The neuropsychological profile in dementia with Lewy bodies and Alzheimer's disease

Objective To demonstrate the exact nature of the cognitive profile of dementia with Lewy bodies (DLB) on standardized neuropsychological tests including the Wechsler Adult Intelligence Scale––Revised (WAIS‐R) and the Wechsler Memory Scale––Revised (WMS‐R). Design We examined the WAIS‐R and the WMS‐R...

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Veröffentlicht in:International journal of geriatric psychiatry 2009-02, Vol.24 (2), p.125-131
Hauptverfasser: Oda, Haruhiko, Yamamoto, Yasuji, Maeda, Kiyoshi
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container_title International journal of geriatric psychiatry
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creator Oda, Haruhiko
Yamamoto, Yasuji
Maeda, Kiyoshi
description Objective To demonstrate the exact nature of the cognitive profile of dementia with Lewy bodies (DLB) on standardized neuropsychological tests including the Wechsler Adult Intelligence Scale––Revised (WAIS‐R) and the Wechsler Memory Scale––Revised (WMS‐R). Design We examined the WAIS‐R and the WMS‐R of 26 patients with probable DLB (based on the Consensus Criteria for the clinical diagnosis of DLB) and of 78 patients with probable Alzheimer's disease (AD) (based on criteria of the National Institute for Neurological and Communicative Disorders and Stroke‐Alzheimer's disease and Related Disorders Association) who were matched to the patients with DLB 3:1 by Mini‐Mental State Examination score. Results The DLB group scored significantly lower on the Block Design, Object Assembly and Digit Symbol of WAIS‐R and significantly higher on the Logical Memory I, Verbal Paired Associates I, Logical Memory II, Visual Paired Associates II, Verbal Paired Associates II and Visual Reproduction II of WMS‐R (p 
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Design We examined the WAIS‐R and the WMS‐R of 26 patients with probable DLB (based on the Consensus Criteria for the clinical diagnosis of DLB) and of 78 patients with probable Alzheimer's disease (AD) (based on criteria of the National Institute for Neurological and Communicative Disorders and Stroke‐Alzheimer's disease and Related Disorders Association) who were matched to the patients with DLB 3:1 by Mini‐Mental State Examination score. Results The DLB group scored significantly lower on the Block Design, Object Assembly and Digit Symbol of WAIS‐R and significantly higher on the Logical Memory I, Verbal Paired Associates I, Logical Memory II, Visual Paired Associates II, Verbal Paired Associates II and Visual Reproduction II of WMS‐R (p &lt; 0.0016 to p &lt; 0.0001). In a comparison between the DLB group and the AD group, a logistic regression analysis revealed that the weighted sum score of the Object Assembly and the Logical Memory II may differentiate DLB from AD with a sensitivity of 0.81 [95% Confidence Intervals (CI) = 0.66–0.96] and a specificity of 0.76 (95% CI = 0.66–0.85). Conclusions The WAIS‐R and the WMS‐R can help to differentiate DLB from AD. Copyright © 2008 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.2078</identifier><identifier>PMID: 18615776</identifier><identifier>CODEN: IJGPES</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Alzheimer disease ; Alzheimer Disease - diagnosis ; Alzheimer Disease - psychology ; Alzheimer's disease ; Biological and medical sciences ; Brain ; Cognition - classification ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; dementia with Lewy bodies ; Diagnosis, Differential ; Female ; Geriatric psychiatry ; Geriatric psychology ; Geriatrics ; Humans ; Lewy Bodies ; Lewy Body Disease - diagnosis ; Lewy Body Disease - psychology ; Male ; Medical sciences ; Memory ; Motor Skills ; Neurology ; Neuropsychological Tests ; Neuropsychology ; Older people ; Organic mental disorders. Neuropsychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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J. Geriat. Psychiatry</addtitle><description>Objective To demonstrate the exact nature of the cognitive profile of dementia with Lewy bodies (DLB) on standardized neuropsychological tests including the Wechsler Adult Intelligence Scale––Revised (WAIS‐R) and the Wechsler Memory Scale––Revised (WMS‐R). Design We examined the WAIS‐R and the WMS‐R of 26 patients with probable DLB (based on the Consensus Criteria for the clinical diagnosis of DLB) and of 78 patients with probable Alzheimer's disease (AD) (based on criteria of the National Institute for Neurological and Communicative Disorders and Stroke‐Alzheimer's disease and Related Disorders Association) who were matched to the patients with DLB 3:1 by Mini‐Mental State Examination score. Results The DLB group scored significantly lower on the Block Design, Object Assembly and Digit Symbol of WAIS‐R and significantly higher on the Logical Memory I, Verbal Paired Associates I, Logical Memory II, Visual Paired Associates II, Verbal Paired Associates II and Visual Reproduction II of WMS‐R (p &lt; 0.0016 to p &lt; 0.0001). In a comparison between the DLB group and the AD group, a logistic regression analysis revealed that the weighted sum score of the Object Assembly and the Logical Memory II may differentiate DLB from AD with a sensitivity of 0.81 [95% Confidence Intervals (CI) = 0.66–0.96] and a specificity of 0.76 (95% CI = 0.66–0.85). Conclusions The WAIS‐R and the WMS‐R can help to differentiate DLB from AD. Copyright © 2008 John Wiley &amp; Sons, Ltd.</description><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer disease</subject><subject>Alzheimer Disease - diagnosis</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer's disease</subject><subject>Biological and medical sciences</subject><subject>Brain</subject><subject>Cognition - classification</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>dementia with Lewy bodies</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Geriatric psychiatry</subject><subject>Geriatric psychology</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Lewy Bodies</subject><subject>Lewy Body Disease - diagnosis</subject><subject>Lewy Body Disease - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Motor Skills</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Neuropsychology</subject><subject>Older people</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Visual Perception</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0VtrFDEUB_AgFrutgp9AgtDqy9RcJpd5LKuupYtauiD4EjKTM93UuazJDuv66c2wQwuC-JSH_HLOyfkj9JKSC0oIe3e3iReMKP0EzSgpioxSKZ-iGdFaZJJxcoxOYrwnJN1R_QwdUy2pUErO0O1qDbiDIfSbuK_WfdPf-co2eBP62jeAfYcdtNBtvcU7v13jJez2uOydh4ht5_Bl83sNvoXwJmLnI9gIz9FRbZsIL6bzFK0-fljNP2XLL4ur-eUyq_Jc6DQYy1WttJCKOulAcFtqqYocHCOOljWXleNaaKaEzscnXClXOKYUEbTkp-j8UDbN-nOAuDWtjxU0je2gH6KRUueSM_FfyCjNec5Zgq__gvf9ELr0B8MYEYzwYkRvD6gKfYwBarMJvrVhbygxYxompWHGNBJ9NdUbyhbcI5zWn8DZBGxMW6-D7SofHxyjJJesGAtlB7dLmez_2dAsvt5OjSfv4xZ-PXgbfhipuBLm2-eFuVkU1_PvN-_Nkv8BaNmtPA</recordid><startdate>200902</startdate><enddate>200902</enddate><creator>Oda, Haruhiko</creator><creator>Yamamoto, Yasuji</creator><creator>Maeda, Kiyoshi</creator><general>John Wiley &amp; Sons, Ltd</general><general>Psychology Press</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200902</creationdate><title>The neuropsychological profile in dementia with Lewy bodies and Alzheimer's disease</title><author>Oda, Haruhiko ; Yamamoto, Yasuji ; Maeda, Kiyoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4458-62247f785671d6de53ab86794ed20d1bf36cd3858275844458377d9d277051b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer disease</topic><topic>Alzheimer Disease - diagnosis</topic><topic>Alzheimer Disease - psychology</topic><topic>Alzheimer's disease</topic><topic>Biological and medical sciences</topic><topic>Brain</topic><topic>Cognition - classification</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Dementia</topic><topic>dementia with Lewy bodies</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Geriatric psychiatry</topic><topic>Geriatric psychology</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Lewy Bodies</topic><topic>Lewy Body Disease - diagnosis</topic><topic>Lewy Body Disease - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Memory</topic><topic>Motor Skills</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Neuropsychology</topic><topic>Older people</topic><topic>Organic mental disorders. Neuropsychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><topic>Visual Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oda, Haruhiko</creatorcontrib><creatorcontrib>Yamamoto, Yasuji</creatorcontrib><creatorcontrib>Maeda, Kiyoshi</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oda, Haruhiko</au><au>Yamamoto, Yasuji</au><au>Maeda, Kiyoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The neuropsychological profile in dementia with Lewy bodies and Alzheimer's disease</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int. J. Geriat. Psychiatry</addtitle><date>2009-02</date><risdate>2009</risdate><volume>24</volume><issue>2</issue><spage>125</spage><epage>131</epage><pages>125-131</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><coden>IJGPES</coden><abstract>Objective To demonstrate the exact nature of the cognitive profile of dementia with Lewy bodies (DLB) on standardized neuropsychological tests including the Wechsler Adult Intelligence Scale––Revised (WAIS‐R) and the Wechsler Memory Scale––Revised (WMS‐R). Design We examined the WAIS‐R and the WMS‐R of 26 patients with probable DLB (based on the Consensus Criteria for the clinical diagnosis of DLB) and of 78 patients with probable Alzheimer's disease (AD) (based on criteria of the National Institute for Neurological and Communicative Disorders and Stroke‐Alzheimer's disease and Related Disorders Association) who were matched to the patients with DLB 3:1 by Mini‐Mental State Examination score. Results The DLB group scored significantly lower on the Block Design, Object Assembly and Digit Symbol of WAIS‐R and significantly higher on the Logical Memory I, Verbal Paired Associates I, Logical Memory II, Visual Paired Associates II, Verbal Paired Associates II and Visual Reproduction II of WMS‐R (p &lt; 0.0016 to p &lt; 0.0001). In a comparison between the DLB group and the AD group, a logistic regression analysis revealed that the weighted sum score of the Object Assembly and the Logical Memory II may differentiate DLB from AD with a sensitivity of 0.81 [95% Confidence Intervals (CI) = 0.66–0.96] and a specificity of 0.76 (95% CI = 0.66–0.85). Conclusions The WAIS‐R and the WMS‐R can help to differentiate DLB from AD. Copyright © 2008 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>18615776</pmid><doi>10.1002/gps.2078</doi><tpages>7</tpages></addata></record>
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subjects Adult and adolescent clinical studies
Aged
Aged, 80 and over
Alzheimer disease
Alzheimer Disease - diagnosis
Alzheimer Disease - psychology
Alzheimer's disease
Biological and medical sciences
Brain
Cognition - classification
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dementia
dementia with Lewy bodies
Diagnosis, Differential
Female
Geriatric psychiatry
Geriatric psychology
Geriatrics
Humans
Lewy Bodies
Lewy Body Disease - diagnosis
Lewy Body Disease - psychology
Male
Medical sciences
Memory
Motor Skills
Neurology
Neuropsychological Tests
Neuropsychology
Older people
Organic mental disorders. Neuropsychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regression Analysis
Visual Perception
title The neuropsychological profile in dementia with Lewy bodies and Alzheimer's disease
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