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The neuropsychiatric profile of Parkinson’s disease subjects with and without mild cognitive impairment

  • Neurology and Preclinical Neurological Studies - Original Article
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Abstract

Neuropsychiatric symptoms (NPS) are common clinical features of Parkinson’s disease (PD). However, NPS profiles in PD subjects with mild cognitive impairment (MCI) have scarcely been investigated. We aimed to describe the NPS profiles of non-demented PD subjects with and without MCI. A total of 410 non-demented PD subjects were included. Of these, 164 were cognitively normal PD subjects (PD-cn), 142 PD had amnestic MCI (PD-aMCI), and 104 had PD with non-amnestic MCI (PD-naMCI). NPS were evaluated in accordance with the Neuropsychiatric Inventory (NPI). PD-aMCI subjects revealed the highest NPS burden, followed by PD-naMCI and then PD-cn. Overall, the most common NPS in PD-MCI were in order: depression, sleep disturbance, anxiety and apathy. Irritability was significantly associated with PD-aMCI and PD-naMCI. Prospective studies are required to evaluate the significance, clinical correlates and prognostic role of NPS in subject with PD-MCI.

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References

  • Aarsland D, Marsh L, Schrag A (2009) Neuropsychiatric symptoms in Parkinson’s disease. Mov Disord 24:2175–2186

    Article  PubMed  Google Scholar 

  • American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders: DSM-IV (text revision). American Psychiatric Association, Washington

    Google Scholar 

  • Appollonio I, Leone M, Isella V et al (2005) The frontal assessment battery (FAB): normative values in an Italian population sample. Neurol Sci 26:108–116

    Article  PubMed  CAS  Google Scholar 

  • Carlesimo GA, Caltagirone C, Gainotti G (1996) The mental deterioration battery: normative data, diagnostic reliability and quantitative analyses of cognitive impairment. Eur Neurol 36:378–384

    Article  PubMed  CAS  Google Scholar 

  • Cummings JL, Mega M, Gray K, Rosenberg-Thompson S, Carusi DA, Gornbein J (1994) The neuropsychiatric inventory: comprehensive assessment of psychopathology in dementia. Neurology 44:2308–2314

    Article  PubMed  CAS  Google Scholar 

  • Fahn S, Marsden CD, Calne DB, Goldstein M (eds) (1987) Recent developments in Parkinson’s Disease, vol 2. Macmillan Health Care Information, Florham Park, pp 153–163

    Google Scholar 

  • Folstein MF, Folstein SE, McHugh PR (1975) ‘Mini-mental state’: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198

    Article  PubMed  CAS  Google Scholar 

  • Giovagnoli AR, Del Pesce M, Mascheroni S, Simoncelli M, Laiacona M, Capitani E (1996) Trail making test: normative values from 287 normal adult controls. Ital J Neurol Sci 17:305–309

    Article  PubMed  CAS  Google Scholar 

  • Hoehn MM, Yahr MD (1967) Parkinsonism: onset, progression and mortality. Neurology 17:427–442

    Article  PubMed  CAS  Google Scholar 

  • Hughes CP, Berg L, Danziger WL, Coben LA, Martin RL (1982) A new clinical scale for the staging of dementia. Br J Psychiatry 140:566–572

    Article  PubMed  CAS  Google Scholar 

  • Hughes AJ, Daniel SE, Blankson S, Lees AJ (1993) A clinicopathologic study of 100 cases of Parkinson’s disease. Arch Neurol 50:140–148

    Article  PubMed  CAS  Google Scholar 

  • Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW (1963) Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA 185:914–919

    Article  PubMed  CAS  Google Scholar 

  • Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186

    Article  PubMed  CAS  Google Scholar 

  • Leroi I, Pantula H, McDonald K, Harbishettar V (2012) Neuropsychiatric symptoms in Parkinson’s disease with mild cognitive impairment and dementia. Parkinsons Dis 2012:308097

    PubMed  Google Scholar 

  • Litvan I, Aarsland D, Adler CH et al (2011) MDS Task Force on mild cognitive impairment in Parkinson’s disease: critical review of PD-MCI. Mov Disord 26:1814–1824

    Article  PubMed  Google Scholar 

  • Litvan I, Goldman JG, Tröster AI et al (2012) Diagnostic criteria for mild cognitive impairment in Parkinson’s disease: movement disorder society task force guidelines. Mov Disord 27:349–356

    Article  PubMed  Google Scholar 

  • Luzzatti C, Willmes K, De Bleser R et al (1994) New normative data for the Italian version of the Aachen Aphasia Test (AAT). Arch Psicol Neurol Psichiatria 55:1086–1131

    Google Scholar 

  • Mariani E, Monastero R, Mecocci P (2007) Mild cognitive impairment: a systematic review. J Alzheimers Dis 12:23–35

    PubMed  Google Scholar 

  • Monastero R, Di Fiore P, Ventimiglia GD et al (2012) Prevalence and profile of mild cognitive impairment in Parkinson’s disease. Neurodegener Dis 10:187–190

    Article  PubMed  CAS  Google Scholar 

  • Parmelee PA, Thuras PD, Katz IR, Lawton MP (1995) Validation of the Cumulative Illness Rating Scale in a geriatric residential population. J Am Geriatr Soc 43:130–137

    PubMed  CAS  Google Scholar 

  • Spinnler H, Tognoni G (1987) Italian group on the neuropsychological study of ageing: Italian standardization and classification of neuropsychological tests. Ital J Neurol Sci 6(suppl 8):1–120

    Google Scholar 

  • Tomlinson CL, Stowe R, Patel S, Rick C, Gray R, Clarke CE (2010) Systematic review of levodopa dose equivalency reporting in Parkinson’s disease. Mov Disord 25:2649–2653

    Article  PubMed  Google Scholar 

  • Warrington EK, James M (1991) The visual object and space perception battery. Thames Valley Test Company, Bury St. Edmunds

    Google Scholar 

  • WHO Collaborating Centre for Drug Statistics Methodology, Guidelines for ATC classification and DDD assignment 2012. Oslo, 2011

  • Winblad B, Palmer K, Kivipelto M et al (2004) Mild cognitive impairment: beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. J Intern Med 256:240–246

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was partially financially supported by grants from the Sicilian Regional Government (P.O. - P.S.R. ex art. 54, l.r. 30/93, 2000–2002) to R.C. and from the Italian Ministry of Health grant for Young Researchers to R.M. (GR-2007-686973).

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Correspondence to Roberto Monastero.

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Monastero, R., Di Fiore, P., Ventimiglia, G.D. et al. The neuropsychiatric profile of Parkinson’s disease subjects with and without mild cognitive impairment. J Neural Transm 120, 607–611 (2013). https://doi.org/10.1007/s00702-013-0988-y

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  • DOI: https://doi.org/10.1007/s00702-013-0988-y

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