Memory Compensation Questionnaire Research Articles

A - 15 Elucidating Patterns of Naturalistic Behavior in those with Self-Reported Functional Cognitive Decline.

There is relatively little known about the effect of subjective cognitive decline on everyday behaviors in community-dwelling older adults. We investigated use of compensatory strategies, busyness, and engagement in productive activities in older adults with subjective decline versus those without subjective decline. 353 adults (65+ years old) completed an online survey including demographic information, self-reported decline in functional cognition (Everyday Cognition Questionnaire; ECog), subjective busyness (Martin and Park Environmental Demands Questionnaire), engagement in productive activities (Temple Activities Engagement Questionnaire), and use of compensatory strategies (Memory Compensation Questionnaire). Two-tailed t-tests compared these variables amongst two groups: "decliners," (ECog Score > 1.49) and "non-decliners," (ND; ECog Score < 1.50). There were no significant differences in demographics between the decliners (mean age = 76.68, sd = 8.22, p = 3.00; mean edu = 15.55, sd = 3.97, p = 0.91) and ND (mean age = 75.71, sd = 6.93; mean edu = 15.50, sd = 3.19). Decliners reported greater use of compensatory strategies (mean = 95.58, sd = 20.21, p < 0.001) compared to ND (mean = 80.43, sd = 19.56). Decliners also reported greater daily busyness (mean = 14.47, sd = 5.7, p = 0.002) compared to ND (mean = 12.66, sd = 4.19), but no difference in the engagement in productive activities. Decliners utilize more compensatory strategies in their daily lives (e.g., using external aids, concentrating harder, etc.), and report feeling busier despite no difference in engagement of productive daily tasks. Future work should clarify how compensatory strategies in decliners are used and whether increased busyness reflects increased task demands or the use of compensatory strategies. Psychoeducation should promote compensatory strategies that are effective and alleviate subjective busyness.

Ageing Together: Interdependence in the Memory Compensation Strategies of Long-Married Older Couples.

People live and age together in social groups. Across a range of outcomes, research has identified interdependence in the cognitive and health trajectories of ageing couples. Various types of memory decline with age and people report using a range of internal and external, social, and material strategies to compensate for these declines. While memory compensation strategies have been widely studied, research so far has focused only on single individuals. We examined interdependence in the memory compensation strategies reported by spouses within 58 older couples. Couples completed the Memory Compensation Questionnaire, as well as an open-ended interview about their memory compensation practices. We found that internal, intra-individual memory compensation strategies were not associated within couples, but external, extra-individual strategies showed interdependence. Individuals’ scores on material/technological compensation strategies were positively correlated with their partners’. Reported reliance on a spouse was higher for men and increased with age. Our open-ended interviews yielded rich insights into the complex and diverse resources that couples use to support memory in day-to-day life. Particularly evident was the extent of interaction and coordination between social and material compensation, such that couples jointly used external compensation resources. Our results suggest that individuals’ reports of their compensation strategies do not tell the whole story. Rather, we propose that older couples show interdependence in their memory compensation strategies, and adopt complex systems of integrated material and social memory compensation in their day-to-day lives.

Demographic Characteristics, Motivation and Perception of Change as Determinants of Memory Compensation Self-Reports After Acquired Brain Injury.

IntroductionIndividuals with brain injuries experience cognitive and emotional changes that have long-lasting impacts on everyday life. In the context of rehabilitation, surveys have stressed the importance of compensating for memory disturbances to ease the impact of disorders on day-to-day autonomy. Despite extensive research on the nature of neurocognitive impairments following brain injury, few studies have looked at patients’ perceptions of these day-to-day compensations. This study examines these perceptions; in particular, what brain-injured people believe they do to compensate for memory deficiencies in everyday life. It also investigates the determinants of reported compensation strategies (age, gender, perceived stress, change awareness and motivation to succeed).MethodsEighty patients and 80 controls completed the French Memory Compensation Questionnaire, a self-report measure of everyday memory compensation. Five forms of compensation were investigated: External and Internal strategies, Reliance on social help, and investments in Time and Effort, along with two general factors: the degree of importance attached to Success (motivation) and perceptions of Change. Participants also completed measures of demographic and emotional aspects that may affect everyday compensation perceptions.ResultsThe brain-injured group reported significantly more frequent use of memory compensation strategies than controls, with the exception of External aids. Large effects were observed for Reliance and Effort. Demographic, motivation and perception of change determinants were found to have different effects depending on the compensation strategy, and mediated the direct effect of brain injury on reported compensation.ConclusionClinical and rehabilitation neuropsychologists often seek to have a better sense of how their patients perceive their compensatory behaviors. In practice, such an understanding is needed to help select appropriate methods and improve the long-term impact of rehabilitation programs: memory rehabilitation will fail if neuropsychologists do not deal, first and foremost, with the emotional and metacognitive issues surrounding traumatic brain injury (TBI), rather than focusing on cognitive efficiency.

Memory Compensation Strategies in Older People with Mild Cognitive Impairment.

With the rapid growth of the older population worldwide, understanding how older adults with mild cognitive impairment (MCI) use memory strategies to mitigate cognitive decline is important. This study investigates differences between amnestic and nonamnestic MCI subtypes in memory strategy use in daily life, and how factors associated with cognition, general health, and psychological well-being might relate to strategy use. One hundred forty-eight participants with MCI (mean age = 67.9 years, SD = 8.9) completed comprehensive neuropsychological, medical, and psychological assessments, and the self-report 'Memory Compensation Questionnaire'. Correlational and linear regression analyses were used to explore relationships between memory strategy use and cognition, general health, and psychological well-being. Memory strategy use does not differ between MCI subtypes (p > .007) despite higher subjective everyday memory complaints in those with amnestic MCI (p = .03). The most marked finding showed that increased reliance-type strategy use was significantly correlated with more subjective memory complaints and poorer verbal learning and memory (p < .01) in individuals with MCI. Moreover, fewer subjective memory complaints and better working memory significantly predicted (p < .05) less reliance strategy use, respectively, accounting for 10.6% and 5.3% of the variance in the model. In general, the type of strategy use in older adults with MCI is related to cognitive functioning. By examining an individual's profile of cognitive dysfunction, a clinician can provide more personalized clinical recommendations regarding strategy use to individuals with MCI, with the aim of maintaining their day-to-day functioning and self-efficacy in daily life.

Estrategias de compensación en adultos mayores: Diferencias sociodemográficas, y en función de la reserva cognitiva.

The terms of cognitive reserve and compensation, have been used in a wide variety of situations in the scientific literature to refer to overcome or reduce losses or deficits in different mechanisms and processes such as memory. Through the Memory Compensation Questionnaire (MCQ), is intended to analyze the different mechanisms of compensation in relation to certain sociodemographic variables (age, gender and educational level) from a Spanish sample and establish, from a combined measure of cognitive reserve (CR), the differences between subjects with high and low reserve on using compensation mechanisms. 264 Spanish retirees were assessed. The results showed that the compensation strategies used more frequently were based on remediation and substitution mechanisms. External strategies and confidence are those that show main differences and significant correlations with sociodemographic variables. Regarding cognitive reserve, it was observed that those subjects with higher CR obtained greater use of external strategies and internal, and subjects with lower RC in effort and change.

Compensating for memory losses throughout aging: Validation and normalization of the memory compensation questionnaire (MCQ) for non-clinical French populations

AimThe MCQ is a seven-factor scale that measures individual differences in the tendency to select particular strategies and to overcome perceived or real memory losses. Our aim was to establish a French version of the MCQ and to evaluate its psychometric properties in a lifespan perspective. We first tested the underlying factor structure of the MCQ in a large sample of 749 adults from aged from 18 to 92 years. ResultsThe results showed that the factor structure of the French version corresponded well with the one obtained in English-, Dutch- and Spanish-speaking samples, supporting the cross-national robustness of the MCQ. We confirmed a seven-factor order model that supports the construct validity of the questionnaire. The reliabilities of the scales were good (α>.70) to acceptable (α=.66 and .62). Criterion validity was verified by means of significant correlations between health composites and MCQ subscales. Gender and Age affected most of the MCQ subscales but not the Level of Education (LE). ConclusionThe MCQ revealed to be a heuristic tool for assessing daily compensatory behaviors that are developed in order to achieve successful aging. Thus, regression-based normative data and a user-friendly computer program were provided to facilitate scoring and norming by clinicians and researchers who need to assess daily compensatory behaviors.

The Use and Benefits of External Memory Aids in Older and Younger Adults

SummaryWe examined the spontaneous use and benefits of external memory aids in older (aged 60–85 years) and younger (aged 17–31 years) adults. In Study 1, participants were or were not given the opportunity to use a memory aid in a phone message recall task. In Study 2, a memory aid was available for one of two similar tasks. Participants' spontaneous use of external memory aids was measured. On the Memory Compensation Questionnaire, older adults reported using external memory aids more frequently but were no more likely than younger adults to take notes on the messages. Older adults benefitted from the availability of notes in both studies; younger adults benefitted when the memory task was more challenging. The results illustrate the value of external memory aids and suggest that older adults may underutilize them. The findings also raise questions about the relation between self‐reported and actual use of strategies in everyday life. Copyright © 2013 John Wiley &amp; Sons, Ltd.

Memory Compensation in Older Adults: The Role of Health, Emotion Regulation, and Trait Mindfulness

The current study examined associations between everyday memory compensation and 3 person-level resource domains (i.e., health, emotion regulation, and trait mindfulness) in older adults. In this cross-sectional study, 89 healthy, community-dwelling older adults (ages 51-85 years) completed the multidimensional Memory Compensation Questionnaire, along with measures of self-reported health status, emotion regulation strategies, and trait mindfulness. Hierarchical regressions (covarying for age, gender, and education) showed that poorer mental health (especially for older adults) and physical health functioning were related to using compensatory strategies (e.g., reliance on others and investment of time and effort) more frequently. Cognitive reappraisers reported using more internal mnemonic strategies. Conversely, having a more mindful predisposition was associated with less frequent use of compensatory strategies, especially for middle-aged adults. The results suggest that health-related quality of life, adaptive strategies to regulate emotions, and trait mindfulness are additional contexts that determine the degree of engagement in everyday memory compensation and ultimately to successful aging.

How we compensate for memory loss in old age: Adapting and validating the Memory Compensation Questionnaire (MCQ) for Spanish populations

Compensating entails using external strategies and mechanisms that help overcome or alleviate the decreasing memory function that comes with age. This study aims to adapt and validate the MCQ in the elderly Spanish population. A total of 403 elderly people aged between 65 and 92 in the city of Valencia (Spain) completed the questionnaire for the validation process. The factorial validity of the scale was tested using confirmatory factor analysis. The result showed a first order five-factor model with 23 items that met the criteria for model fit according to multiple fit indices. As a general conclusion, the adaptation into Spanish provided a reliable and valid measure of compensation in the elderly population, and it could potentially be useful in both clinical practice and research in the elderly.

The Dutch Memory Compensation Questionnaire

The Memory Compensation Questionnaire (MCQ) is a psychometrically sound instrument that assesses the variety and extent to which an individual compensates for actual or perceived memory losses. Until now, only an English version of the MCQ has been psychometrically evaluated. The aim of the present study was to establish a Dutch version of the MCQ and evaluate its psychometric properties. The MCQ data of N = 556 cognitively healthy adults (61.8% females) aged between 50.1 and 95.3 years (M = 73.9 years, SD = 8.0) were analyzed. The results showed that the factor structure of the Dutch version of the MCQ corresponded well with that of the English version of the MCQ. The reliabilities of the scales of the Dutch version of the MCQ were all high (all Cronbach's αs ≥ .77). Demographic variables (especially age and gender) affected most of the MCQ scale scores. Regression-based normative data that take these demographic influences into account were established, and a user-friendly computer program was provided to facilitate the scoring and norming of the MCQ.

Everyday memory compensation: The impact of cognitive reserve, subjective memory, and stress.

To determine the potential importance of several unexplored covariates of everyday memory compensation, the authors examined relations between responses on the Memory Compensation Questionnaire (a self-report measure of everyday memory compensation) and cognitive reserve (education and verbal IQ), subjective memory, and life stress in 66 older adults (mean age = 70.55 years). Key results indicated that compensation occurred in people (a) whose IQ level was greater than their education level (representing cognitive reserve "discordance") but not in people whose IQ was commensurate with their education (representing cognitive reserve "concordance"); (b) who had greater perceived memory errors; and (c) who experienced heightened stress. Further, high-stress older adults compensated whether perceived memory errors were low or high, but low-stress older adults compensated only if they perceived high memory errors. Bootstrapped confidence intervals around model betas provided further support for estimate reliability. These results suggest boundary conditions for the concept of cognitive reserve, and highlight the importance of subjective memory and life stress for defining contexts in which compensation may occur.

Confirmatory Factor Structure and Measurement Invariance of the Memory Compensation Questionnaire.

Recent research with the Memory Compensation Questionnaire (MCQ) has examined changes, functions, and correlates of compensatory strategy use in older adults. The twofold aim of this study was to test (a) the hypothesized structure of the MCQ and (b) structural equivalence across age, gender, and time. The 7-scale MCQ was designed to measure 5 compensatory mechanisms and 2 general aspects of compensatory awareness. The authors assembled a 3-wave (6-year) sample (N = 521; age = 55-85 years) from the Victoria Longitudinal Study. The results of structural equation modeling supported (a) the a priori structure of the MCQ and (b) the inference of measurement invariance across the 3 dimensions. Accordingly, the MCQ is available for measuring self-reported efforts to compensate for everyday memory losses.

Self-reported Memory Compensation: Similar Patterns in Alzheimer's Disease and Very Old Adult Samples

Evidence pertaining to self-reported use of memory compensation techniques was collected using the Memory Compensation Questionnaire (MCQ). Five forms of everyday memory compensation were evaluated: (a) external memory aids, (b) internal mnemonic strategies, (c) investing and managing processing time, (d) applying more effort, and (e) reliance on human memory aids. The sample was derived from the Kungsholmen Project in Stockholm, Sweden, and consisted of (n =85) healthy older adults (M age=81.80 years; M MMSE=28.34) and (n =21) diagnosed Alzheimer's Disease (AD) patients (M age=81.80 years; M MMSE=23.55). Participants were tested on two occasions, 6 months apart. Results showed that the MCQ was a largely reliable instrument in these two groups. Moreover, we observed substantial sample similarity in frequency of using the five forms of everyday memory compensation techniques. The healthy sample reported using the external techniques more than the AD sample. Over the 6-month interval, however, AD patients differentially increased their use of others to assist them in everyday memory performance. Results are interpreted in terms of insight into changes in memory skills and in the implementation of effective memory support systems.

What do brain dysfunctional patients report following memory compensation training?

Twenty five (25) out of 29 patients (86%) with unequivocal memorydisorders who received Memory Compensation Training (MCT) completed both a brief survey regarding their use of memory compensations and the Memory Compensation Questionnaire. Twenty-two (22) of the 25 patients (88%) reported daily use of memory compensation several months to years after the onset of their memory problems. The benefits included, by their report, being more productive, less disorganized, and less confused. Patients with memory disorders, who received MCT, also reported more frequent use of compensations than older normal adults studied by Dixon et al. [6]. The present sample of patients report proportionally spending more time to remember and greater reliance on those around them to help them to remember. The findings suggest that patients who are taught memory compensations tend to use them after the training period and show a different pattern of compensatory activities compared to normal older adults.

Use of memory compensation strategies is related to psychosocial and health indicators.

Research has shown that psychosocial and health characteristics may affect older adults' cognitive performance, self-referent beliefs, and general adaptive resilience. Are such characteristics related specifically to older adults' reported efforts to compensate for memory losses? The Memory Compensation Questionnaire (MCQ) measures 5 mechanisms of everyday memory compensation as well as 2 general aspects of compensatory motivation and awareness. Correlates were derived from indicators of specific health conditions, subjective health ratings, personality, well-being, and memory self-efficacy (MSE). All measures were administered to a cross-sectional sample of 528 healthy older adults between 55 and 94 years of age from the Victoria Longitudinal Study. Specific health composites (i.e., infirmities, respiratory illness), several personality dimensions (e.g., agreeableness, neuroticism), negative affect, and low MSE were associated with more frequent use of everyday memory compensation strategies. Linking healthy older adults' cognitive resilience with individual characteristics is an important contribution to emerging conceptions of adaptation and success in late life.

Characteristics of Self-Reported Memory Compensation in Older Adults

Self-reported efforts to compensate for memory impairments in everyday life were examined. In seven scales, the Memory Compensation Questionnaire (MCQ) measures five mechanisms of memory compensation, as well as motivation to compensate and awareness of need to compensate. The MCQ was administered twice, at a 3-year interval, to a large sample of healthy older adults (aged initially 5585 years) from the Victoria Longitudinal Study. Concurrent analyses (n =854) revealed an excellent set of psychometric properties for the MCQ and its scales. Two-wave longitudinal analyses (n =629) revealed overall short-term stability of compensatory strategy use. Although all groups reported a similar pattern of relative frequencies of compensatory mechanism use, select qualifications of age and gender were detected. Applications of the MCQ to investigate awareness, motivation, and implementation of compensatory memory strategies in various populations are discussed.