Analyzing the subcortical dementia syndrome of Parkinson’s disease using the RBANS
On mental status examinations, groups of equally impaired patients with subcortical (Huntington’s disease, HD; Parkinson’s disease, PD) or cortical (Alzheimer’s disease, AD) dementias exhibit different patterns of neuropsychological deficits. Using the Repeatable Battery for Assessment of Neuropsych...
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| Veröffentlicht in: | Archives of clinical neuropsychology 2003-07, Vol.18 (5), p.509-520 |
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| container_title | Archives of clinical neuropsychology |
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| creator | Beatty, William W. Ryder, Katherine A. Gontkovsky, Samuel T. Scott, James G. McSwan, Kelli L. Bharucha, Kersi J. |
| description | On mental status examinations, groups of equally impaired patients with subcortical (Huntington’s disease, HD; Parkinson’s disease, PD) or cortical (Alzheimer’s disease, AD) dementias exhibit different patterns of neuropsychological deficits. Using the Repeatable Battery for Assessment of Neuropsychological Status (RBANS), classification accuracies of 90% or greater have been reported for individual patients with AD or HD. To test the generality of the RBANS classification algorithm, we studied patients with dementia (AD and PDD) and without dementia (PDND). Classification accuracies were AD: 87%, PDD: 78%, and PDND: 39%. Comparisons of performance on subtests of the RBANS showed that all groups performed more poorly on tests that require motor skill or rapid information processing and that memory performance by the PD groups was not improved by procedures that enhance encoding and facilitate retrieval. The RBANS is useful for discriminating patterns of cognitive impairment in PD and AD, but only if the diagnosis of dementia is established independent of the RBANS test results. Cognitive slowing is not specific to subcortical dementia and current concepts of memory dysfunction in PD may require re-examination. |
| doi_str_mv | 10.1016/S0887-6177(02)00148-8 |
| format | Article |
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Using the Repeatable Battery for Assessment of Neuropsychological Status (RBANS), classification accuracies of 90% or greater have been reported for individual patients with AD or HD. To test the generality of the RBANS classification algorithm, we studied patients with dementia (AD and PDD) and without dementia (PDND). Classification accuracies were AD: 87%, PDD: 78%, and PDND: 39%. Comparisons of performance on subtests of the RBANS showed that all groups performed more poorly on tests that require motor skill or rapid information processing and that memory performance by the PD groups was not improved by procedures that enhance encoding and facilitate retrieval. The RBANS is useful for discriminating patterns of cognitive impairment in PD and AD, but only if the diagnosis of dementia is established independent of the RBANS test results. Cognitive slowing is not specific to subcortical dementia and current concepts of memory dysfunction in PD may require re-examination.</description><identifier>ISSN: 0887-6177</identifier><identifier>EISSN: 1873-5843</identifier><identifier>DOI: 10.1016/S0887-6177(02)00148-8</identifier><identifier>PMID: 14591446</identifier><identifier>CODEN: ACNEET</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Algorithms ; Alzheimer Disease - diagnosis ; Alzheimer’s disease ; Biological and medical sciences ; Cortical dementia ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia - diagnosis ; Dementia - etiology ; Female ; Humans ; Huntington Disease - complications ; Male ; Medical sciences ; Mental Status Schedule ; Middle Aged ; Neurology ; Neuropsychological Tests ; Organic mental disorders. Neuropsychology ; Parkinson Disease - complications ; Parkinson’s disease ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; RBANS ; Reproducibility of Results ; Sensitivity and Specificity ; Subcortical dementia ; Syndrome</subject><ispartof>Archives of clinical neuropsychology, 2003-07, Vol.18 (5), p.509-520</ispartof><rights>2002 National Academy of Neuropsychology</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-27ac96c7c34ba9e0fa7b902036dbb64f0fa04fc49d51673def6f0f38d0241d153</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14789251$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14591446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beatty, William W.</creatorcontrib><creatorcontrib>Ryder, Katherine A.</creatorcontrib><creatorcontrib>Gontkovsky, Samuel T.</creatorcontrib><creatorcontrib>Scott, James G.</creatorcontrib><creatorcontrib>McSwan, Kelli L.</creatorcontrib><creatorcontrib>Bharucha, Kersi J.</creatorcontrib><title>Analyzing the subcortical dementia syndrome of Parkinson’s disease using the RBANS</title><title>Archives of clinical neuropsychology</title><addtitle>Arch Clin Neuropsychol</addtitle><description>On mental status examinations, groups of equally impaired patients with subcortical (Huntington’s disease, HD; Parkinson’s disease, PD) or cortical (Alzheimer’s disease, AD) dementias exhibit different patterns of neuropsychological deficits. Using the Repeatable Battery for Assessment of Neuropsychological Status (RBANS), classification accuracies of 90% or greater have been reported for individual patients with AD or HD. To test the generality of the RBANS classification algorithm, we studied patients with dementia (AD and PDD) and without dementia (PDND). Classification accuracies were AD: 87%, PDD: 78%, and PDND: 39%. Comparisons of performance on subtests of the RBANS showed that all groups performed more poorly on tests that require motor skill or rapid information processing and that memory performance by the PD groups was not improved by procedures that enhance encoding and facilitate retrieval. The RBANS is useful for discriminating patterns of cognitive impairment in PD and AD, but only if the diagnosis of dementia is established independent of the RBANS test results. Cognitive slowing is not specific to subcortical dementia and current concepts of memory dysfunction in PD may require re-examination.</description><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Alzheimer Disease - diagnosis</subject><subject>Alzheimer’s disease</subject><subject>Biological and medical sciences</subject><subject>Cortical dementia</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia - diagnosis</subject><subject>Dementia - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Huntington Disease - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Status Schedule</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Parkinson Disease - complications</subject><subject>Parkinson’s disease</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>RBANS</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Subcortical dementia</subject><subject>Syndrome</subject><issn>0887-6177</issn><issn>1873-5843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM9u1DAQhy1ERZeFRwDlAoJDYCZxYudULRW0SBUgWs6WY0_AkDjFkyBtT7wGr8eTkHaXPzdOI42-329GnxAPEJ4hYP38HLRWeY1KPYHiKQBKnetbYoValXmlZXlbrP4gh-Iu82cAqBCLO-IQZdWglPVKXGyi7bdXIX7Mpk-U8dy6MU3B2T7zNFCcgs14G30aB8rGLntn05cQeYw_v__gzAcmy5TN_Lvg_YvNm_N74qCzPdP9_VyLD69eXhyf5mdvT14fb85yJys15YWyrqmdcqVsbUPQWdU2UEBZ-7atZbcsQHZONr7CWpWeunrZldpDIdFjVa7F413vZRq_zsSTGQI76nsbaZzZKCwlwuJiLaod6NLInKgzlykMNm0NgrnWaW50mmtXBgpzo9PoJfdwf2BuB_J_U3t_C_BoD1henHXJRhf4H07ppqhw4Y52HC06vgVKhl2g6MiHRG4yfgz_eeUXsviS0A</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>Beatty, William W.</creator><creator>Ryder, Katherine A.</creator><creator>Gontkovsky, Samuel T.</creator><creator>Scott, James G.</creator><creator>McSwan, Kelli L.</creator><creator>Bharucha, Kersi J.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</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>7X8</scope></search><sort><creationdate>20030701</creationdate><title>Analyzing the subcortical dementia syndrome of Parkinson’s disease using the RBANS</title><author>Beatty, William W. ; Ryder, Katherine A. ; Gontkovsky, Samuel T. ; Scott, James G. ; McSwan, Kelli L. ; Bharucha, Kersi J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-27ac96c7c34ba9e0fa7b902036dbb64f0fa04fc49d51673def6f0f38d0241d153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Alzheimer Disease - diagnosis</topic><topic>Alzheimer’s disease</topic><topic>Biological and medical sciences</topic><topic>Cortical dementia</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Dementia - diagnosis</topic><topic>Dementia - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Huntington Disease - complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Status Schedule</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Organic mental disorders. Neuropsychology</topic><topic>Parkinson Disease - complications</topic><topic>Parkinson’s disease</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>RBANS</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Subcortical dementia</topic><topic>Syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beatty, William W.</creatorcontrib><creatorcontrib>Ryder, Katherine A.</creatorcontrib><creatorcontrib>Gontkovsky, Samuel T.</creatorcontrib><creatorcontrib>Scott, James G.</creatorcontrib><creatorcontrib>McSwan, Kelli L.</creatorcontrib><creatorcontrib>Bharucha, Kersi J.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</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>MEDLINE - Academic</collection><jtitle>Archives of clinical neuropsychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beatty, William W.</au><au>Ryder, Katherine A.</au><au>Gontkovsky, Samuel T.</au><au>Scott, James G.</au><au>McSwan, Kelli L.</au><au>Bharucha, Kersi J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analyzing the subcortical dementia syndrome of Parkinson’s disease using the RBANS</atitle><jtitle>Archives of clinical neuropsychology</jtitle><addtitle>Arch Clin Neuropsychol</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>18</volume><issue>5</issue><spage>509</spage><epage>520</epage><pages>509-520</pages><issn>0887-6177</issn><eissn>1873-5843</eissn><coden>ACNEET</coden><abstract>On mental status examinations, groups of equally impaired patients with subcortical (Huntington’s disease, HD; Parkinson’s disease, PD) or cortical (Alzheimer’s disease, AD) dementias exhibit different patterns of neuropsychological deficits. Using the Repeatable Battery for Assessment of Neuropsychological Status (RBANS), classification accuracies of 90% or greater have been reported for individual patients with AD or HD. To test the generality of the RBANS classification algorithm, we studied patients with dementia (AD and PDD) and without dementia (PDND). Classification accuracies were AD: 87%, PDD: 78%, and PDND: 39%. Comparisons of performance on subtests of the RBANS showed that all groups performed more poorly on tests that require motor skill or rapid information processing and that memory performance by the PD groups was not improved by procedures that enhance encoding and facilitate retrieval. The RBANS is useful for discriminating patterns of cognitive impairment in PD and AD, but only if the diagnosis of dementia is established independent of the RBANS test results. 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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adult and adolescent clinical studies Aged Aged, 80 and over Algorithms Alzheimer Disease - diagnosis Alzheimer’s disease Biological and medical sciences Cortical dementia Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Dementia - diagnosis Dementia - etiology Female Humans Huntington Disease - complications Male Medical sciences Mental Status Schedule Middle Aged Neurology Neuropsychological Tests Organic mental disorders. Neuropsychology Parkinson Disease - complications Parkinson’s disease Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry RBANS Reproducibility of Results Sensitivity and Specificity Subcortical dementia Syndrome |
| title | Analyzing the subcortical dementia syndrome of Parkinson’s disease using the RBANS |
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