Depressed mood and cognitive deficits as distinct mechanisms of subjective memory and executive complaints
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Department of Clinical Psychology and Neuropsychology, Institute of Psychology, Maria Curie-Skłodowska University, Lublin, Poland
Provincial Specialist Hospital, Biała Podlaska, Poland
Submission date: 2018-04-02
Final revision date: 2018-06-26
Acceptance date: 2018-12-14
Online publication date: 2019-01-28
Publication date: 2019-03-01
Current Issues in Personality Psychology 2019;7(1):43-52
Subjective cognitive decline (SCD) is the sense of deterioration in cognitive functioning in terms of memory, executive function, attention, etc. SCD is reported by nearly 70% of the population. Very intensive research on the predictive role of SCD in the development of dementia and determinants SCD did not bring common solutions. For exploration of the phenomenon, studies were undertaken in order to identify: a) on the basis of which factors a high level of SCD can be predicted, and b) whether these factors have similar prognostic value for two types of SCD, i.e. concerning executive function (SED) and memory (SMD).

Participants and procedure:
The study involved 274 Polish people aged 18 to 84 years (M = 53.23, SD = 16.8). For the evaluation of SCD three methods were used: memory self-assessment scales (ProCog and MARS), and an executive functions self-assessment scale (DEX-S). Subtests of the WAIS-PL to assess cognitive function were used, and GDS-15 or BECK II to assess the severity of depressive mood. In the first stage, two separate cluster analyses (k-means method) were performed: the first related to the results of the memory self-assessment scale (ProCog and MARS), the second to the subjective difficulty of executive functions (DEX-S). In step II a logistic regression analysis of the forward selection with the likelihood ratio and interaction effects was performed – separately for the two types of self-reports.

The results indicate that higher depressed mood increases the likelihood of both the SMD and SED. Higher efficiency attention-al processes reduce the possibility of formulating the SED, and higher efficiency of the delayed memory, abstract thinking, or certain aspects of language functions reduces the possibility of SMD.

There are two independent mechanisms of SCD – emotional and cognitive.

Ávila-Villanueva, M., & Fernández-Blázquez, M. (2017). Subjective Cognitive Decline as a preclinical marker for Alzheimer’s Disease: the challenge of stability over time. Frontiers of Aging Neurosciences, 9, 377. doi: 10.3389/fnagi.2017.00377.
Balash, Y., Mordechovich, M., Shabtai, H., Giladi, N., Gurevich, T., & Korczyn, A. (2013). Subjective memory complaints in elders: Depression, anxiety, or cognitive decline? Acta Neurologica Scandinavica, 127, 344–350. doi: 10.1111/ane.12038.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory: second edition manual. San Antonio (TX): The Psychological Corporation.
Begum, A., Morgan, C., Chiu, C., Tylee, A., & Stewart, R. (2012). Subjective memory impairment in older adults: aetiology, salience and help seeking. International Journal of Geriatric Psychiatry, 27, 612–620. doi: 10.1002/gps.2760.
Begum, A., Dewey, M., Hassiotis, A., Prince, M., Wessely, S., & Steward, R. (2014). Subjective cognitive complaints across the adult life span: a 14-year analysis of trends and associations using the 1993, 2000 and 2007 English Psychiatric Morbidity Surveys. Psychological Medicine, 44, 1977–1987. doi: 10.1017/S0033291713002444.
Brigola, A., Manzini, C., Oliveira, G., Ottaviani, A., Sako, M., & Vale, F. (2015). Subjective memory complaints associated with depression and cognitive impairment in the elderly: A systematic review. Dementia e Neuropsychologia, 9, 51–57. doi:
Brzeziński, J., Gaul, M., Hornowska, E., Jaworowska, A., Machowski, A., & Zakrzewska, M. (2004). Skala Inteligencji D. Wechslera dla dorosłych. Wersja zrewidowana – renormalizacja WAIS-R (PL) [D. Wechsler Intelligence Scale for adults. Revised version – WAIS-R renormalization (PL)]. Warszawa: Pracownia Testów Psychologicznych PTP.
Burmester, B., Leathem, J., & Merrick, P. (2016). Subjective Cognitive Complaints and Objective Cognitive Function in Aging: A Systematic Review and Meta-Analysis of Recent Cross-Sectional Findings. Neuropsychology Review, 26, 376–393. doi: 10.1007/s11065-016-9332-2.
Caramelli, P., & Beato, R. (2008). Subjective memory complaints and cognitive performance in a sample of healthy elderly. Dementia & Neuropsychologia, 2, 42–45. doi: 10.1590/S1980-57642009DN20100009.
Chan, R. (2001). Dysexecutive symptoms among a noc-clinical sample: a study with the use of the Dysexecutive Questionnaire. British Journal of Psychology, 92, 551–565.
Chan, R., Shum, D., Toulopoulou, T., & Chen, E. (2008). Assessment of executive functions: Review of instruments and identification of critical issues. Archives of Clinical Neuropsychology, 23, 201–216. Retrieved from https://pdfs.semanticscholar.o....
Chin, J., Oh, K., Seo, S., & Na, D. (2014). Are depressive symptomatology and self-focused attention associated with subjective memory impairment in older adults? International Psychogeriatrics, 26, 573–580. doi: 10.1017/S104161021300241X.
Chu, C., Sun, I., Begum, A., Liu, S., Chang, C., Chiu, W. C., Chen, C. H., Tang, H. S., Yang, C. L., Lin, Y. C., Chiu, C. C., & Stewart, R. (2017). The association between subjective memory complaint and objective cognitive function in older people with previous major depression. PLoS One, 12, e0173027. doi: 10.1371/journal.pone.0173027.
Clare, L., Wilson, B., Carter, G., Roth, I., & Hodges, J. (2002). Assessing awareness in early-stage Alzheimer’s disease: development and piloting of the Memory Awareness Rating Scale. Neuropsychological Rehabilitation, 12, 341–362. doi: 10.1080/09602010244000129.
Clare, L., Whitaker, C., & Nelis, S. (2010). Appraisal of memory functioning and memory performance in healthy ageing and early-stage Alzheimer’s disease, Aging, Neuropsychology, and Cognition, 17, 462–491. doi: 10.1080/13825580903581558.
Cooper, C., Bebbington, P., Lindesay, J., Meltzer, H., McManus, S., Jenkins, R., & Livingston, G. (2011). The meaning of reporting forgetfulness: a cross-sectional study of adults in the English 2007 Adult Psychiatric Morbidity Survey. Age & Ageing, 40, 711–717. doi: 10.1093/ageing/afr121.
Dux, M., Woodard, J., Calamari, J., Messina, M., Arora, S., Chik, H., & Pontarelli, N. (2008). The moderating role of negative affect on objective verbal memory performance and subjective memory complaints in healthy older adults. Journal of the International Neuropsychological Society, 14, 327–336. doi: 10.10170S1355617708080363.
Edmonds, E., Delano-Wood, L., Galasko, D., Salmon, D., Bondi, M. W., & Alzheimer’s Disease Neuroimaging Initiative (2014). Subjective cognitive complaints contribute to misdiagnosis of Mild Cognitive Impairment. Journal of International Neuropsychological Society, 20, 836–847. doi: 10.1017/S135561771400068X.
Frank, L., Flynn, J. A., Kleinman, L., Margolis, M., Matza, L., Beck, C., & Bowman L. (2006). Validation of a new symptom impact questionnaire for mild to moderate cognitive impairment. International Psychogeriatrics, 18, 135–149.
Fritsch, T., McClendon, M., Wallendal, M., & Larsen, J. (2014). Prevalence and cognitive bases of subjective memory complaints in older adults: evidence from a community sample. Journal of Neurodegenerative Diseases, 1, 1–9. doi:
Fyock, C., & Hampstead, B. (2015). Comparing the relationship between subjective memory complaints, objective memory performance, and medial temporal lobe volumes in patients with mild cognitive impairment. Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring, 1, 242–248. doi: 10.1016/j.dadm.2015.03.002.
Gass, C., & Apple, C. (1997). Cognitive complaints in closed-head injury: Relationship to memory test performance and emotional disturbance. Journal of Clinical and Experimental Neuropsychology, 19, 290–299. doi:
Gierus, J., Mosiołek, A., Koweszko, T., Kozyra, O., Wnukiewicz, P., Łoza, B., & Szulc, A. (2015). Montrealska Skala Oceny Funkcji Poznawczych MoCA 7.2 – polska adaptacja metody i badania nad równoważnością [The Montreal Cognitive Assessment 7.2 – Polish adaptation and research on equivalency]. Psychiatria Polska, 49, 171–179. doi: 10.12740/PP/24748.
Gifford, K., Liu, D., Hohman, T., Xu, M., Han, X., Romano, III R., Fritzsche, L. R., Abel, T., & Jefferson, A. (2015). A mutual self- and informant-report of cognitive complaint correlates with neuropathological outcomes in Mild Cognitive Impairment. PLoS One, 10, e0141831. doi: 10.1371/journal.pone.0141831.
Gu, J., Fischer, C., Saposnik, G., & Schweizer, T. (2013). Profile of cognitive complaints in Vascular Mild Cognitive Impairment and Mild Cognitive Impairment. ISRN Neurology. Doi:
Hohman, T., Beason-Held, L., Lamar, M., & Resnick, S. (2011). Subjective cognitive complaints and longitudinal changes in memory and brain function. Neuropsychology, 25, 125–130. doi: 10.1037/a0020859.
Homskaya, E. (2017). Niejropsichołogija, 4 izd. [Neuropsychology, 4 ed.]. Moscow: Moscow University, Piter.
Jefferson, A., Powers, D., & Pope, M. (2008). Beck Depression Inventory-II (BDI-II) and the Geriatric Depression Scale (GDS) in older women. Clinical Gerontologist, 22, 3–12. doi: 10.1300/J018v22n03_02.
Jessen, F., Wolfsgruber, S., Wiese, B., Bickel, H., Mösch, E., Kaduszkiewicz, H., Pentzek, M., Riedel-Heller, S. G., Luck, T., Fuchs, A., Weyerer, S., Werle, J., van den Bussche, H., Scherer, M., Maier, W., Wagner, M., & German Study on Aging, Cognition and Dementia in Primary Care Patients (2014). AD dementia risk in late MCI, in early MCI, and in subjective memory impairment. Alzheimer’s & Dementia, 10, 76–83. doi: 10.1016/j.jalz.2012.09.017.
Jonker, C., Geerlings, M., & Schmand, B. (2000). Are Memory Complaints Predictive for Dementia? A Review of Clinical and Population-Based Studies. International Journal of Geriatric Psychiatry, 15, 983–991. doi: 10.1002/1099-1166(200011)15:11.
Kryscio, R., Abner, E., Jicha, G., Nelson, P., Smith, C., Van Eldik, L. J., Lou, W., Fardo, D. W., Cooper, G. E., & Schmitt, F. (2016). Self-reported memory complaints: a comparison of demented and unimpaired outcomes. The Journal of Prevention of Alzheimer’s Disease, 3, 13–19. doi: 10.14283/jpad.2015.74.
Kwok, T., Bai, X., Li, J., Ho, F., & Lee, T. (2013). Effectiveness of cognitive training in Chinese older people with subjective cognitive complaints: a randomized placebo-controlled trial. International Journal of Geriatric Psychiatry, 28, 208–215. doi: 10.1002/gps.3812.
Langlois, A. S., & Belleville, S. (2014). Subjective cognitive complaint in healthy older adults: Identification of major domains and relation to objective performance. Aging, Neuropsychology, and Cognition, 21, 257-282. doi: 10.1080/13825585.2013.795928.
Lenehan, M., Klekociuk, S., & Summers, M. (2012). Absence of a relationship between subjective memory complaint and objective memory impairment in mild cognitive impairment (MCI): is it time to abandon subjective memory complaint as an MCI diagnostic criterion? International Psychogeriatrics, 24, 1505–1514. doi: 10.1017/S1041610212000695.
Liik, M., Vahter, L., Gross-Paju, K., & Haldre, S. (2009). Subjective complaints compared to the results of neuropsychological assessment in patients with epilepsy: The influence of comorbid depression. Epilepsy Research, 84, 194–200. doi:
López-Higes, R., Martín-Aragoneses, M., Rubio-Valdehita, S., Delgado-Losada, M., Montejo, P., Montenegro, M., Prados, J. M., de Frutos-Lucas, J., & López-Sanz, D. (2018). Efficacy of cognitive training in older adults with and without subjective cognitive decline is associated with inhibition efficiency and working memory span, not with cognitive reserve. Frontiers Aging Neuroscience, 10, 23. doi: 10.3389/fnagi.2018.00023.
Lubitz, A., Eid, M., & Niedeggen, M. (2018). Complainer Profile Identification (CPI): properties of a new questionnaire on subjective cognitive complaints. Aging, Neuropsychology, and Cognition, 25, 99–121. doi:
Łucki, W. (1995). Zestaw prób do badania procesów poznawczych u pacjentów z uszkodzeniami mózgu [A set of trials to study cognitive processes in patients with brain damage]. Warszawa: Pracownia Testów Psychologicznych PTP.
Mendonça, M., Alves, L., & Bugalho, P. (2016). From Subjective Cognitive Complaints to Dementia. Who Is at Risk? A Systematic Review. American Journal of Alzheimer’s Disease & Other Dementias, 31, 105–114. doi:
Nasreddine, Z., Phillips, N., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: a Brief Screening Tool for Mild Cognitive Impairment. Journal of American Geriatric Society, 53, 695–699.
Perrotin, A., Mormino, E., Madison, C., Hayenga, A., & Jagust, W. (2012). Subjective cognition and amyloid deposition imaging: a Pittsburgh Compound B positron emission tomography study in normal elderly individuals. Archives of Neurology, 69, 223–229. doi: 10.1001/archneurol.2011.666.
Rabin, L., Smart, C., Crane, P., Amariglio, R., Berman, L., Boada, M., …Sikkes, S. A. (2015). Subjective Cognitive Decline in Older Adults: An Overview of Self-Report Measures Used Across 19 International Research Studies. Journal of Alzheimer’s Disease, 48, 63–86. doi: 10.3233/JAD-150154.
Rabin, L., Smart, C., & Amariglio, R. (2017). Subjective Cognitive Decline in Preclinical Alzheimer’s Disease. Annual Review of Clinical Psychology, 13, 369–396. doi: 10.1146/annurev-clinpsy-032816-045136.
Santangelo, G., Vitale, C., Trojano, L., Angrisano, M. G., Picillo, M., Errico, D., Agosti, V., Grossi, D., & Barone, P. (2014). Subthreshold depression and subjective cognitive complaints in Parkinson’s disease. European Journal of Neurology, 21, 541–544. doi: 10.1111/ene.12219.
Singh-Manoux, A., Dugravot, A., Ankri, J., Nabi, H., Berr, C., Goldberg, M., Zins, M., Kivimaki, M., & Elbaz, A. (2014). Subjective cognitive complaints and mortality: Does the type of complaint matter? Journal of Psychiatry Research, 48, 73–78. doi: 10.1016/j.jpsychires.2013.10.005.
Snitz, B., Small, B., Wang, T., Chang, Ch., Hughes, T., & Ganguli, M. (2015). Do subjective memory complaints lead or follow objective cognitive change? A five-year population study of temporal influence. Journal of International Neuropsychological Society, 21, 732–742. doi: 10.1017/S1355617715000922.
Snitz, B., Yu, L., Crane, P., Chang, Ch., Hughes, T., & Ganguli, M. (2012). Subjective cognitive complaints of older adults at the population level: An item response theory analysis. Alzheimer Disease and Associate Disorders, 26, 344–351. doi: 10.1097/WAD.0b013e3182420bdf.
Stewart, R. (2012). Subjective cognitive impairment. Current Opinion in Psychiatry, 25, 445–450. doi: 10.1097/YCO.0b013e3283586fd8.
Szepietowska, E. M., & Kuzaka, A. (2017). Can we predict cognitive deficits based on cognitive complaints? Psychiatria i Psychologia Kliniczna, 1, 5–14. doi: 10.15557/PiPK.2017.0001.
Szepietowska, E. M., & Kuzaka, A. (2018). Subjective executive difficulties – a study using the Dysexecutive Questionnaire. Psychiatria i Psychologia Kliniczna, 18, 25–34. doi: 10.15557/PiPK.2018.0004.
Tandetnik, C., Hergueta, Th., Bonnet, Ph., Dubois, B., & Bungener, C. (2017). Influence of early maladaptive schemas, depression, and anxiety on the intensity of self-reported cognitive complaint in older adults with subjective cognitive decline. International Psychogeriatrics, 29, 1657–1667. doi: 10.1017/S1041610217001119.
Tomita, T., Sugawara, N., Kaneda, A., Okubo, N., Iwane, K., Takahashi, I., Kaneko, S., & Yasui-Furukori, N. (2014). Sex-specific effects of subjective memory complaints with respect to cognitive impairment or depressive symptoms. Psychiatry and Clinical Neuroscience, 68, 176–181. doi:
Uiterwijk, R., Huijts, M., Staals, J., Duits, A., Gronenschild, E., Kroon, A., de Leeuw, P. W., & van Oostenbrugge, R. (2014). Subjective cognitive failures in patients with hypertension are related to cognitive performance and cerebral microbleeds. Hypertension, 64, 653–657.
van de Ven, R., Murre, J., Buitenweg, J., Veltman, D., Aaronson, J., Nijboer, T., Kruiper-Doesborgh, S., van Bennekom, C., Ridderinkhof, K., & Schmand, B. (2017). The influence of computer-based cognitive flexibility training on subjective cognitive wellbeing after stroke: A multi-center randomized controlled trial. PLoS One, 12. doi: 10.1371/journal.pone.0187582.
van Oijen, M., de Jong, F., Koudstaal, A., & Breteler, M. (2007). Subjective memory complaints, education, and risk of Alzheimer’s disease. Alzheimer’s and Dementia, 3, 92–97. doi: 10.1016/j.jalz.2007.01.011.
van Rijsbergen, M., Mark, R., Kop, W., de Kort, P., & Sitskoorn, M. (2018): Psychological factors and subjective cognitive complaints after stroke: Beyond depression and anxiety. Neuropsychological Rehabilitation. doi: 10.1080/09602011.2018.1441720.
Visser, P., Verhey, F., Knol, D., Scheltens, P., Wahlund, L., Freund-Levi, Y., Tsolaki, M., Minthon, L., Wallin, A. K., Hampel, H., Bürger, K., Pirttila, T., Soininen, H., Rikkert, M. O., Verbeek, M. M., Spiru, L., & Blennow, K. (2009). Prevalence and prognostic value of CSF markers of Alzheimer’s disease pathology in patients with subjective cognitive impairment or mild cognitive impairment in the DESCRIPA study: a prospective cohort study. The Lancet Neurology, 8, 619–627. doi: 10.1016/S1474-4422(09)70139-5.
Vogel, A., Bhattacharya, S., Larsen, J., & Jacobsen, S. (2011). Do subjective cognitive complaints correlate with cognitive impairment in systemic lupus erythematosus? A Danish outpatient study. Lupus, 20, 35–43. doi:
Wilson, B., Alderman, N., Burgess, P., Emslie, H., & Evans, J. J. (1996). Behavioral Assessment of the Dysexecutive Syndrome. Bury St. Edmunds, England: Thames Valley Test Company.
Yates, J., Clare, L., Woods, R., & MRC CFAS (2017). Subjective memory complaints, mood and MCI: a follow-up study. Aging & Mental Health, 21, 313–321. doi:
Yesavage, J., Brink, T., Rose, T., Lum., O., Huakg, V., Adey, M., & Leirer, O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatry Research, 17, 37–49.
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