
Background: The utility of subjective cognitive decline (SCD) as an indicator of preclinical AD is overshadowed by its inconsistent association with objective cognition. Objective: This study examines if manipulations of SCD measurement affect its association with early cognitive dysfunction characteristic of preclinical AD. Methods: Cognitively healthy older adults ( n = 110) completed SCD questionnaires that elicited complaints in general, compared to 5 years ago (retrospective SCD) and compared to their peers (age-anchored SCD) in binary and Likert scales. Outcome cognitive tasks included an associative memory task (Face-Name Test), a visual short-term memory binding task (STMB test), and a clinical neuropsychological list learning test (Selective Reminder Test). Results: SCD complaints, when compared to age-matched peers (age-anchored SCD) were endorsed less frequently than complaints compared to 5 years ago (retrospective SCD) ( p < 0.01). In demographically adjusted regressions, age-anchored ordinal-rated SCD was associated with short term memory binding (β= –0.22, p = 0.040, CI = –0.45, –0.01), associative memory (β= –0.26, p = 0.018, CI = –0.45, –0.06), and list learning (β= –0.31, p = 0.002, CI = –0.51, –0.12). Retrospective and general ordinal-rated SCD was associated with associative memory (β= –0.25, p = 0.012, CI = –0.44, –0.06; β= –0.29, p = 0.003, CI = –0.47, –0.10) and list learning only (β= –0.25, p = 0.014, CI = –0.45, –0.05; β= –0.28, p = 0.004, CI = –0.48, –0.09). Conclusion: Ordinal age-anchored SCD appears better suited than other SCD measurements to detect early cognitive dysfunction characteristic of preclinical AD.
2800 Neuroscience, Male, Alzheimers Association Workgroups, National Institute, Amyloid Burden, 2717 Geriatrics and Gerontology, Term-Memory Binding, Neuropsychological Tests, Diagnostic Self Evaluation, Surveys and Questionnaires, 2738 Psychiatry and Mental health, Humans, Disease, Cognitive Dysfunction, Diagnostic Guidelines, Complaints, Aged, Aged, 80 and over, Questionnaire, 3203 Clinical Psychology, Older-Adults, Middle Aged, Early Diagnosis, Impairment, Female
2800 Neuroscience, Male, Alzheimers Association Workgroups, National Institute, Amyloid Burden, 2717 Geriatrics and Gerontology, Term-Memory Binding, Neuropsychological Tests, Diagnostic Self Evaluation, Surveys and Questionnaires, 2738 Psychiatry and Mental health, Humans, Disease, Cognitive Dysfunction, Diagnostic Guidelines, Complaints, Aged, Aged, 80 and over, Questionnaire, 3203 Clinical Psychology, Older-Adults, Middle Aged, Early Diagnosis, Impairment, Female
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