Francia. University of Bordeaux; FranciaFil: Slachevsky, Andrea. Universidad de Chile; Chile. Gerosciences Center for Brain Health and Metabolism; ChileTaylor & Francis2023-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/220129Molina Donoso, Matías; Parrao, Teresa; Meillon, Céline; Thumala, Daniela; Lillo, Patricia; et al.; Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?; Taylor & Francis; Journal of Clinical and Experimental Neuropsychology; 45; 3; 7-2023; 313-3201380-3395CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/full/10.1080/13803395.2023.2221399info:eu-repo/semantics/altIdentifier/doi/10.1080/13803395.2023.2221399info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-11-05T09:36:19Zoai:ri.conicet.gov.ar:11336/220129instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-11-05 09:36:20.086CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
title Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
spellingShingle Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
Molina Donoso, Matías
ITEM RESPONSE THEORY (IRT)
MILD COGNITIVE IMPAIRMENT
NEUROCOGNITIVE DISORDERS
OLDER ADULTS
SUBJECTIVE COGNITIVE DECLINE
title_short Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
title_full Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
title_fullStr Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
title_full_unstemmed Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
title_sort Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?
dc.creator.none.fl_str_mv Molina Donoso, Matías
Parrao, Teresa
Meillon, Céline
Thumala, Daniela
Lillo, Patricia
Villagra, Roque
Ibanez Barassi, Agustin Mariano
Cerda, Mauricio
Zitko, Pedro
Amieva, Hélène
Slachevsky, Andrea
author Molina Donoso, Matías
author_facet Molina Donoso, Matías
Parrao, Teresa
Meillon, Céline
Thumala, Daniela
Lillo, Patricia
Villagra, Roque
Ibanez Barassi, Agustin Mariano
Cerda, Mauricio
Zitko, Pedro
Amieva, Hélène
Slachevsky, Andrea
author_role author
author2 Parrao, Teresa
Meillon, Céline
Thumala, Daniela
Lillo, Patricia
Villagra, Roque
Ibanez Barassi, Agustin Mariano
Cerda, Mauricio
Zitko, Pedro
Amieva, Hélène
Slachevsky, Andrea
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ITEM RESPONSE THEORY (IRT)
MILD COGNITIVE IMPAIRMENT
NEUROCOGNITIVE DISORDERS
OLDER ADULTS
SUBJECTIVE COGNITIVE DECLINE
topic ITEM RESPONSE THEORY (IRT)
MILD COGNITIVE IMPAIRMENT
NEUROCOGNITIVE DISORDERS
OLDER ADULTS
SUBJECTIVE COGNITIVE DECLINE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.1
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Introduction: Subjective Cognitive Decline (SCD) refers to a self-perceived experience of decreased cognitive function without objective signs of cognitive impairment in neuropsychological tests or daily living activities. Despite the abundance of instruments addressing SCD, there is no consensus on the methods to be used. Our study is founded on 11 questions selected due to their recurrence in most instruments. The objective was to determine which one of these questions could be used as a simple screening tool. Methods: 189 participants aged 65 and over selected from Primary Care centers in Santiago de Chile responded to these 11 questions and were evaluated with the MiniMental State Examination (MMSE), the Free and Cued Selective Reminding Test (FCSRT), the Pfeffer functional scale, and the Geriatric Depression Scale (GDS). An Item ResponseTheory (IRT) method was performed to assess the contribution of each of the 11 questions to the SCD latent trait and its discrimination ability. Results: Based on the results of the exploratory factor analysis showing very high/low saturation of several questions on the factors, and the high residual correlation between some questions, the IRT methods led to select one question (“Do you feel like your memory has become worse?”) which revealed to be the most contributive and discriminant. Participants who answered yes had a higher GDS score. There was no association with MMSE, FCSRT, and Pfeffer scores. Conclusion: The question “Do you feel like your memory has become worse?” may be a good proxy of SCD and could be included in routine medical checkups.
Fil: Molina Donoso, Matías. Gerosciences Center for Brain Health and Metabolism; Chile. University of Bordeaux; Francia. Inserm; Francia
Fil: Parrao, Teresa. Gerosciences Center for Brain Health and Metabolism; Chile. Universidad Alberto Hurtado; Chile
Fil: Meillon, Céline. Inserm; Francia. University of Bordeaux; Francia
Fil: Thumala, Daniela. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Lillo, Patricia. Universidad de Chile; Chile. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Villagra, Roque. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Ibanez Barassi, Agustin Mariano. Universidad Autonoma del Caribe; Colombia. Universidad de San Andrés; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. University of California; Estados Unidos
Fil: Cerda, Mauricio. Gerosciences Center for Brain Health and Metabolism; Chile
Fil: Zitko, Pedro. Gerosciences Center for Brain Health and Metabolism; Chile. Universidad Adolfo Ibanez; Chile
Fil: Amieva, Hélène. Inserm; Francia. University of Bordeaux; Francia
Fil: Slachevsky, Andrea. Universidad de Chile; Chile. Gerosciences Center for Brain Health and Metabolism; Chile
description Introduction: Subjective Cognitive Decline (SCD) refers to a self-perceived experience of decreased cognitive function without objective signs of cognitive impairment in neuropsychological tests or daily living activities. Despite the abundance of instruments addressing SCD, there is no consensus on the methods to be used. Our study is founded on 11 questions selected due to their recurrence in most instruments. The objective was to determine which one of these questions could be used as a simple screening tool. Methods: 189 participants aged 65 and over selected from Primary Care centers in Santiago de Chile responded to these 11 questions and were evaluated with the MiniMental State Examination (MMSE), the Free and Cued Selective Reminding Test (FCSRT), the Pfeffer functional scale, and the Geriatric Depression Scale (GDS). An Item ResponseTheory (IRT) method was performed to assess the contribution of each of the 11 questions to the SCD latent trait and its discrimination ability. Results: Based on the results of the exploratory factor analysis showing very high/low saturation of several questions on the factors, and the high residual correlation between some questions, the IRT methods led to select one question (“Do you feel like your memory has become worse?”) which revealed to be the most contributive and discriminant. Participants who answered yes had a higher GDS score. There was no association with MMSE, FCSRT, and Pfeffer scores. Conclusion: The question “Do you feel like your memory has become worse?” may be a good proxy of SCD and could be included in routine medical checkups.
publishDate 2023
dc.date.none.fl_str_mv 2023-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/220129
Molina Donoso, Matías; Parrao, Teresa; Meillon, Céline; Thumala, Daniela; Lillo, Patricia; et al.; Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?; Taylor & Francis; Journal of Clinical and Experimental Neuropsychology; 45; 3; 7-2023; 313-320
1380-3395
CONICET Digital
CONICET
url http://hdl.handle.net/11336/220129
identifier_str_mv Molina Donoso, Matías; Parrao, Teresa; Meillon, Céline; Thumala, Daniela; Lillo, Patricia; et al.; Assessing subjective cognitive decline in older adults attending primary health care centers: what question should be asked?; Taylor & Francis; Journal of Clinical and Experimental Neuropsychology; 45; 3; 7-2023; 313-320
1380-3395
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/full/10.1080/13803395.2023.2221399
info:eu-repo/semantics/altIdentifier/doi/10.1080/13803395.2023.2221399
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis
publisher.none.fl_str_mv Taylor & Francis
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.087074

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