{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:06:35Z","timestamp":1789736795169,"version":"4.0.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":186,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG081559"],"award-info":[{"award-number":["K01AG081559"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG075254"],"award-info":[{"award-number":["K01AG075254"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG45822"],"award-info":[{"award-number":["R01AG45822"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG064769"],"award-info":[{"award-number":["R01AG064769"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Older Puerto Rican adults face disproportionately high dementia rates, and subjective memory concerns (SMCs) are often the earliest sign of cognitive risk. The role of chronic pain in shaping SMC-cognition associations is poorly understood. We evaluated 2 SMC items as predictors of cognition and tested whether chronic pain moderated these associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>Participants without cognitive impairment (n\u2009=\u2009575; mean age\u2009=\u200983.90) came from the Puerto Rican Elderly: Health Conditions (PREHCO) study and were reassessed approximately 2 years later (n\u2009=\u2009433). Chronic pain was defined as pain reported at baseline and in prior waves. SMC items and cognition were modeled in adjusted regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Perceived memory difficulty, but not perceived memory decline, was associated with worse baseline cognitive status (\u03b2 = \u2212.14, p = .003) and episodic memory (\u03b2 = \u2212.12, p = .008), and with greater episodic memory decline (\u03b2 = \u2212.13, p = .013). Chronic pain moderated the associations of perceived memory difficulty with baseline (\u03b2 = \u2212.21, p = .037) and change in episodic memory (\u03b2 = .39, p = .006). Among participants with chronic pain, greater perceived memory difficulty corresponded to poorer concurrent episodic memory (\u03b2 = \u2212.28, p = .003) but was not associated with change in episodic memory (p = .393). Among those without chronic pain, perceived memory difficulty was not associated with concurrent episodic memory (p = .170) but showed a significant association with subsequent decline (\u03b2 = \u2212.15, p = .005).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Associations of perceived memory difficulty with episodic memory differed by chronic pain status: in the chronic pain group, SMCs tracked concurrent memory performance; in those without pain, they were associated with future episodic memory decline.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geroni\/igag079","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T11:03:14Z","timestamp":1783335794000},"source":"Crossref","is-referenced-by-count":0,"title":["Subjective memory concerns and cognitive aging in Puerto Rican older adults: the moderating role of 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