Memory Complaints in Older Adults: Fact or Fiction?

Complaints of poor memory by patients may be an early symptom of a pathologic process like Alzheimer's disease. It is therefore important to determine if patients' complaints of memory impairments are an accurate reflection of real memory disturbance. The relationship between memory complaints (metamemory) and objective memory performance, mood, age, verbal intelligence, and sex was examined in a group of 199 healthy, community dwelling adults (39 to 89 years old). Memory complaints demonstrated a stronger association with depressed mood than with performance on memory tests. Increasing reports of depressive symptoms were associated with more overall memory complaints. Verbal intelligence, age, and sex also contributed to memory complaints. Patients with higher verbal intelligence reported fewer complaints and placed less emphasis on forgetting. Older individuals reported greater frequency of forgetting and greater frequency of using memory techniques. Specific types of memory complaints, seriousness of forgetting, and types of memory aids employed are also described. These results showed that self-rating of memory disturbance by older adults may be related more to depressed mood than to poor performance on memory tests.

[1]  M. Jarvik,et al.  Memory Functions in Depression: Improvement With Antidepressant Medication , 1976 .

[2]  G R Marsh,et al.  Prediction and evaluation of memory performance by young and old adults. , 1985, Journal of gerontology.

[3]  T. L. Brink,et al.  Screening tests for geriatric depression , 1982 .

[4]  S. Zarit,et al.  MEMORY TRAINING IN THE COMMUNITY AGED: EFFECTS ON DEPRESSION, MEMORY COMPLAINT, AND MEMORY PERFORMANCE , 1981 .

[5]  W. Riege Self-Report and Tests of Memory Aging , 1983 .

[6]  Douglas J. Herrmann,et al.  Know thy memory: The use of questionnaires to assess and study memory. , 1982 .

[7]  L. Thompson,et al.  Memory complaint and performance in normal and depressed older adults. , 1982, Experimental aging research.

[8]  G. Niederehe,et al.  Memory complaint and impairment in the aged. The effect of depression and altered brain function. , 1975, Archives of general psychiatry.

[9]  G. Niederehe,et al.  Metamemory Perceptions in Depressions of Young and Older Adults , 1989, The Journal of nervous and mental disease.

[10]  D. Benson,et al.  Dementia: A Clinical Approach , 1983 .

[11]  J. Williams,et al.  Memory complaints and abilities among depressed older adults. , 1987, Journal of consulting and clinical psychology.

[12]  F. Craik,et al.  Aging and metamemory: the roles of relatedness and imagery. , 1982, Journal of gerontology.

[13]  H. Levin,et al.  Memory self-ratings and objective test performance in a normal elderly sample. , 1986, Journal of clinical and experimental neuropsychology.

[14]  D. Wechsler A Standardized Memory Scale for Clinical Use , 1945 .

[15]  J. Botwinick,et al.  Adult age differences in metamemory. , 1982, Journal of gerontology.

[16]  M. Bleecker,et al.  Influence of verbal intelligence, sex, age, and education on the rey auditory verbal learning test , 1986 .

[17]  R. Dixon,et al.  Metamemory and memory for text relationships in adulthood: a cross-validation study. , 1983, Journal of gerontology.