Abstract
The objective is to evaluate the prognosis of subjective cognitive complaints (SCC) patients during 4-year follow-up. A prospective study on 92 SCC patients investigating their cognitive, affective and behavioural aspects. SCC patients were classified as having no objective cognitive impairment (NOCI), mild cognitive impairment (MCI), or subtypes of MCI. Results: 43 patients were found to have NOCI and 49 MCI. During the follow-up, 45.5% of NOCI patients remained unchanged, 13.9% were diagnosed as MCI and only one progressed to dementia. Of the MCI patients, 32.3% remained stable, 18.4% became demented and 4% reverted to NOCI. Visual attention, behavioural memory, long-term verbal memory, apathy and caregiver distress, provided independent predictors of progression to dementia.
Similar content being viewed by others
References
Abdulrab K, Heun R (2008) Subjective memory impairment a review of its definitions indicates the need for a comprehensive set of standardised and validated criteria. Eur Psychiatry 23:321–330
Association American Psychiatric (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Press, Washington, DC
Amieva H, Letenneur L, Dartigues JF, Rouch-Leroyer I, Sourgen C, Chee-Biree F, Dib M, Barberger-Gateau P, Orgogozo JM, Fabrigoule C (2004) Annual rate and predictors of conversion to dementia in subjects presenting mild cognitive impairment criteria defined according to a population-based study. Dement Geriatr Cogn Disord 18:87–93
Apostolova LG, Cummings JL (2008) Neuropsychiatric manifestations in mild cognitive impairment: a systematic review of the literature. Dement Geriatr Cogn Disord 25:115–126
Barnes LL, Schneider JA, Boyle PA, Bienias JL, Bennett DA (2006) Memory complaints are related to Alzheimer disease pathology in older persons. Neurology 67:1581–1585
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571
Caffarra P, Vezzadini G, Dieci F (2002) Una versione abbreviata del test di Stoop: dati nomativi nella popolazione italiana. Nuova Rivista di Neurologia 12:111–115
Carlesimo GA, Caltagirone C, Gainotti G (1996) The mental deterioration battery: normative data, diagnostic reliability and qualitative analyses of cognitive impairment. The Group for the Standardization of the Mental Deterioration Battery. Eur Neurol 36:378–384
Comijs HC, Deeg DJ, Dik MG, Twisk JW, Jonker C (2002) Memory complaints; the association with psycho-affective and health problems and the role of personality characteristics. A 6-year follow-up study. J Affect Disord 72:157–165
Crook TH III, Feher EP, Larrabee GJ (1992) Assessment of memory complaint in age-associated memory impairment: the MAC-Q. Int Psychogeriatry 4:165–176
Cummings JL (1997) The neuropsychiatric Inventory: assessing psychopathology in dementia patients. Neurology 48:S10–S16
De Renzi E, Faglioni P, Ruggerini C (1977) Prove di Memoria verbale d’impiego clinico per la diagnosi di amnesia. Arch Psicol Neurol Psichiatr 3:303–318
Fischer P, Jungwirth S, Zehetmayer S, Weissgram S, Hoenigschnabl S, Gelpi E, Krampla W, Tragl KH (2007) Conversion from subtypes of mild cognitive impairment to Alzheimer dementia. Neurology 68:288–291
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
Gallassi R, Bisulli A, Oppi F, Poda R, Di Felice C (2008) Subjective cognitive complaints, neuropsychological performance, affective and behavioural symptoms in non-demented patients. Int J Geriatr Psychiatry 23:95–101
Gallassi R, Lenzi P, Stracciari A, Lorusso S, Ciardulli C, Morreale A, Mussuto V (1986) Neuropsychological assessment of mental deterioration: purpose of a brief battery and a probabilistic definition of “normality” and “non-normality”. Acta Psychiatr Scand 74:62–67
Gallassi R, Morreale A, Di Sarro R, Lorusso S (2002) Value of clinical data and neuropsychological measures in probable Alzheimer’s disease. Arch Gerontol Geriatrics 34:123–134
Jessen F, Wiese B, Cvetanovska G, Fuchs A, Kaduszkiewicz H, Kolsch H, Luck T, Mosch E, Pentzek M, Riedel-Heller SG, Werle J, Weyerer S, Zimmermann T, Maier W, Bickel H (2007) Patterns of subjective memory impairment in the elderly: association with memory performance. Psychol Med 37:1753–1762
Kazui H, Matsuda A, Hirono N, Mori E, Miyoshi N, Ogino A, Tokunaga H, Ikejiri Y, Takeda M (2005) Everyday memory impairment of patients with mild cognitive impairment. Dement Geriatr Cogn Disord 19:331–337
Knopman DS, Boeve BF, Parisi JE, Dickson DW, Smith GE, Ivnik RJ, Josephs KA, Petersen RC (2005) Antemortem diagnosis of frontotemporal lobar degeneration. Ann Neurol 57:480–488
Lautenschlager NT, Flicker L, Vasikaran S, Leedman P, Almeida OP (2005) Subjective memory complaints with and without objective memory impairment: relationship with risk factors for dementia. Am J Geriatr Psychiatry 13:731–734
Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186
McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34:939–944
Measso G, Cavarzeran F, Zappala G, Lebowitz BD, Crook TH, Pirozzolo FJ, Amaducci LA, Massari D, Grigoletto F (1993) The Mini-Mental-State-Examination—normative study of an Italian random sample. Dev Neuropsychol 9:77–85
Metternich B, Schmidtke K, Hull M (2009) How are memory complaints in functional memory disorder related to measures of affect, metamemory and cognition? J Psychosom Res 66:435–444
Minett TS, Dean JL, Firbank M, English P, O’Brien JT (2005) Subjective memory complaints, white-matter lesions, depressive symptoms, and cognition in elderly patients. Am J Geriatr Psychiatry 13:665–671
Mitchell AJ (2008) Is it time to separate subjective cognitive complaints from the diagnosis of mild cognitive impairment? Age Ageing 37:497–499
Mitchell AJ (2008) The clinical significance of subjective memory complaints in the diagnosis of mild cognitive impairment and dementia: a meta-analysis. Int J Geriatr Psychiatry 23:1191–1202
Mitchell AJ (2009) A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment. J Psychiatr Res 43:411–431
Novelli G, Papagno C, Capitani E, Laiacona M, Cappa S, Vallar G (1986) Tre test clinici di ricerca e produzione lessicale Taratura su soggetti normale. Arch Psicol Neurol Psichiatr 47:279–296
Petersen RC, Negash S (2008) Mild cognitive impairment: an overview. CNS Spectr 13:45–53
Reid LM, Maclullich AM (2006) Subjective memory complaints and cognitive impairment in older people. Dement Geriatr Cogn Disord 22:471–485
Ritchie K, Artero S, Touchon J (2001) Classification criteria for mild cognitive impairment: a population-based validation study. Neurology 56:37–42
Rozzini L, Chilovi BV, Conti M, Bertoletti E, Delrio I, Trabucchi M, Padovani A (2007) Conversion of amnestic mild cognitive impairment to dementia of Alzheimer type is independent to memory deterioration. Int J Geriatr Psychiatry 22:1217–1222
Schofield PW, Marder K, Dooneief G, Jacobs DM, Sano M, Stern Y (1997) Association of subjective memory complaints with subsequent cognitive decline in community-dwelling elderly individuals with baseline cognitive impairment. Am J Psychiatry 154:609–615
Spielberger CD, Vagg PR, Barker LR, Donahan GW, Westberry LG (1980) Stress and anxiety—the factor structure of the state-trait anxiety inventory. Hemisphere Publishing Corporation, Washington, DC
Spinnler H, Tognoni G (1987) Standardizzazione e taratura italiana di test neuropsicologici. Ital J Neurol Sci 6(Suppl 8):1–120
Tabert MH, Manly JJ, Liu X, Pelton GH, Rosenblum S, Jacobs M, Zamora D, Goodkind M, Bell K, Stern Y, Devanand DP (2006) Neuropsychological prediction of conversion to Alzheimer disease in patients with mild cognitive impairment. Arch Gen Psychiatry 63:916–924
Tobiansky R, Blizard R, Livingston G, Mann A (1995) The Gospel Oak Study stage IV: the clinical relevance of subjective memory impairment in older people. Psychol Med 25:779–786
van der Flier WM, Pijnenburg YA, Schoonenboom SN, Dik MG, Blankenstein MA, Scheltens P (2008) Distribution of APOE genotypes in a memory clinic cohort. Dement Geriatr Cogn Disord 25:433–438
Vestberg S, Passant U, Risberg J, Elfgren C (2007) Personality characteristics and affective status related to cognitive test performance and gender in patients with memory complaints. J Int Neuropsychol Soc 13:911–919
von Gunten A, Ron MA (2004) Hippocampal volume and subjective memory impairment in depressed patients. Eur Psychiatry 19:438–440
Wilson BA, Cockburn J, Baddeley AD (1990) Rivermead behavioural memory test manual. Organizzazioni Speciali, Firenze
Acknowledgments
This work was partially funded by an educational grant no. 2006.3251 from the Fondazione Carisbo, Bologna, Italy.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gallassi, R., Oppi, F., Poda, R. et al. Are subjective cognitive complaints a risk factor for dementia?. Neurol Sci 31, 327–336 (2010). https://doi.org/10.1007/s10072-010-0224-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-010-0224-6