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Memory Compensation Strategies in Older People with Mild Cognitive Impairment

Published online by Cambridge University Press:  27 January 2020

Pinghsiu Lin
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia
Haley M. LaMonica
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia Central Clinical School, The University of Sydney, NSW, Australia
Sharon L. Naismith
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia School of Psychology, The University of Sydney, NSW, Australia Charles Perkins Centre, The University of Sydney, NSW, Australia
Loren Mowszowski*
Affiliation:
Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, NSW, Australia School of Psychology, The University of Sydney, NSW, Australia
*
Correspondence and reprint requests to: Dr. Loren Mowszowski, Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, 94 Mallett St, Camperdown, NSW 2050, Australia. E-mail: loren.mowszowski@sydney.edu.au

Abstract

Objectives:

With the rapid growth of the older population worldwide, understanding how older adults with mild cognitive impairment (MCI) use memory strategies to mitigate cognitive decline is important. This study investigates differences between amnestic and nonamnestic MCI subtypes in memory strategy use in daily life, and how factors associated with cognition, general health, and psychological well-being might relate to strategy use.

Methods:

One hundred forty-eight participants with MCI (mean age = 67.9 years, SD = 8.9) completed comprehensive neuropsychological, medical, and psychological assessments, and the self-report ‘Memory Compensation Questionnaire’. Correlational and linear regression analyses were used to explore relationships between memory strategy use and cognition, general health, and psychological well-being.

Results:

Memory strategy use does not differ between MCI subtypes (p > .007) despite higher subjective everyday memory complaints in those with amnestic MCI (p = .03). The most marked finding showed that increased reliance-type strategy use was significantly correlated with more subjective memory complaints and poorer verbal learning and memory (p < .01) in individuals with MCI. Moreover, fewer subjective memory complaints and better working memory significantly predicted (p < .05) less reliance strategy use, respectively, accounting for 10.6% and 5.3% of the variance in the model.

Conclusions:

In general, the type of strategy use in older adults with MCI is related to cognitive functioning. By examining an individual’s profile of cognitive dysfunction, a clinician can provide more personalized clinical recommendations regarding strategy use to individuals with MCI, with the aim of maintaining their day-to-day functioning and self-efficacy in daily life.

Type
Regular Research
Copyright
Copyright © INS. Published by Cambridge University Press, 2020. 

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References

REFERENCES

Australian Bureau of Statistics (ABS) (2013). Population projections, Australia, 2012 (base) to 2101 . ABS cat. no. 3222.0. Canberra: ABS.Google Scholar
Australian Institute of Health and Welfare (AIHW) (2017). Older Australia at a glance . ABS cat. no. WEB 194. Canberra: AIHW.Google Scholar
Aronov, A., Rabin, L.A., Fogel, J., Chi, S.Y., Kann, S.J., Abdelhak, N., & Zimmerman, M.E. (2015). Relationship of cognitive strategy use to prospective memory performance in a diverse sample of nondemented older adults with varying degrees of cognitive complaints and impairment. Aging, Neuropsychology, and Cognition, 22(4), 486501. doi:10.1080/13825585.2014.984653 CrossRefGoogle Scholar
Baddeley, A. (1998). Recent developments in working memory. Current Opinion in Neurobiology, 8(2), 234238.CrossRefGoogle Scholar
Bouazzaoui, B., Isingrini, M., Fay, S., Angel, L., Vanneste, S., Clarys, D., & Taconnat, L. (2010). Aging and self-reported internal and external memory strategy uses: the role of executive functioning. Acta Psychologica (Amst), 135(1), 5966. doi:10.1016/j.actpsy.2010.05.007 CrossRefGoogle Scholar
Busse, A., Hensel, A., Guhne, U., Angermeyer, M.C., & Riedel-Heller, S.G. (2006). Mild cognitive impairment: long-term course of four clinical subtypes. Neurology, 67(12), 21762185. doi:10.1212/01.wnl.0000249117.23318.e1 CrossRefGoogle Scholar
Buysse, D.J., Reynolds, III, , C.F., Monk, T.H., Berman, S.R., & Kupfer, D.J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193213.CrossRefGoogle Scholar
Coe, A., Martin, M., & Stapleton, T. (2019). Effects of an occupational therapy memory strategy education group intervention on Irish older adults’ self-management of everyday memory difficulties. Occupational Therapy in Health Care, 33(1), 3763. doi:10.1080/07380577.2018.1543911 CrossRefGoogle Scholar
de Frias, C.M. & Dixon, R.A. (2005). Confirmatory factor structure and measurement invariance of the Memory Compensation Questionnaire. Psychological Assessment, 17(2), 168178. doi:10.1037/1040-3590.17.2.168 CrossRefGoogle Scholar
de Frias, C.M., Dixon, R.A., & Backman, L. (2003). Use of memory compensation strategies is related to psychosocial and health indicators. The Journals of Gerontology: Series B, 58(1), P12P22. doi:10.1093/geronb/58.1.P12 CrossRefGoogle Scholar
Deary, I.J., Corley, J., Gow, A.J., Harris, S.E., Houlihan, L.M., Marioni, R.E., Penke, L., Rafnsson, S.B., & Starr, J.M. (2009). Age-associated cognitive decline. British Medical Bulletin, 92(1), 135152. doi:10.1093/bmb/ldp033 CrossRefGoogle Scholar
Delis, D.C., Kaplan, E., & Kramer, J.H. (2001). Delis-Kaplan Executive function system: examiners manual. San Antonio, TX: Psychological Corporation.Google Scholar
Dewar, B.K., Kapur, N., & Kopelman, M. (2018). Do memory aids help everyday memory? A controlled trial of a Memory Aids Service. Neuropsychological Rehabilitation, 28(4), 614632.CrossRefGoogle Scholar
Diamond, K., Mowszowski, L., Cockayne, N., Norrie, L., Paradise, M., Hermens, D., Lewis, S.J.G., Hickie, I.B., & Naismith, S. (2015). Randomized controlled trial of a healthy brain aging cognitive training program: effects on memory, mood, and sleep. Journal of Alzheimer's Disease, 44(4), 11811191.CrossRefGoogle Scholar
Dixon, R. & Hultsch, D. (1983). Structure and development of metamemory in adulthood. Journal of Gerontology, 38(6), 682688. doi:10.1093/geronj/38.6.682 CrossRefGoogle Scholar
Dixon, R.A., de Frias, C.M., & Backman, L. (2001). Characteristics of self-reported memory compensation in older adults. Journal of Clinical and Experimental Neuropsychology, 23(5), 650661. doi:10.1076/jcen.23.5.650.1242 CrossRefGoogle Scholar
Fekete, C., Tough, H., Siegrist, J., & Brinkhof, M.W. (2017). Health impact of objective burden, subjective burden and positive aspects of caregiving: an observational study among caregivers in Switzerland. BMJ Open, 7(12), e017369.CrossRefGoogle Scholar
Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189198.CrossRefGoogle Scholar
Gauthier, S., Reisberg, B., Zaudig, M., Petersen, R.C., Ritchie, K., Broich, K., Belleville, S., Brodaty, H., Bennett, D., Chertkow, H., Cummings, J.L., de Leon, M., Feldman, H., Ganguli, M., Hampel, H., Scheltens, P., Tierney, M.C., Whitehouse, P., Winblad, B. (2006). Mild cognitive impairment. Lancet, 367(9518), 12621270. doi:10.1016/s0140-6736(06)68542-5 CrossRefGoogle Scholar
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23(1), 56.CrossRefGoogle Scholar
IBM Corporation (2016). SPSS for windows, version 24. Chicago: IBM Corp.Google Scholar
Kennedy, M.R.T., Coelho, C., Turkstra, L., Ylvisaker, M., Moore Sohlberg, M., Yorkston, K., Chiou, H.H., & Kan, P.-F. (2008). Intervention for executive functions after traumatic brain injury: a systematic review, meta-analysis and clinical recommendations. Neuropsychological Rehabilitation, 18(3), 257299. doi:10.1080/09602010701748644 CrossRefGoogle Scholar
Kinsella, G. J., Ames, D., Storey, E., Ong, B., Pike, K.E., Saling, M.M., Clare, L., Mullaly, E., & Rand, E. (2016). Strategies for improving memory: a randomized trial of memory groups for older people, including those with mild cognitive impairment. Journal of Alzheimer's Disease, 49(1), 3143. doi:10.1097/00004583-200502000-00010 CrossRefGoogle Scholar
Klingberg, T., Fernell, E., Olesen, P.J., Johnson, M., Gustafsson, P., Dahlstrom, K., Gillberg, C.G., Forssberg, H., & Westerberg, H. (2005). Computerized training of working memory in children with ADHD - A randomized, controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 44(2), 177186. doi:10.1097/00004583-200502000-00010 CrossRefGoogle Scholar
Lezak, M.D. (1995). Neuropsychological assessment (3rd ed.). New York, NY: Oxford University Press.Google Scholar
Lobo, A., Launer, L.J., Fratiglioni, L., Andersen, K., Di Carlo, A., Breteler, M.M., Copeland, J.R., Dartigues, J.F., Jagger, C., Martinez-Lage, J., Soininen, H., & Hofman, A. (2000). Prevalence of dementia and major subtypes in Europe: a collaborative study of population-based cohorts. Neurologic Diseases in the Elderly Research Group. Neurology, 54(11 Suppl 5), S4S9.Google Scholar
Miller, M. & Towers, A. (1991). A Manual for the Cumulative Illness Rating Scale. Pittsburgh, PA: Western Psychiatric Institute.Google Scholar
Mitchell, A.J. & Shiri-Feshki, M. (2009). Rate of progression of mild cognitive impairment to dementia--meta-analysis of 41 robust inception cohort studies. Acta Psychiatrica Scandinavica, 119(4), 252265. doi:10.1111/j.1600-0447.2008.01326.x CrossRefGoogle Scholar
Mowszowski, L., Batchelor, J., & Naismith, S.L. (2010). Early intervention for cognitive decline: can cognitive training be used as a selective prevention technique? International Psychogeriatrics, 22(4), 537548. doi:10.1017/s1041610209991748 CrossRefGoogle Scholar
Okonkwo, O.C., Wadley, V.G., Griffith, H.R., Belue, K., Lanza, S., Zamrini, E.Y., Harrell, L.E., Brockington, J.C., Clark, D., Raman, R., & Marson, D.C. (2008). Awareness of deficits in financial abilities in patients with mild cognitive impairment: going beyond self-informant discrepancy. The American Journal of Geriatric Psychiatry, 16(8), 650659. doi:10.1097/JGP.0b013e31817e8a9d CrossRefGoogle Scholar
Petersen, R.C. (2004). Mild cognitive impairment as a diagnostic entity. Journal of Internal Medicine, 256(3), 183194. doi:10.1111/j.1365-2796.2004.01388.x CrossRefGoogle Scholar
Petersen, R.C., Doody, R., Kurz, A., Mohs, R.C., Morris, J.C., Rabins, P.V., Ritchie, K., Rossor, M., Thal, L., & Winblad, B. (2001). Current concepts in mild cognitive impairment. Archives of Neurology, 58(12), 19851992. doi:10.1001/archneur.58.12.1985 CrossRefGoogle Scholar
Reijnders, J., van Heugten, C., & van Boxtel, M. (2013). Cognitive interventions in healthy older adults and people with mild cognitive impairment: a systematic review. Ageing Research Reviews, 12(1), 263275. doi:10.1016/j.arr.2012.07.003 CrossRefGoogle Scholar
Reitan, R.M. (1979). Manual for administration of neuro-psycholgical test batteries for adults and children. Tucson, AZ: Neuropsychology Laboratory.Google Scholar
Royle, J. & Lincoln, N.B. (2008). The Everyday Memory Questionnaire–revised: development of a 13-item scale. Disability and Rehabilitation, 30(2), 114121.CrossRefGoogle Scholar
Saczynski, J.S., Willis, S.L., & Warner Schaie, K. (2002). Strategy use in reasoning training with older adults. Aging, Neuropsychology, and Cognition, 9(1), 4860. doi:10.1076/anec.9.1.48.836 CrossRefGoogle Scholar
Samuels, M.H. (2014). Psychiatric and cognitive manifestations of hypothyroidism. Current Opinion in Endocrinology, Diabetes, and Obesity, 21(5), 377383. doi:10.1097/MED.0000000000000089 CrossRefGoogle Scholar
Schmitter-Edgecombe, M., Parsey, C., & Lamb, R. (2014). Development and psychometric properties of the instrumental activities of daily living: compensation scale. Archives of Clinical Neuropsychology, 29(8), 776792.CrossRefGoogle Scholar
Teri, L., Truax, P., Logsdon, R., Uomoto, J., Zarit, S., & Vitaliano, P.P. (1992). Assessment of behavioral problems in dementia: the revised memory and behavior problems checklist. Psychology and Aging, 7(4), 622.CrossRefGoogle Scholar
Tomaszewski, F.S., Schmitter-Edgecombe, M., Weakley, A., Harvey, D., Denny, K.G., Barba, C., Gravano, J.T., Giovannetti, T., & Willis, S. (2018). Compensation strategies in older adults: association with cognition and everyday function. American Journal of Alzheimer’s Disease & Other Dementias, 33(3), 184191. doi:10.1177/1533317517753361 CrossRefGoogle Scholar
Wear, H.J., Wedderburn, C.J., Mioshi, E., Williams-Gray, C.H., Mason, S.L., Barker, R.A., & Hodges, J.R. (2008). The Cambridge Behavioural Inventory revised. Dementia & Neuropsychologia, 2(2), 102107. doi:10.1590/S1980-57642009DN20200005 CrossRefGoogle Scholar
Wechsler (1997a). Wechsler adult intelligence scale–Third edition. San Antonio, TX: Harcourt Assessment.Google Scholar
Wechsler (1997b). Wechsler memory scale (WMS-III), Vol. 14. San Antonio, TX: Psychological corporation.Google Scholar
Wechsler (2001). The Wechsler test of adult reading (WTAR). San Antonio, TX: Psychological corporation.Google Scholar
Winblad, B., Palmer, K., Kivipelto, M., Jelic, V., Fratiglioni, L., Wahlund, L.-O., Nordberg, A., Bäckman, L., Albert, M., Almkvist, O., Arai, H., Basun, H., Blennow, K., De Leon, M., DeCarli, C., Erkinjuntti, T., Giacobini, E., Graff, C., Hardy, J., Jack, C., Jorm, A., Ritchie, K., Van Duijn, C., Visser, P., & Petersen, R.C. (2004). Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. Journal of Internal Medicine, 256(3), 240246. doi:10.1111/j.1365-2796.2004.01380.x CrossRefGoogle Scholar
World Health Organization (1996). WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996. Geneva: World Health Organization.Google Scholar
World Health Organization (2000). World Health Organization disability assessment schedule: WHODAS II. Phase 2 field trials. Geneva: World Health Organization.Google Scholar
Zigmond, A.S. & Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361370.CrossRefGoogle Scholar