预测轻度认知缺陷（MCI）的稳定性：一个社区样本调查的发现

Title:Predicting Stability of Mild Cognitive Impairment (MCI): Findings of a Community Based Sample

Volume: 14 Issue: 6

关键词: 轻度意识缺陷（MCI），阿尔兹海默病（AD），意识功能，记忆，纵向调查，神经心理学。

摘要: Background: Mild Cognitive Impairment (MCI) is a risk factor for Alzheimer’s disease (AD) and other forms of dementia. However, much heterogeneity concerning neuropsychological measures, prevalence and progression rates impedes distinct diagnosis and treatment implications.

Objective: Aim of the present study was the identification of specific tests providing a high certainty for stable MCI and factors that precipitate instability of MCI in a community based sample examined at three measurement points.

Method: 130 participants were tested annually with an extensive test battery including measures of memory, language, executive functions, intelligence and dementia screening tests. Exclusion criteria at baseline comprised, severe cognitive deficits (e.g. diagnosis of dementia, psychiatric or neurological disease). Possible predictors for stability or instability of MCI-diagnosis were analyzed using Regression and Receiver Operating Characteristic (ROC) curve analysis. Age, IQ and APOE status were tested for moderating effects on the interaction of test performances and group membership.

Results: A high prevalence of MCI (49%) was observed at baseline with a reversion rate of 18% after two years. Stability of MCI was related to performances in four measures (VLMT: delayed recall, CERAD: recall drawings, CERAD: Boston Naming Test, Benton Visual Retention Test: number of mistakes). Conversion to MCI is associated with language functions. Reversion to ‘normal’ was primarily predicted by single domain impairment. There was no significant influence of demographic, medical or genetic variables.

Conclusion: The results highlight the role of repeated measurements for a reliable identification of functional neuropsychological predictors and better diagnostic reliability. In cases of high uncertainty close monitoring over time is needed in order of estimating outcome.

Cite this article as:

Predicting Stability of Mild Cognitive Impairment (MCI): Findings of a Community Based Sample, Current Alzheimer Research 2017; 14 (6) . https://dx.doi.org/10.2174/1567205014666161213120807

DOI https://dx.doi.org/10.2174/1567205014666161213120807	Print ISSN 1567-2050
Publisher Name Bentham Science Publisher	Online ISSN 1875-5828