Subjective Cognitive Impairment and Affective Symptoms: A Systematic Review

Hill, Nikki L.; Mogle, Jacqueline; Wion, Rachel; Munoz, Elizabeth; DePasquale, Nicole; Yevchak, Andrea M.; Parisi, Jeanine M.

doi:10.1093/geront/gnw091

Cited by 277Dementia and Cognitive Impairment ResearchAging and Gerontology ResearchAging, Health, and Disability

Subjective Cognitive Impairment and Affective Symptoms: A Systematic Review

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Hill, Nikki L., Mogle, Jacqueline, Wion, Rachel, Munoz, Elizabeth, DePasquale, Nicole, Yevchak, Andrea M., Parisi, Jeanine M.·2016·The Gerontologist

DOI 10.1093/geront/gnw091PMC PMC5181393

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Abstract

PURPOSE OF STUDY: Subjective cognitive impairment (SCI) has been argued to reflect affective symptoms (i.e., depression and anxiety) rather than actual cognitive issues. Although a number of studies exist that look at the associations between SCI and affective symptoms, no review is available to aggregate this disparate literature. We addressed this gap by conducting a systematic review to better understand the relationships among SCI and affective symptoms among older adults in both community and clinical settings. DESIGN AND METHODS: We reviewed available literature per the criteria of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Weight of evidence (WoE) ratings and narrative synthesis were completed for 58 articles. RESULTS: A majority of studies focused on community-based samples (n = 40). Approximately half (53%) of the articles reviewed met high WoE criteria for the current review. Cross-sectional findings consistently identified a positive relationship among SCI and affective symptoms. Findings from available longitudinal studies (n = 9) were mixed but suggested a possible reciprocal relationship among SCI and depression. The relationship between SCI and anxiety appeared to be driven by fears over loss of function. Following consultation with health professionals, the association between SCI and anxiety was diminished or eliminated. IMPLICATIONS: Although SCI is consistently related to affective symptoms in older adults cross-sectionally, more longitudinal work is needed to understand their temporal relationship. Improved measurement of SCI would support a deeper understanding of the impact of SCI on psychological well-being.

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Harwood (2001) · doi:10.1002/1099-1166(200102)16:2
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Sachdev (1999) · doi:10.1002/(sici)1099-1166(199905)14:5

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Clarnette, R. M., Almeida, O. P., Forstl, H., Paton, A., & Martins, R. N. (2001). Clinical characteristics of individuals with sub- jective memory loss in Western Australia: Results from a cross- sectional survey. International Journal of Geriatric Psychiatry, 16, 168-174.
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Authors: Hill, N. L., Mogle, J., Wion, R., Munoz, E., DePasquale, N., Yevchak, A. M., & Parisi, J. M.
Affiliations: Pennsylvania State University (US)
Johns Hopkins University (US)
Corresponding author: Hill, Nikki L.
ORCID: Hill, Nikki L.
Mogle, Jacqueline
Wion, Rachel
DePasquale, Nicole
Parisi, Jeanine M.
Venue: The Gerontologist
Publisher: Oxford University Press (OUP)
Published: 2016-06-23
Volume: 56
Issue: 6
Pages: e109-e127
ISSN: 0016-9013 (ISSN-L)
1758-5341
DOI: 10.1093/geront/gnw091
PMC: PMC5181393
OpenAlex: W2461875054
Cited by: 277
References: 103
Citations by year: 2026: 28 · 2025: 44 · 2024: 37 · 2023: 22 · 2022: 40 · 2021: 33 · 2020: 27 · 2019: 21 · 2018: 15 · 2017: 8 · 2012: 1
FWCI: 2.09
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: The Gerontologist (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (F31AG050385)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords: subjective cognitive impairment, affective symptoms, depression, anxiety, older adults, bidirectional relationship, psychological well-being
MeSH terms: Affective Symptoms, Aged, Aged, 80 and over, Anxiety, Depression, Humans, Independent Living, Diagnostic Self Evaluation, Cognitive Dysfunction

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Subjective Cognitive Impairment and Affective Symptoms: A Systematic Review

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