Adaptation of the Cognitive Reserve Index Questionnaire (CRIq) for the Greek population

Cognitive reserve (CR) is thought to reflect the cumulative brain potential derived from various cognitively demanding activities throughout the entire life. It seems to mediate both one's cognitive performance and clinical expression of different brain pathologies, such as Alzheimer's disease. Many researchers have tried to assess CR by using proxies, such as educational and occupational level, participation in leisure time activities and intelligence, alone or in various combinations. Recently, a new tool for measuring CR status was constructed, the Cognitive Reserve Index questionnaire (CRIq), comprising of all known CR proxies. CRIq also takes into account the amount of time spent during each of these activities, thus capturing the core idea behind CR theory: its active day to day formulation during all age stages. Aim of the present study was to adapt CRIq for the Greek population. The questionnaire was administered to 591 participants (age range 18-89) stratified in three age groups (young adults, middle-aged, elderly). The middle-aged group showed higher total CRI as well as CRI-Education, CRI-WorkingActivity and CRI-LeisureTime scores compared to both other groups, reflecting more years of engagement in all activities. Gender also influenced CRI scores, with men scoring higher than women, again resulting from historical and social perspectives. Overall, the CRIq showed satisfactory internal consistency, was easy to administer and its adaptation process provided solid and interpretable results. The Greek version of CRIq enriches existing dementia research methodology and allows for valid results in an ever growing field.