May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects?
Subjective cognitive complaints are rather prevalent in the elderly population and are associated with an increased risk of cognitive impairment and dementia. However, the predictive role of specific types of cognitive complaints has been less systematically assessed. The aim of the present study is...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-08-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyg.2019.01974/full |
| _version_ | 1818889314406236160 |
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| author | Carolina Maruta Carolina Maruta Isabel Pavão Martins Isabel Pavão Martins |
| author_facet | Carolina Maruta Carolina Maruta Isabel Pavão Martins Isabel Pavão Martins |
| author_sort | Carolina Maruta |
| collection | DOAJ |
| description | Subjective cognitive complaints are rather prevalent in the elderly population and are associated with an increased risk of cognitive impairment and dementia. However, the predictive role of specific types of cognitive complaints has been less systematically assessed. The aim of the present study is to examine the predictive value of language complaints for cognitive and language decline in a cohort of community-dwelling healthy older adults, followed longitudinally over a 5-year period. A total of 402 subjects were enrolled in a prospective longitudinal study on aging and cognition. Participants answered a cognitive complaints questionnaire including two questions directed to language and were classified at baseline as having “Language Complaints” (LC) or “No Language Complaints” (NLC). They also performed a neuropsychological assessment tackling attention/processing speed, memory, executive functioning, and language at baseline. From these, 275 (68.4%) participated in a follow-up evaluation 4.9 (±0.6) years later. At re-evaluation, subjects had a mean age of 70.4 (±8.3) years, 7.5 (±4.4) years of education, and 63.3% were female. Multivariate linear regression analysis was used to investigate whether language complaints at baseline predicted poorer language performance at follow-up or increased the risk of cognitive decline, with correction for sex, depressive symptoms, living status, baseline performance, and composite memory and executive performance. Results indicated that LC subjects had significantly worse performances than NLC subjects on semantic fluency 5 years later, but with a similar rate of decline overtime that was not associated with a follow-up outcome of cognitive decline/dementia. Language difficulties may represent a specific type of age-related cognitive complaints. Longer follow-ups are necessary to understand if they are associated with an increased risk of language or cognitive decline. |
| first_indexed | 2024-12-19T17:07:03Z |
| format | Article |
| id | doaj.art-3ecbc1c550e9412dac6402afd234913d |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-19T17:07:03Z |
| publishDate | 2019-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-3ecbc1c550e9412dac6402afd234913d2022-12-21T20:13:07ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-08-011010.3389/fpsyg.2019.01974463333May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects?Carolina Maruta0Carolina Maruta1Isabel Pavão Martins2Isabel Pavão Martins3Language Research Laboratory, Centro de Estudos Egas Moniz, Faculty of Medicine, University of Lisbon, Lisbon, PortugalCatólica Research Center for Psychological, Family, and Social Wellbeing, Faculty of Human Sciences, Universidade Católica Portuguesa, Lisbon, PortugalLanguage Research Laboratory, Centro de Estudos Egas Moniz, Faculty of Medicine, University of Lisbon, Lisbon, PortugalDepartment of Neurology, Centro Hospitalar Lisboa Norte, Lisbon, PortugalSubjective cognitive complaints are rather prevalent in the elderly population and are associated with an increased risk of cognitive impairment and dementia. However, the predictive role of specific types of cognitive complaints has been less systematically assessed. The aim of the present study is to examine the predictive value of language complaints for cognitive and language decline in a cohort of community-dwelling healthy older adults, followed longitudinally over a 5-year period. A total of 402 subjects were enrolled in a prospective longitudinal study on aging and cognition. Participants answered a cognitive complaints questionnaire including two questions directed to language and were classified at baseline as having “Language Complaints” (LC) or “No Language Complaints” (NLC). They also performed a neuropsychological assessment tackling attention/processing speed, memory, executive functioning, and language at baseline. From these, 275 (68.4%) participated in a follow-up evaluation 4.9 (±0.6) years later. At re-evaluation, subjects had a mean age of 70.4 (±8.3) years, 7.5 (±4.4) years of education, and 63.3% were female. Multivariate linear regression analysis was used to investigate whether language complaints at baseline predicted poorer language performance at follow-up or increased the risk of cognitive decline, with correction for sex, depressive symptoms, living status, baseline performance, and composite memory and executive performance. Results indicated that LC subjects had significantly worse performances than NLC subjects on semantic fluency 5 years later, but with a similar rate of decline overtime that was not associated with a follow-up outcome of cognitive decline/dementia. Language difficulties may represent a specific type of age-related cognitive complaints. Longer follow-ups are necessary to understand if they are associated with an increased risk of language or cognitive decline.https://www.frontiersin.org/article/10.3389/fpsyg.2019.01974/fullcognitive declineagingverbal fluencysubjective language complaintssubjective memory complaints questionnaire |
| spellingShingle | Carolina Maruta Carolina Maruta Isabel Pavão Martins Isabel Pavão Martins May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects? Frontiers in Psychology cognitive decline aging verbal fluency subjective language complaints subjective memory complaints questionnaire |
| title | May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects? |
| title_full | May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects? |
| title_fullStr | May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects? |
| title_full_unstemmed | May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects? |
| title_short | May Subjective Language Complaints Predict Future Language Decline in Community-Dwelling Subjects? |
| title_sort | may subjective language complaints predict future language decline in community dwelling subjects |
| topic | cognitive decline aging verbal fluency subjective language complaints subjective memory complaints questionnaire |
| url | https://www.frontiersin.org/article/10.3389/fpsyg.2019.01974/full |
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