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Higher SMC predicted greater depressive symptoms, which related to lower memory performance. Contrary to expectations, the indirect effect appeared only among individuals with health insurance, suggesting differential mediation by insurance coverage and motivating future mechanism-focused work.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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do subjective memory complaints relate to later memory performance?","Question",{"text":62,"@type":63},"Higher subjective memory complaints at Time 1 predict greater depressive symptoms at Time 2, which are associated with lower memory performance at Time 2.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What role do depressive symptoms play in the relationship between SMC and memory?",{"text":67,"@type":63},"Depressive symptoms mediate the process linking SMC to later memory performance, connecting initial complaints to subsequent cognitive outcomes.",{"name":69,"@type":60,"acceptedAnswer":70},"Did health insurance coverage strengthen or change the indirect effect through depressive symptoms?",{"text":71,"@type":63},"The indirect effect was observed only among individuals with health insurance coverage, indicating that the mediation pattern differs by insurance 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OBJECTIVE MEMORY: THE ROLE OF DEPRESSIVE SYMPTOMS AND HEALTH INSURANCE COVERAGE  \nHyun Moon1, Jordana Breton1, and Elizabeth Muñoz2, 1. The University of Texas at Austin, Austin, Texas, United States, 2. University of Texas at Austin, Austin, Texas, United States  \nInnovation in Aging, 2025, Vol. 9, No. S2 959  \nResearch indicates that higher subjective memory complaints (SMC) prospectively predict memory performance, with depressive symptoms mediating this process. We examined access to health insurance coverage as a marker of access to and availability of timely healthcare as a moderator of this indirect association. Using two-wave data from the Health and Aging Brain Study – Health Disparities, we expected to replicate the indirect effect reported in the literature from SMC (Time 1) to memory performance (Time 2) via depressive symptoms (Time 2) . We expanded on this by testing the hypothesis that this mediation effect would be stronger for those without health insurance coverage compared to those with health insurance. We constructed a variable for memory performance, and fitted a multigroup structural equation model with 1,000 bootstrap samples to test group differences. Covariate adjusted models showed that higher SMC at Time 1 predicted greater depressive symptoms at Time  \n2, which were associated with lower memory performance at Time 2 (b = -0.027, p = .005, 95% CI [-0.045, -0.009]). Contrary to our expectation, a significant group difference (χ2(2) = 11.112, p = .004) indicated that this indirect effect was observed only among individuals with health insurance coverage (b = -0.026, p = .016, 95% CI [-0.049, -0.005]) . These findings suggest that therole ofSMC on memory performance may be stronger among those with health insurance coverage. Future research should explore mechanisms underlying this phenomenon (e.g., ongoing monitoring of memory concerns leading to greater depressive symptoms) to inform practical applications.","cbCaiiMcI0arJtfP","https://ap.wps.com/l/cbCaiiMcI0arJtfP","pdf",57592,"English","# Background and research questions\n## Mediation by depressive symptoms\n## Moderation by health insurance coverage\n# Methods\n## Two-wave Health and Aging Brain Study data\n## Multigroup structural equation modeling with bootstrapping\n# Results and implications","[{\"question\":\"How do subjective memory complaints relate to later memory performance?\",\"answer\":\"Higher subjective memory complaints at Time 1 predict greater depressive symptoms at Time 2, which are associated with lower memory performance at Time 2.\"},{\"question\":\"What role do depressive symptoms play in the relationship between SMC and memory?\",\"answer\":\"Depressive symptoms mediate the process linking SMC to later memory performance, connecting initial complaints to subsequent cognitive outcomes.\"},{\"question\":\"Did health insurance coverage strengthen or change the indirect effect through depressive symptoms?\",\"answer\":\"The indirect effect was observed only among individuals with health insurance coverage, indicating that the mediation pattern differs by insurance status.\"}]","SUBJECTIVE MEMORY COMPLAINTS AND OBJECTIVE MEMORY - The Role of Depressive Symptoms and Health Insurance Coverage | PDF",1790641875]