Short-term memory binding is insensitive to the socioeconomic status of older adults with and without mild cognitive impairment

Juan Felipe Martínez-Flórez, Mateo Belalcázar, Alexandrina Alvarez, Oscar Erazo, Sairy Tupak Sevilla, Mario Alfredo Parra

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The Visual Short-Term Memory Binding (VSTMB) Test is a useful tool in the assessment of Alzheimer’s disease (AD). Research has suggested that short-term memory binding is insensitive to the sociocultural characteristics of the assessed individuals. Such earlier studies addressed this influence by considering years of education. The current study aims to determine the influence of sociocultural factors via a measure of Socioeconomic Status (SES) which provides a more holistic approach to these common confounders. Methods: A sample of 126 older adults, both with (n = 59) and without (n = 67) amnestic mild cognitive impairment (aMCI), underwent assessment using a neuropsychological protocol including VSTMB test. All participants were classified as either high SES or low SES, employing the Standard Demographic Classification from the European Society for Opinion and Marketing Research. Results: ANOVA/ANCOVA models confirmed that performance of healthy and aMCI participants on traditional neuropsychological tests were sensitive to SES whereas the VSTMB Test was not. The results add to the growing array of evidence suggesting that there are cognitive abilities which are unaffected by socioeconomic factors, regardless of clinical condition. Conclusions: The lack of sensitivity to sociocultural factors previously reported for the VSTMB test is accompanied by a lack of sensitivity to socioeconomic factors thus broadening the scope of this test to aid in the detection of dementia across populations with different backgrounds. Future studies should take these findings forward and explore the potential influences of AD biomarkers (A/T/N) on the association between cognitive functions and demographic variables.

Original languageEnglish
Pages (from-to)1947-1966
Number of pages20
JournalThe Clinical Neuropsychologist
Volume38
Issue number8
Early online date16 Apr 2024
DOIs
Publication statusPublished - 16 Nov 2024

Funding

This work was funded by the Direccion General de Investigaciones of Universidad Santiago de Cali (Grant number 450-621121-2927 call No. 11- 2021 & call No. 10-2023) This research has been funded by Direcci\u00F3n General de Investigaciones of Universidad Santiago de Cali. This work is dedicated to the older adults of the San Miguel Geriatric Hospital and to all people who, for whatever reason, have grown old in conditions of poverty and inequality.

Keywords

  • cognitive aging
  • Alzheimer Disease early onset
  • neuropsychological tests
  • shert-term memory binding
  • socioeconomic factors
  • neuropsychology

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