[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-iqcode-sr":3,"all-assessments-nav":321,"related-assessments-query":968},{"id":4,"title":5,"body":6,"category":267,"categoryTitle":268,"clinicalCitations":269,"copyright":267,"description":282,"disclaimer":283,"downloadLink":267,"extension":284,"faqs":285,"featured":298,"i18nReady":298,"icon":267,"interpreter":267,"lastReviewed":299,"meta":300,"navigation":301,"path":302,"permissionsNote":303,"published":301,"recommendedFrequency":304,"relatedCodes":267,"relatedConditions":267,"reviewedBy":267,"seo":305,"slug":306,"stem":307,"summary":308,"takeaways":267,"timeline":309,"type":319,"usedToDiagnose":267,"__hash__":320},"assessments\u002Fassessments\u002Fiqcode-sr.md","Informant Questionnaire on Cognitive Decline in the Elderly, Self Report (IQCODE-SR)",{"type":7,"value":8,"toc":253},"minimark",[9,14,23,30,34,37,75,82,86,93,119,124,138,143,176,180,185,193,197,211,215,232,236],[10,11,13],"h3",{"id":12},"foundational-context","Foundational Context",[15,16,17,18,22],"p",{},"The IQCODE was originally developed by Jorm (1994) as an informant-based measure to evaluate cognitive decline independent of educational level, literacy, or baseline intellectual ability. The ",[19,20,21],"strong",{},"self-report version (IQCODE-SR)"," uses the same items but shifts perspective to the individual. Research shows that self-report can be useful, particularly when informants are unavailable, when independence is high, or when early subjective cognitive concerns are the focus.",[15,24,25,26,29],{},"Because the IQCODE assesses ",[19,27,28],{},"change over a decade",", it provides a stable long-term view rather than moment-to-moment cognition. Its mean-score format (rather than raw sums) improves interpretability and comparability across the 16- and 26-item versions.",[10,31,33],{"id":32},"what-the-assessment-measures","What the Assessment Measures",[15,35,36],{},"The IQCODE-SR captures an individual’s self-reported changes in:",[38,39,40,47,53,58,64,70],"ul",{},[41,42,43,46],"li",{},[19,44,45],{},"Everyday memory"," (names, appointments, recent events)",[41,48,49,52],{},[19,50,51],{},"Learning"," (new tasks, new information)",[41,54,55],{},[19,56,57],{},"Reasoning and problem-solving",[41,59,60,63],{},[19,61,62],{},"Orientation"," (time, place, familiar routes)",[41,65,66,69],{},[19,67,68],{},"Functional skills"," (managing finances, appliances, schedules)",[41,71,72],{},[19,73,74],{},"Complex activities of daily living",[15,76,77,78,81],{},"Respondents compare their current abilities to performance ",[19,79,80],{},"10 years earlier",", providing a retrospective estimate of cognitive aging.",[10,83,85],{"id":84},"interpretation-guidelines","Interpretation Guidelines",[15,87,88,89,92],{},"Scores represent the ",[19,90,91],{},"mean"," of all item responses:",[38,94,95,101,107,113],{},[41,96,97,100],{},[19,98,99],{},"Scale:"," 1.0–5.0",[41,102,103,106],{},[19,104,105],{},"1.0–\u003C3.0:"," Stability or improvement",[41,108,109,112],{},[19,110,111],{},"3.0:"," No noticeable change",[41,114,115,118],{},[19,116,117],{},">3.0:"," Increasing concern for decline",[15,120,121],{},[19,122,123],{},"Common research-based cutoffs:",[38,125,126,132],{},[41,127,128,131],{},[19,129,130],{},"≥3.30–3.38:"," Suggestive of meaningful cognitive decline",[41,133,134,137],{},[19,135,136],{},"≥3.60:"," Stronger indication of possible dementia",[15,139,140],{},[19,141,142],{},"Interpretation Notes:",[38,144,145,152,155,158,161,164,167,170,173],{},[41,146,147,148,151],{},"The IQCODE-SR is a ",[19,149,150],{},"screening"," tool, not a diagnostic instrument",[41,153,154],{},"Cutoffs vary by population, culture, and setting",[41,156,157],{},"Self-report may under- or overestimate decline depending on:",[41,159,160],{},"Insight",[41,162,163],{},"Mood (e.g., depression)",[41,165,166],{},"Health anxiety",[41,168,169],{},"Personality",[41,171,172],{},"Cognitive load or stress",[41,174,175],{},"Should be combined with cognitive testing and clinical evaluation",[10,177,179],{"id":178},"psychometric-properties","Psychometric Properties",[181,182,184],"h4",{"id":183},"reliability","Reliability",[38,186,187,190],{},[41,188,189],{},"Strong internal consistency in both 16- and 26-item versions",[41,191,192],{},"Good test–retest reliability across diverse samples",[181,194,196],{"id":195},"validity","Validity",[38,198,199,202,205,208],{},[41,200,201],{},"Correlates well with informant-rated cognitive decline",[41,203,204],{},"Good discriminant validity between dementia and non-dementia groups",[41,206,207],{},"Less affected by education or linguistic background compared to traditional cognitive tests",[41,209,210],{},"Self-report accuracy may be lower in individuals with limited insight or anosognosia",[10,212,214],{"id":213},"administration-considerations","Administration Considerations",[38,216,217,220,223,226,229],{},[41,218,219],{},"Works well in primary care, geriatrics, neurology, and memory-clinic settings",[41,221,222],{},"Easy to administer digitally or on paper",[41,224,225],{},"Best used when informants are unavailable or when subjective decline is a key clinical concern",[41,227,228],{},"Follow-up cognitive testing (MMSE, MoCA, neuropsychological evaluation) is required for diagnostic clarity",[41,230,231],{},"May require sensitive framing to reduce anxiety about memory concerns",[10,233,235],{"id":234},"limitations","Limitations",[38,237,238,241,244,247,250],{},[41,239,240],{},"Self-report accuracy varies depending on mood, insight, and psychological factors",[41,242,243],{},"Not suitable for individuals with significant anosognosia or limited self-awareness",[41,245,246],{},"Long-term (10-year) comparison can be difficult for some respondents",[41,248,249],{},"Not intended for diagnosing dementia or determining cognitive capacity",[41,251,252],{},"Not validated for acute cognitive change (e.g., delirium)",{"title":254,"searchDepth":255,"depth":255,"links":256},"",3,[257,258,259,260,265,266],{"id":12,"depth":255,"text":13},{"id":32,"depth":255,"text":33},{"id":84,"depth":255,"text":85},{"id":178,"depth":255,"text":179,"children":261},[262,264],{"id":183,"depth":263,"text":184},4,{"id":195,"depth":263,"text":196},{"id":213,"depth":255,"text":214},{"id":234,"depth":255,"text":235},null,"Functional & Quality of Life",[270,273,276,279],{"text":271,"link":272},"Jorm AF, Jacomb PA. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): socio-demographic correlates, reliability, validity and some norms. Psychol Med. 1989;19(4):1015-1022.","https:\u002F\u002Fdoi.org\u002F10.1017\u002Fs0033291700005742",{"text":274,"link":275},"Jansen AP, van Hout HP, Nijpels G, van Marwijk HW, Gundy C, de Vet HC, Stalman WA. Self-reports on the IQCODE in older adults: a psychometric evaluation. J Geriatr Psychiatry Neurol. 2008;21(2):83-92.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F18474717\u002F",{"text":277,"link":278},"Jorm AF. A short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): development and cross-validation. Psychol Med. 1994;24(1):145-153.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F8208879\u002F",{"text":280,"link":281},"Jorm AF. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): a review. Int Psychogeriatr. 2004;16(3):275-293.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F15559753\u002F","IQCODE-SR: self-report cognitive decline, mean score 1.0–5.0. Cutoff ≥3.38 = possible decline; ≥3.60 = greater concern. 10-year retrospective reference.","This article is for educational purposes only and should not substitute for cognitive testing, diagnostic assessment, or medical advice. The IQCODE-SR is a subjective screening tool and must be interpreted within a broader clinical evaluation.","md",[286,289,292,295],{"question":287,"answer":288},"Is the IQCODE-SR completed by the individual or by someone who knows them?","The IQCODE-SR is a self-report version of the IQCODE. The individual completes it themselves, rating how their own memory and thinking abilities have changed over the past 10 years. The original IQCODE, by contrast, is completed by a knowledgeable informant such as a family member or caregiver.",{"question":290,"answer":291},"How is the IQCODE-SR scored?","Each item is rated on a 5-point scale from 1 (much improved) to 5 (much worse). The total score is calculated as the mean of all item responses, giving a score between 1.0 and 5.0. A score of 3.0 represents no change; higher scores reflect greater perceived cognitive decline.",{"question":293,"answer":294},"What score on the IQCODE-SR suggests possible cognitive decline?","A commonly used clinical convention places screening concern at mean scores around 3.3–3.4, with stronger concern at approximately 3.6 or above. These thresholds are not fixed: they vary by population, clinical setting, and study design. The IQCODE-SR is a screening tool and should not be used alone to determine the presence or absence of a cognitive disorder.",{"question":296,"answer":297},"Can the IQCODE-SR diagnose dementia or Alzheimer's disease?","No. The IQCODE-SR is a screening instrument, not a diagnostic tool. It identifies individuals who may benefit from further evaluation. A diagnosis requires a comprehensive clinical assessment, which typically includes direct cognitive testing (such as the MoCA or a neuropsychological battery), medical history, and a clinician's judgment.",false,"2026-06-03",{},true,"\u002Fassessments\u002Fiqcode-sr","The IQCODE and IQCODE-SR are authored by A. F. Jorm. They may be used for non-commercial clinical and research purposes with appropriate citation. Reproduction of item content or scoring instructions may require permission from the author or rights holders.","Administer at intake when cognitive concerns are reported, then every 6–12 months to monitor long-term subjective change, with more frequent use only if clinically indicated, as it isn’t designed for high-frequency tracking given its 10-year reference period.",{"title":5,"description":282},"iqcode-sr","assessments\u002Fiqcode-sr","The IQCODE-SR is the self-report adaptation of the widely used Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). While the original IQCODE is completed by a knowledgeable informant, the IQCODE-SR allows older adults to report on their perceived cognitive changes over the past 10 years. Items cover everyday memory, reasoning, problem-solving, and functional abilities. \n\nRespondents rate whether each ability has improved, stayed the same, or worsened, producing a mean score between 1.0 and 5.0. Higher scores indicate greater perceived decline. Research-based thresholds (e.g., ≥3.30–3.38 for possible cognitive decline; ≥3.60 for stronger concern) provide guidance for further evaluation, but the IQCODE-SR is a screening tool, not a diagnostic assessment.\n",[310,313,316],{"year":311,"label":312},"1989","Jorm & Jacomb publish the original 26-item IQCODE as an informant-rated measure of cognitive decline",{"year":314,"label":315},"1994","Jorm develops and cross-validates the 16-item short form, which performs comparably to the full version",{"year":317,"label":318},"2008","Jansen et al. publish a large psychometric evaluation of the IQCODE-SR self-report adaptation in 4,823 community-dwelling older 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