Neuropsychological performance in early and late onset Alzheimer's disease: comparisons in a memory clinic population

Objectives To compare the neuropsychological performance associated with early and late onset Alzheimer's disease (AD), in order to identify differences and compare these with previous reports. Methods Patients attending a memory clinic were given a detailed multi‐disciplinary diagnostic assess...

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Veröffentlicht in:International journal of geriatric psychiatry 2004-12, Vol.19 (12), p.1140-1147
Hauptverfasser: Suribhatla, Srinivas, Baillon, Sarah, Dennis, Michael, Marudkar, Mangesh, Muhammad, Saquib, Munro, Dena, Spreadbury, Christine, Lindesay, James
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container_end_page 1147
container_issue 12
container_start_page 1140
container_title International journal of geriatric psychiatry
container_volume 19
creator Suribhatla, Srinivas
Baillon, Sarah
Dennis, Michael
Marudkar, Mangesh
Muhammad, Saquib
Munro, Dena
Spreadbury, Christine
Lindesay, James
description Objectives To compare the neuropsychological performance associated with early and late onset Alzheimer's disease (AD), in order to identify differences and compare these with previous reports. Methods Patients attending a memory clinic were given a detailed multi‐disciplinary diagnostic assessment, including a battery of neuropsychological tests. From those meeting ICD‐10 criteria for Alzheimer's disease (AD), an early‐onset (EO) group (n = 40) and a late‐onset (LO) group (n = 90) were identified, and their performances compared. Patients with mixed dementia and co‐morbid depression were excluded. Results After adjustment, the EO and LO groups performed at a comparable level on the majority of the neuropsychological tests. The LO group performed better on the WAIS digit span test, AMIPB Complex Design and the written picture description, and the EO group performed better on the WAIS similarities test and the Boston naming test. Conclusions These findings suggest that, after adjusting for overall dementia severity and pre‐morbid IQ, there is greater fronto‐parietal/right hemisphere involvement in early‐onset AD, and greater temporal/left hemisphere involvement in late‐onset AD. This may be due to different genetic risk profiles for AD at different ages. Copyright © 2004 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/gps.1196
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Methods Patients attending a memory clinic were given a detailed multi‐disciplinary diagnostic assessment, including a battery of neuropsychological tests. From those meeting ICD‐10 criteria for Alzheimer's disease (AD), an early‐onset (EO) group (n = 40) and a late‐onset (LO) group (n = 90) were identified, and their performances compared. Patients with mixed dementia and co‐morbid depression were excluded. Results After adjustment, the EO and LO groups performed at a comparable level on the majority of the neuropsychological tests. The LO group performed better on the WAIS digit span test, AMIPB Complex Design and the written picture description, and the EO group performed better on the WAIS similarities test and the Boston naming test. Conclusions These findings suggest that, after adjusting for overall dementia severity and pre‐morbid IQ, there is greater fronto‐parietal/right hemisphere involvement in early‐onset AD, and greater temporal/left hemisphere involvement in late‐onset AD. This may be due to different genetic risk profiles for AD at different ages. Copyright © 2004 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.1196</identifier><identifier>PMID: 15526308</identifier><identifier>CODEN: IJGPES</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Age of Onset ; Aged ; Alzheimer Disease - psychology ; Alzheimer's disease ; Biological and medical sciences ; Brain ; Cognition ; Cognition &amp; reasoning ; Comparative analysis ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; early onset ; Female ; Fundamental and applied biological sciences. Psychology ; Geriatric psychiatry ; Geriatrics ; Humans ; Intelligence Tests ; Language Tests ; late onset ; Male ; Medical sciences ; Memory ; Middle Aged ; Neurology ; Neuropsychological Tests ; neuropsychology ; Psychoanalysis ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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J. Geriat. Psychiatry</addtitle><description>Objectives To compare the neuropsychological performance associated with early and late onset Alzheimer's disease (AD), in order to identify differences and compare these with previous reports. Methods Patients attending a memory clinic were given a detailed multi‐disciplinary diagnostic assessment, including a battery of neuropsychological tests. From those meeting ICD‐10 criteria for Alzheimer's disease (AD), an early‐onset (EO) group (n = 40) and a late‐onset (LO) group (n = 90) were identified, and their performances compared. Patients with mixed dementia and co‐morbid depression were excluded. Results After adjustment, the EO and LO groups performed at a comparable level on the majority of the neuropsychological tests. The LO group performed better on the WAIS digit span test, AMIPB Complex Design and the written picture description, and the EO group performed better on the WAIS similarities test and the Boston naming test. Conclusions These findings suggest that, after adjusting for overall dementia severity and pre‐morbid IQ, there is greater fronto‐parietal/right hemisphere involvement in early‐onset AD, and greater temporal/left hemisphere involvement in late‐onset AD. This may be due to different genetic risk profiles for AD at different ages. Copyright © 2004 John Wiley &amp; Sons, Ltd.</description><subject>Age of Onset</subject><subject>Aged</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer's disease</subject><subject>Biological and medical sciences</subject><subject>Brain</subject><subject>Cognition</subject><subject>Cognition &amp; reasoning</subject><subject>Comparative analysis</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>early onset</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Geriatric psychiatry</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Intelligence Tests</subject><subject>Language Tests</subject><subject>late onset</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>neuropsychology</subject><subject>Psychoanalysis</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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J. Geriat. Psychiatry</addtitle><date>2004-12</date><risdate>2004</risdate><volume>19</volume><issue>12</issue><spage>1140</spage><epage>1147</epage><pages>1140-1147</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><coden>IJGPES</coden><abstract>Objectives To compare the neuropsychological performance associated with early and late onset Alzheimer's disease (AD), in order to identify differences and compare these with previous reports. Methods Patients attending a memory clinic were given a detailed multi‐disciplinary diagnostic assessment, including a battery of neuropsychological tests. From those meeting ICD‐10 criteria for Alzheimer's disease (AD), an early‐onset (EO) group (n = 40) and a late‐onset (LO) group (n = 90) were identified, and their performances compared. Patients with mixed dementia and co‐morbid depression were excluded. Results After adjustment, the EO and LO groups performed at a comparable level on the majority of the neuropsychological tests. The LO group performed better on the WAIS digit span test, AMIPB Complex Design and the written picture description, and the EO group performed better on the WAIS similarities test and the Boston naming test. Conclusions These findings suggest that, after adjusting for overall dementia severity and pre‐morbid IQ, there is greater fronto‐parietal/right hemisphere involvement in early‐onset AD, and greater temporal/left hemisphere involvement in late‐onset AD. This may be due to different genetic risk profiles for AD at different ages. Copyright © 2004 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>15526308</pmid><doi>10.1002/gps.1196</doi><tpages>8</tpages></addata></record>
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source Wiley-Blackwell Journals; MEDLINE
subjects Age of Onset
Aged
Alzheimer Disease - psychology
Alzheimer's disease
Biological and medical sciences
Brain
Cognition
Cognition & reasoning
Comparative analysis
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
early onset
Female
Fundamental and applied biological sciences. Psychology
Geriatric psychiatry
Geriatrics
Humans
Intelligence Tests
Language Tests
late onset
Male
Medical sciences
Memory
Middle Aged
Neurology
Neuropsychological Tests
neuropsychology
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Speech
title Neuropsychological performance in early and late onset Alzheimer's disease: comparisons in a memory clinic population
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