Mild cognitive impairment:: Deficits in cognitive domains other than memory

被引:74
作者
Ribeiro, F.
de Mendonca, A.
Guerreiro, M.
机构
[1] Fac Med Lisbon, Lab Language, PT-1649028 Lisbon, Portugal
[2] Inst Mol Med, Dementia Clin, Lisbon, Portugal
[3] Inst Mol Med, Dept Neurol, Lab Language, Lisbon, Portugal
[4] Inst Mol Med, Dept Neurol, Neurosci Lab, Lisbon, Portugal
关键词
mild cognitive impairment; Alzheimer's disease; memory deficit; language impairment; semantic fluency;
D O I
10.1159/000091435
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Patients with mild cognitive impairment (MCI) typically present with memory complaints, but may have mild deficits in other cognitive domains. We compared the neuropsychological profiles of a series of consecutive MCI patients (n = 116) with a control group of healthy elderly subjects ( n = 63). The presence of a memory deficit on delayed recall was consistent in the MCI sample, as it was an inclusion criterion in the study. Impairment on immediate recall was present in 62.6% of the patients on paragraph recall of the logical memory test and in 63.1% of the patients on the word paired-associate learning test. Remarkably, patients with MCI frequently had deficits in cognitive domains beyond memory. As much as 68.7% of the patients had deficits in temporal orientation, 30.2% had deficits in semantic fluency, 33.7% in the Token test, 23.4% in calculation, and 23.9% in motor initiative. If detailed neuropsychological testing is performed, the majority of MCI patients will have deficits in cognitive domains other than memory. Copyright (C) 2006 S. Karger AG, Basel.
引用
收藏
页码:284 / 290
页数:7
相关论文
共 30 条
[1]  
American Psychiatric Association, 1994, DIAGN STAT MAN MENT, V4
[2]  
[Anonymous], 1977, COLOURED PROGR MATRI
[3]   ASSOCIATION BETWEEN QUANTITATIVE MEASURES OF DEMENTIA AND OF SENILE CHANGE IN CEREBRAL GREY MATTER OF ELDERLY SUBJECTS [J].
BLESSED, G ;
TOMLINSON, BE ;
ROTH, M .
BRITISH JOURNAL OF PSYCHIATRY, 1968, 114 (512) :797-+
[4]   Mild cognitive impairments predict dementia in nondemented elderly patients with memory loss [J].
Bozoki, A ;
Giordani, B ;
Heidebrink, JL ;
Berent, S ;
Foster, NL .
ARCHIVES OF NEUROLOGY, 2001, 58 (03) :411-416
[5]   Age-Associated Memory Impairment: Proposed Diagnostic Criteria and Measures of Clinical Change - Report of a National Institute of Mental Health Work Group [J].
Crook, Thomas ;
Bartus, Raymond T. ;
Ferris, Steven H. ;
Whitehouse, Peter ;
Cohen, Gene D. ;
Gershon, Samuel .
DEVELOPMENTAL NEUROPSYCHOLOGY, 1986, 2 (04) :261-276
[6]  
de Mendonça A, 2005, EUR J NEUROL, V12, P125
[7]   Mild cognitive impairment -: Focus on diagnosis [J].
de Mendonça, A ;
Guerreiro, M ;
Ribeiro, F ;
Mendes, T ;
Garcia, C .
JOURNAL OF MOLECULAR NEUROSCIENCE, 2004, 23 (1-2) :143-147
[8]  
GARCIA C, 1984, THESIS U LISBON LISB
[9]   Prevalence and severity of cognitive impairment with and without dementia in an elderly population [J].
Graham, JE ;
Rockwood, K ;
Beattie, BL ;
Eastwood, R ;
Gauthier, S ;
Tuokko, H ;
McDowell, I .
LANCET, 1997, 349 (9068) :1793-1796
[10]   Impaired financial abilities in mild cognitive impairment - A direct assessment approach [J].
Griffith, HR ;
Belue, K ;
Sicola, A ;
Krzywanski, S ;
Zamrini, E ;
Harrell, L ;
Marson, DC .
NEUROLOGY, 2003, 60 (03) :449-457