Do symptoms of memory impairment correspond to cognitive impairment: a cross sectional study of a clinical cohort

Background Symptoms of memory loss are a common complaint within the general population and a frequent reason for seeking medical advice. However, the clinical relevance of these symptoms to future development of neurodegenerative disease is uncertain. The aim of this study is to characterise a coho...

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Veröffentlicht in:International journal of geriatric psychiatry 2006-12, Vol.21 (12), p.1206-1212
Hauptverfasser: Archer, H. A., MacFarlane, F., Price, S., Moore, E. K., Pepple, T., Cutler, D., Frost, C., Fox, N. C., Rossor, M. N.
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container_end_page 1212
container_issue 12
container_start_page 1206
container_title International journal of geriatric psychiatry
container_volume 21
creator Archer, H. A.
MacFarlane, F.
Price, S.
Moore, E. K.
Pepple, T.
Cutler, D.
Frost, C.
Fox, N. C.
Rossor, M. N.
description Background Symptoms of memory loss are a common complaint within the general population and a frequent reason for seeking medical advice. However, the clinical relevance of these symptoms to future development of neurodegenerative disease is uncertain. The aim of this study is to characterise a cohort of individuals with symptoms of memory loss and varying memory impairment, who will be followed longitudinally with serial neuropsychology and neuroimaging to evaluate the clinical relevance of symptoms of memory loss. Method Fifty‐eight subjects with symptoms of memory loss were recruited from the National Hospital for Neurology and Neurosurgery. All subjects underwent clinical assessment, APOE4 genotyping, neuroimaging and neuropsychological tests. Results Those with mild cognitive impairment (MCI) had an increased prevalence of the APOE4 allele, impaired performance on tests of memory, measures of IQ and naming compared to controls. Baseline brain volumes were decreased and ventricular size increased. Those with symptoms of memory loss but no cognitive impairment (SNCI) performed significantly worse on tests of memory than the control group. Conclusions The MCI represent a group with multiple risk factors for progression to AD. The SNCI group may represent a heterogeneous group with some individuals in the early stages of AD whilst others' memory complaints are more likely linked to anxiety or personality traits. Copyright © 2006 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/gps.1644
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A. ; MacFarlane, F. ; Price, S. ; Moore, E. K. ; Pepple, T. ; Cutler, D. ; Frost, C. ; Fox, N. C. ; Rossor, M. N.</creator><creatorcontrib>Archer, H. A. ; MacFarlane, F. ; Price, S. ; Moore, E. K. ; Pepple, T. ; Cutler, D. ; Frost, C. ; Fox, N. C. ; Rossor, M. N.</creatorcontrib><description>Background Symptoms of memory loss are a common complaint within the general population and a frequent reason for seeking medical advice. However, the clinical relevance of these symptoms to future development of neurodegenerative disease is uncertain. The aim of this study is to characterise a cohort of individuals with symptoms of memory loss and varying memory impairment, who will be followed longitudinally with serial neuropsychology and neuroimaging to evaluate the clinical relevance of symptoms of memory loss. Method Fifty‐eight subjects with symptoms of memory loss were recruited from the National Hospital for Neurology and Neurosurgery. All subjects underwent clinical assessment, APOE4 genotyping, neuroimaging and neuropsychological tests. Results Those with mild cognitive impairment (MCI) had an increased prevalence of the APOE4 allele, impaired performance on tests of memory, measures of IQ and naming compared to controls. Baseline brain volumes were decreased and ventricular size increased. Those with symptoms of memory loss but no cognitive impairment (SNCI) performed significantly worse on tests of memory than the control group. Conclusions The MCI represent a group with multiple risk factors for progression to AD. The SNCI group may represent a heterogeneous group with some individuals in the early stages of AD whilst others' memory complaints are more likely linked to anxiety or personality traits. 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Psychology ; Genetic Predisposition to Disease ; Genetics ; Genotype ; Geriatric Assessment ; Geriatric psychiatry ; Geriatric psychology ; Geriatrics ; Humans ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Memory ; Memory Disorders - etiology ; Memory Disorders - pathology ; memory loss ; Middle Aged ; mild cognitive impairment ; Miscellaneous ; Neuropsychological Tests ; Neuropsychology ; Prognosis ; Psychiatric Status Rating Scales ; Psychoanalysis ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. 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A.</creatorcontrib><creatorcontrib>MacFarlane, F.</creatorcontrib><creatorcontrib>Price, S.</creatorcontrib><creatorcontrib>Moore, E. K.</creatorcontrib><creatorcontrib>Pepple, T.</creatorcontrib><creatorcontrib>Cutler, D.</creatorcontrib><creatorcontrib>Frost, C.</creatorcontrib><creatorcontrib>Fox, N. C.</creatorcontrib><creatorcontrib>Rossor, M. N.</creatorcontrib><title>Do symptoms of memory impairment correspond to cognitive impairment: a cross sectional study of a clinical cohort</title><title>International journal of geriatric psychiatry</title><addtitle>Int. J. Geriat. Psychiatry</addtitle><description>Background Symptoms of memory loss are a common complaint within the general population and a frequent reason for seeking medical advice. However, the clinical relevance of these symptoms to future development of neurodegenerative disease is uncertain. The aim of this study is to characterise a cohort of individuals with symptoms of memory loss and varying memory impairment, who will be followed longitudinally with serial neuropsychology and neuroimaging to evaluate the clinical relevance of symptoms of memory loss. Method Fifty‐eight subjects with symptoms of memory loss were recruited from the National Hospital for Neurology and Neurosurgery. All subjects underwent clinical assessment, APOE4 genotyping, neuroimaging and neuropsychological tests. Results Those with mild cognitive impairment (MCI) had an increased prevalence of the APOE4 allele, impaired performance on tests of memory, measures of IQ and naming compared to controls. Baseline brain volumes were decreased and ventricular size increased. Those with symptoms of memory loss but no cognitive impairment (SNCI) performed significantly worse on tests of memory than the control group. Conclusions The MCI represent a group with multiple risk factors for progression to AD. 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N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do symptoms of memory impairment correspond to cognitive impairment: a cross sectional study of a clinical cohort</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int. J. Geriat. Psychiatry</addtitle><date>2006-12</date><risdate>2006</risdate><volume>21</volume><issue>12</issue><spage>1206</spage><epage>1212</epage><pages>1206-1212</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><coden>IJGPES</coden><abstract>Background Symptoms of memory loss are a common complaint within the general population and a frequent reason for seeking medical advice. However, the clinical relevance of these symptoms to future development of neurodegenerative disease is uncertain. The aim of this study is to characterise a cohort of individuals with symptoms of memory loss and varying memory impairment, who will be followed longitudinally with serial neuropsychology and neuroimaging to evaluate the clinical relevance of symptoms of memory loss. Method Fifty‐eight subjects with symptoms of memory loss were recruited from the National Hospital for Neurology and Neurosurgery. All subjects underwent clinical assessment, APOE4 genotyping, neuroimaging and neuropsychological tests. Results Those with mild cognitive impairment (MCI) had an increased prevalence of the APOE4 allele, impaired performance on tests of memory, measures of IQ and naming compared to controls. Baseline brain volumes were decreased and ventricular size increased. Those with symptoms of memory loss but no cognitive impairment (SNCI) performed significantly worse on tests of memory than the control group. Conclusions The MCI represent a group with multiple risk factors for progression to AD. The SNCI group may represent a heterogeneous group with some individuals in the early stages of AD whilst others' memory complaints are more likely linked to anxiety or personality traits. Copyright © 2006 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>16977678</pmid><doi>10.1002/gps.1644</doi><tpages>7</tpages></addata></record>
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ispartof International journal of geriatric psychiatry, 2006-12, Vol.21 (12), p.1206-1212
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subjects Aged
Alzheimer Disease - diagnosis
Alzheimer Disease - pathology
Alzheimer Disease - psychology
Alzheimer's disease
Apolipoprotein E4 - genetics
Biological and medical sciences
Brain - pathology
clinical
Cognition Disorders - diagnosis
Cognition Disorders - pathology
Cognition Disorders - psychology
Cross-Sectional Studies
Disease Progression
Female
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
Genetic Predisposition to Disease
Genetics
Genotype
Geriatric Assessment
Geriatric psychiatry
Geriatric psychology
Geriatrics
Humans
Magnetic Resonance Imaging - methods
Male
Medical sciences
Memory
Memory Disorders - etiology
Memory Disorders - pathology
memory loss
Middle Aged
mild cognitive impairment
Miscellaneous
Neuropsychological Tests
Neuropsychology
Prognosis
Psychiatric Status Rating Scales
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
symptoms
title Do symptoms of memory impairment correspond to cognitive impairment: a cross sectional study of a clinical cohort
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