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在健康的老年人中,客观记忆与主观记忆之间的关联是否会因年龄而异?

Does the association between objective and subjective memory vary by age among healthy older adults?

作者信息

Freed Sara A, Sprague Briana N, Ross Lesley A

机构信息

Trans Analytics, LLC, Quakertown, PA, USA.

Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2024 Jan-Mar;31(2):249-262. doi: 10.1080/13825585.2022.2143471. Epub 2022 Nov 9.

Abstract

Subjective memory is commonly used as an indicator of older adults' objective memory in clinical screening; however, the correspondence between subjective and objective memory across different ages is unclear. The current study examined age-varying associations between subjective and objective memory in a cross-sectional sample of healthy older adults from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study ( 2,496). Time varying effects modeling (TVEM) models the association between variables as a function of time-varying metrics including age without imposing linear assumptions. TVEM was used to examine relationship magnitude fluctuations between subjective and objective memory across ages 65 to 85. Better subjective memory was weakly associated with better objective memory, even after controlling for gender, depressive symptoms, and education. The association was stable across all ages. There is a stable weak correspondence between subjective and objective memory in older adulthood across age, supporting the use of linear age as an appropriate time metric for examinations of objective and subjective memory among healthy older adults. Future work should examine the correspondence between subjective and objective memory in a larger age range. Longitudinal designs can also provide insights on whether the accuracy of subjective memory ratings change within a person over time.

摘要

在临床筛查中,主观记忆通常被用作老年人客观记忆的一个指标;然而,不同年龄段主观记忆与客观记忆之间的对应关系尚不清楚。当前研究在来自“老年人高级认知训练以保持独立和活力”(ACTIVE)研究的2496名健康老年人的横断面样本中,考察了主观记忆与客观记忆之间随年龄变化的关联。时变效应模型(TVEM)将变量之间的关联建模为随时间变化的指标(包括年龄)的函数,而不施加线性假设。TVEM被用于考察65至85岁年龄段主观记忆与客观记忆之间关系强度的波动情况。即使在控制了性别、抑郁症状和教育程度之后,较好的主观记忆与较好的客观记忆之间仍存在微弱关联。这种关联在所有年龄段都是稳定的。在成年晚期,主观记忆与客观记忆之间存在稳定的微弱对应关系,这支持将线性年龄作为健康老年人客观记忆和主观记忆检查的合适时间指标。未来的研究应在更大的年龄范围内考察主观记忆与客观记忆之间的对应关系。纵向设计也可以提供关于主观记忆评分的准确性是否会随时间在个体内部发生变化的见解。

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