Summary
The term “mild cognitive impairment” refers to cognitive deficits which exceed normal physiological aging processes, but do not fulfill the criteria for dementia. While recent studies indicate that the respective deficits can be reliably assessed, different diagnostic criteria have prevented a wide application of this diagnosis in clinical practice. The aims of the present study were (1) to assess the prevalence rates of four current diagnostic concepts and (2) to investigate mild cognitive impairment with respect to psychological and sociodemographic variables. Data from 202 probands recruited from the interdisciplinary longitudinal study on adult development were analyzed. On the time of examination, probands were between 60 to 64 years old and in a good health. The following prevalence rates were determined: 13.5% for age-associated memory impairment (AAMI), 6.5% for age-consistent memory impairment (ACMI), 1.5% for late-life forgetfulness (LLF), and 23.5% for aging-associated cognitive decline (AACD). Complaints of cognitive deficits were significantly correlated with higher scores on depression and neuroticism scales but with none of the neuropsychological measures. Reduced performance in neuropsychological tests was associated with a lower educational level and socioeconomic status. We conclude that the prevalence rates of mild cognitive impairment are highly dependant on the diagnostic criteria applied. In this respect the self-report of cognitive decline might be a less useful criteria. Longitudinal studies are warranted to further eludicate the predictive value of these diagnostic criteria.
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References
Barker A, Jones R, Jennison Ch (1995) A prevalence study of age-associated memory impairment. Br J Psychiatry 167: 642–648
Blackford RC, La Rue A (1989) Criteria for diagnosing age-associated memory impairment: proposed improvements from the field. Dev Neuropsych 5(4): 295–306
Borkenau O, Ostendorf F (1993) NEO-Fünf-Faktoren-Inventar nach Costar und McCrae. Hogrefe, Göttingen
Brickenkamp R (1978) Test d2. Aufmerksamkeits-Belastungs-Test. Hogrefe, Göttingen
Cooper B, Bickel H, Schäufele M (1996) Early development and progression of dementing illness in the elderly: a general-practice based study. Psychol Med 26: 411–419
Coria F, Gomez de Caso JA, Minguez L, Rodriuez Artalejo F, Claveria LE (1993) Prevalence of age-associated memory impairment and dementia in a rural community. J Neurol Neurosurg Psychiatry 56: 973–976
Creed F (1997) Assessing depression in the context of physical illness. In: Robertson MM, Katona CLE (eds) Depression and physical illness. John Wiley & Sons, Chichester New York Weinheim Brisbane Singapore Toronto
Crook T, Bartus RT, Ferris SH, Whitehouse P, Cohen GD, Gershon S (1986) Ageassociated memory impairment: proposed diagnostic criteria and measures of clinical change (NIMH-Workgroup). Dev Neuropsych 2(4): 261–276
Crook TH (1989) Diagnosis and treatment of normal and pathologic memory impairment in later life. Semin Neurol 9: 20–30
Derousné C, Kalafat M, Guez D, Malbezin M, Poitrenaud J (1994) The age-associated memory impairment construct revisited. Int J Ger Psychiatry 9: 577–587
Ebly EM, Hogan DB, Parhad IM (1995) Cognitive impairment in the nondemented elderly: results from the Canadian study of health and aging. Arch Neurol 52: 612–619
Feher EP, Larrabee GJ, Sudilovsky A, Crook TH (1994) Memory self-report in Alzheimer’s disease and in age-associated memory impairment. J Ger Psychiatry Neurol 7(1): 58–65
Hänninen T, Koivisto K, Reinikainen KJ, Helkala EL, Soininen H, Mykkänen L, Laakso M, Riekkinen PJ (1996) Prevalence of ageing-associated cognitive decline in an elderly population. Age Ageing 25: 201–205
Horn WC (1983) Leistungsprüfsystem. Hogrefe, Göttingen
Jolles J, Verhey FRJ, Riedel WJ, Houx PJ (1995) Cognitive impairment in elderly people. Predisposing factors and implications for experimental drug studies. Drugs Aging 7(6): 459–479
Jorm AF, Christensen H, Korten AE, Hendersson AS, Jacomb PA, Mackinnon A (1997) Do cognitive complaints either predict future cognitive decline or reflect past cognitive decline? A longitudinal study of an elderly community sample. Psychol Med 27: 91–98
Kalmijn S, Feskens EJM, Launer LJ, Kromhout D (1997) Longitudinal study of the effect of apolipoprotein e4 allele on the association between education and cognitive decline in elderly men. BMJ 314: 34–35
Katzmann R (1993) Education and the prevalence of dementia and Alzheimer’s disease. Neurology 43: 13–20
Larrabee GJ, Crook III TH (1994) Estimated prevalence of age-associated memory impairment derived from standardized tests of memory function. Int Psychogeriatr 1: 95–104
Levy R (1994) Aging-associated cognitive decline. Int Psychogeriatr 6(1): 63–68
McGlone J, Gupta S, Humphrey D, Oppenheimer S, Mirsen T, Evans DR (1990) Screening for early dementia using memory complaints from patients and relatives. Arch Neurol 47: 1189–1193
Oswald WD, Fleischmann VM (1991) Nürnberger-Alters-Inventar. Universität Erlangen-Nürnberg, Erlangen-Nürnberg
Petersen RC, Smith GE, Ivnik RJ, Tangalos EG, Schaid DJ, Thibodeau SN, Kokmen E, Waring SC, Kurland LT (1995) Apolipoprotein E status as a predictor of the development of Alzheimer’s disease in memory impaired individuals. JAMA 273: 1274–1278
Ritchie K, Leibovici D, Ledésert B, Touchon J (1996) A typology of sub-clinical senescent cognitive disorder. Br J Psychiatry 168: 470–476
Small GW, LaRue A, Komo S, Kaplan A (1997) Mnemonics usage and cognitive decline in age-associated memory impairment. Int Psychogeriatr 9: 47–56
Smith G, Ivnik RJ, Petersen RC, Malec JF, Kokmen E, Tangalos E (1991) Age-associated memory impairment diagnoses: problems of reliability and concerns for terminology. Psychol Aging 4: 551–558
Tewes W (1991) HAWIE-R. Hamburg-Wechsler-Intelligenztest für Erwachsene. Revision. Huber, Bern Stuttgart
White L, Katzman R, Losonczy K, Salive M, Wallace R, Berkman L, et al (1994) Association of education with incidence of cognitive impairment in three established populations for epidemiologic studies of the elderly. J Clin Epidemiol 47: 363–374
Wittchen H-U, Zaudig M, Schramm E, Spengler P, Mombour W, Klug J, Horn R (1991) Strukturiertes klinisches Interview für DSM-III-R. Beltz-Test, Göttingen
Zung WWK (1986) Self-rating depression scale. In: Collegium internationale psychiatry (eds) Internationale Skalen für Psychiatrie. Beltz-Test, Göttingen
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Schröder, J., Kratz, B., Pantel, J., Minnemann, E., Lehr, U., Sauer, H. (1998). Prevalence of mild cognitive impairment in an elderly community sample. In: Gertz, HJ., Arendt, T. (eds) Alzheimer’s Disease — From Basic Research to Clinical Applications. Journal of Neural Transmission. Supplementa, vol 54. Springer, Vienna. https://doi.org/10.1007/978-3-7091-7508-8_5
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DOI: https://doi.org/10.1007/978-3-7091-7508-8_5
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