Mild cognitive impairment subcategories depend on the source of norms

被引:42
作者
Arsenault-Lapierre, Genevieve [1 ]
Whitehead, Victor [1 ]
Belleville, Sylvie [2 ,3 ]
Massoud, Fadi [4 ,5 ]
Bergman, Howard [1 ,6 ]
Chertkow, Howard [1 ,6 ,7 ]
机构
[1] Sir B Davis Jewish Gen Hosp, Lady Davis Inst Med Res, Bloomfield Ctr Res Aging, Montreal, PQ H3T 2R8, Canada
[2] Ctr Rech Inst Univ Geriatrie Montreal, Montreal, PQ, Canada
[3] Univ Montreal, Dept Psychol, Montreal, PQ H3C 3J7, Canada
[4] CHU Montreal, Serv Geriatrie, Montreal, PQ, Canada
[5] Univ Montreal, Dept Med, Montreal, PQ H3C 3J7, Canada
[6] McGill Univ, Dept Med, Div Geriatr Med, Montreal, PQ, Canada
[7] McGill Univ, Dept Neurol & Neurosurg, Montreal, PQ, Canada
基金
加拿大健康研究院;
关键词
Mild cognitive impairment; Subcategories; Normative data; Normal aging; Neuropsychological tests; ALZHEIMERS-DISEASE; OLDER-ADULTS; DEMENTIA; SUBTYPES; MEMORY; PROGRESSION; CONVERSION; FREQUENCY; COMMUNITY; MCI;
D O I
10.1080/13803395.2010.547459
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The diagnosis of mild cognitive impairment (MCI) entails evidence of objective cognitive loss using neuropsychological measures. In this study, we examined whether the presence and degree of objective cognitive impairment varied according to the use of published versus local norms. We also varied the cutoff scores at which impairment was recognized and examined whether this altered inclusion in MCI subcategories. We found that the use of different comparison normative groups altered the subcategory diagnoses, especially when the cutoff score for impairment was conservative. In general, local norms were more stringent than published norms. We discuss the implications of these results for MCI diagnosis and categorization.
引用
收藏
页码:596 / 603
页数:8
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