INS NYC 2024 Program

Poster	Poster Session 11 Program Schedule 02/17/2024 10:45 am - 12:00 pm Room: Majestic Complex (Posters 61-120) Poster Session 11: Cultural Neuropsychology \| Education/Training \| Professional Practice Issues Final Abstract #104 Comparing the Association Between Subjective Cognitive Decline and Depression in Black, Latinx, and Non-Hispanic White Samples Phoebe Ka Yin Tse, Warren Alpert School of Medicine at Brown University, Providence, United States Alyssa De Vito, Warren Alpert School of Medicine at Brown University, Providence, United States Athene Ka Wing Lee, Warren Alpert School of Medicine at Brown University, Providence, United States Category: Cross Cultural Neuropsychology/ Clinical Cultural Neuroscience Keyword 1: cognitive functioning Keyword 2: depression Keyword 3: cross-cultural issues Objective: Subjective cognitive decline (SCD) is characterized as a self-perceived decline in cognitive abilities, which may be an early indicator of cognitive decline. However, depression is often comorbid with SCD, in studies with Non-Hispanic White (NHW) individuals, and preliminary evidence is available in Latinx samples, while the association is less clear in other ethnoracial groups. Research comparing the strength of the association across ethnoracial groups concurrently using standardized SCD measures is limited. This study aimed to compare the strength of the relationship between SCD and depression across three ethnoracial groups, Black/African American (Black), Latinx, and NHW, using a well-validated SCD measure. We hypothesized that the association would be stronger in the Black and Latinx groups than NHW based on the current literature. Participants and Methods: The study consisted of 804 adults recruited through paid online survey platforms. All participants completed the Cognitive Function Instrument (CFI) and Geriatric Depression Scale (GDS) as part of a larger study. All participants lived in the United States, and did not have a diagnosis of neurological illnesses, cognitive or psychiatric disorders by self-report. Participants completed the survey in English or Spanish. The overall sample was 63% female and ethnoracially diverse (33% Black, 37% Latinx, 30% NHW), with a mean age of 65.4 (SD=6.4). 76% of participants had more than 12 years of education. ANOVA and chi-square analyses examined group differences in demographics and scores on the CFI and GDS. Bivariate correlations were used to investigate the association between SCD and depression in each group, and any significant covariates were controlled for in partial correlation analyses. Fisher’s z transformation was conducted to compare the GDS-CFI association between the three groups. Results: Education and income were significantly different between groups (Black < NHW & Latinx, p< 0.001). There were more female participants in NHW and Black groups (p<.001). Male participants had a higher level of income and education than their female counterparts (p<.005). There were no group differences in age. SCD was significantly higher in NHW than Black (p<.01) and Latinx participants (p<.001). Depressive symptoms were also higher in NHW than Black participants (p<.05). The hypothesized association between SCD and depression was significant in all three groups (r=.51 for NHW; r=.47 for Black; and r=.36 for Latinx; p’s<.001). The association holds after adjusting for education and income. The association was significantly stronger for NHW than Latinx (p=<.05; z=2.216, Cohen’s q= .19), whereas the difference was nonsignificant between Black-Latinx, and Black-NHW participants. Conclusions: This study provided evidence of the association between depression and SCD across ethnoracial groups. Contrary to the hypothesis, the association was strongest in the NHW group. The results reiterate the importance of assessing depression symptoms when evaluating SCD, especially in NHW. The study sample was recruited from online platforms, and the Latinx and Black participants reported a lower level of depression and SCD, which may have limited potential findings of a more profound association. Future studies may benefit from testing the sensitivity of SCD and depression measures in ethnoracially diverse populations.

Poster

02/17/2024
10:45 am - 12:00 pm
Room: Majestic Complex (Posters 61-120)

Poster Session 11: Cultural Neuropsychology | Education/Training | Professional Practice Issues

Final Abstract #104

Comparing the Association Between Subjective Cognitive Decline and Depression in Black, Latinx, and Non-Hispanic White Samples

Phoebe Ka Yin Tse, Warren Alpert School of Medicine at Brown University, Providence, United States
Alyssa De Vito, Warren Alpert School of Medicine at Brown University, Providence, United States
Athene Ka Wing Lee, Warren Alpert School of Medicine at Brown University, Providence, United States

Category: Cross Cultural Neuropsychology/ Clinical Cultural Neuroscience

Keyword 1: cognitive functioning
Keyword 2: depression
Keyword 3: cross-cultural issues

Objective:

Subjective cognitive decline (SCD) is characterized as a self-perceived decline in cognitive abilities, which may be an early indicator of cognitive decline. However, depression is often comorbid with SCD, in studies with Non-Hispanic White (NHW) individuals, and preliminary evidence is available in Latinx samples, while the association is less clear in other ethnoracial groups. Research comparing the strength of the association across ethnoracial groups concurrently using standardized SCD measures is limited. This study aimed to compare the strength of the relationship between SCD and depression across three ethnoracial groups, Black/African American (Black), Latinx, and NHW, using a well-validated SCD measure. We hypothesized that the association would be stronger in the Black and Latinx groups than NHW based on the current literature.

Participants and Methods:

The study consisted of 804 adults recruited through paid online survey platforms. All participants completed the Cognitive Function Instrument (CFI) and Geriatric Depression Scale (GDS) as part of a larger study. All participants lived in the United States, and did not have a diagnosis of neurological illnesses, cognitive or psychiatric disorders by self-report. Participants completed the survey in English or Spanish. The overall sample was 63% female and ethnoracially diverse (33% Black, 37% Latinx, 30% NHW), with a mean age of 65.4 (SD=6.4). 76% of participants had more than 12 years of education. ANOVA and chi-square analyses examined group differences in demographics and scores on the CFI and GDS. Bivariate correlations were used to investigate the association between SCD and depression in each group, and any significant covariates were controlled for in partial correlation analyses. Fisher’s z transformation was conducted to compare the GDS-CFI association between the three groups.

Results:

Education and income were significantly different between groups (Black < NHW & Latinx, p< 0.001). There were more female participants in NHW and Black groups (p<.001). Male participants had a higher level of income and education than their female counterparts (p<.005). There were no group differences in age. SCD was significantly higher in NHW than Black (p<.01) and Latinx participants (p<.001). Depressive symptoms were also higher in NHW than Black participants (p<.05). The hypothesized association between SCD and depression was significant in all three groups (r=.51 for NHW; r=.47 for Black; and r=.36 for Latinx; p’s<.001). The association holds after adjusting for education and income. The association was significantly stronger for NHW than Latinx (p=<.05; z=2.216, Cohen’s q= .19), whereas the difference was nonsignificant between Black-Latinx, and Black-NHW participants.

Conclusions:

This study provided evidence of the association between depression and SCD across ethnoracial groups. Contrary to the hypothesis, the association was strongest in the NHW group. The results reiterate the importance of assessing depression symptoms when evaluating SCD, especially in NHW. The study sample was recruited from online platforms, and the Latinx and Black participants reported a lower level of depression and SCD, which may have limited potential findings of a more profound association. Future studies may benefit from testing the sensitivity of SCD and depression measures in ethnoracially diverse populations.