Cognitive complaints, neuropsychological performance and affective disorders in elderly community residents

Rouch, Isabelle; Antérion, C. Thomas; Dauphinot, Virginie; Kerleroux, J.; Roche, Frédéric; Barthélémy, Jean‐Claude; Laurent, Bernard

doi:10.1080/09638280701667825

Cited by 29 publications

(29 citation statements)

References 39 publications

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“…This suggests that patients with complaints had more concerns about their situation in general and their cognitive status in particular and were thus, more likely to complain than the others. This hypothesis is in line with the results reported by Rouch et al [30] in non-institutionalized, elderly individuals.…”

Section: Discussionsupporting

confidence: 91%

Cognitive complaints in Parkinson’s disease: its relationship with objective cognitive decline

et al. 2009

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Cognitive complaint interviews (CCI) have been shown to be useful in the early detection of dementia in elderly people. Surprisingly, CCIs are rarely used in Parkinson's disease (PD), despite a six-fold higher risk of dementia than in healthy subjects. The present study sought to determine whether a structured CCI could detect cognitive decline in PD. A validated CCI was added to the usual clinical interview for 180 PD patients. Objective cognitive status was assessed by the Mattis dementia rating scale score. The CCIs ability to detect cognitive decline in PD patients was determined using a receiver operating characteristic (ROC) curve. 58 (32.22%) patients had a significant, subjective cognitive complaint (CCI score >3). Of these, 48.27% had objective cognitive decline. Objective cognitive decline was significantly more frequent in the patients with subjective cognitive complaint. However, the ROC curve for discriminating between patients with and without objective cognitive deficits as a function of their subjective cognitive complaint had low sensitivity (0.50, 95% CI: 0.36-0.64) and moderate specificity (0.74, 95% CI: 0.69-0.84). Logistic regression incorporating the main demographical and clinical variables showed that the CCI score's discriminant power was improved by adding age and the number of years in education to the predictive model. Objective cognitive decline and dementia are more frequent among PD patients reporting a cognitive complaint than among patients not reporting a complaint. However, the CCI does not enable more accurate screening for PD-associated dementia.

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Section: Discussionsupporting

confidence: 91%

Cognitive complaints in Parkinson’s disease: its relationship with objective cognitive decline

et al. 2009

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“…Gait speed has been described as a good summary measure of a person’s overall ability to compensate for decline in multiple body systems [27] including sensorimotor and cognitive function [28, 29], which are also common risk factors for falls. Subjective cognitive complaints may also reflect actual cognitive impairment [30, 31], but in addition are associated with psychological distress [32] and personality traits such as neuroticism, perceived stress, and ineffective coping styles [33]. Interestingly, these psychological factors are associated with increased falls risk, with the underlying mechanisms largely unknown, but potentially related to fear of falling, reductions in physical activity, or centrally acting medications [34–37].…”

Section: Discussionmentioning

confidence: 99%

Motoric Cognitive Risk Syndrome and Falls Risk: A Multi-Center Study

Callisaya

Ayers

Barzilai

et al. 2016

JAD

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Background The Motoric Cognitive Risk Syndrome (MCR) is characterized by slow gait speed and cognitive complaints. Objectives The objective of this study was to determine if the presence of MCR increases the risk of falls in older people. Methods Individual participant data (n = 6,204) from five longitudinal studies from three countries were used for this analysis. MCR diagnosis was defined as both the presence of objectively measured slow gait speed and subjective cognitive complaints in those without dementia or mobility disability. Falls were prospectively ascertained using phone calls or questionnaires. Log binomial regression was performed to determine if MCR increased the risk of falls separately in each cohort. Random effects meta-analysis was used to pool results from all cohorts. Results The mean age of participants was 74.9 (SD 6.8) years and 44% (n = 2728) were male. Overall 33.9% (n = 2104) reported a fall over follow-up. Pooled relative risk of MCR with any falls was RR 1.44 95% CI 1.16, 1.79. The components of MCR, slow gait (RR 1.30 95% CI 1.14, 1.47) and cognitive complaint (RR 1.25, 95% CI 1.07, 1.46) were also associated with an increased risk of any falls. In sub-analyses MCR was associated with any fall independent of previous falls (RR 1.29 95% CI 1.09, 1.53) and with multiple falls (RR 1.77, 95% CI 1.25, 2.51). Conclusion MCR is associated with an increased risk of falls. The increase in risk was higher than for its individual components. The simplicity of the MCR makes it an attractive falls risk screening tool for the clinic.

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“…In the context of cognitive failure and cognitive complaints, history taking prior to neurological or neuropsychological examination asks for domain-specific, self-reported problems. Recent work, however, suggests that individuals' cognitive complaints poorly match objective, domainspecific deficits on neuropsychological examination (Rouch, Anterion, Dauphinot, Kerleroux, Roche et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Insight in Cognition: Self-Awareness of Performance Across Cognitive Domains

Schoo

Zandvoort

Biessels

et al. 2012

Applied Neuropsychology: Adult

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Loss of cognitive functions, as apparent through self-awareness, is considered an important indicator of cognitive deficits and is therefore commonly used in clinical practice. However, little is known about self-awareness of cognitive performance, including its accuracy, its basis, and whether people can distinguish their performance across different cognitive domains. In the present study, 20 university students (M (age) = 21.7 ± 2.2 years, 9 males) and 20 middle-aged participants (M (age) = 52.8 ± 3.9 years, 10 males) gave estimations of their performances on executive functioning, memory, attention, and visuoperception before and after confrontation with their capacities. A repeated-measures analysis of variance with age group as a between-subjects factor was performed on the calculated estimation errors, before and after neuropsychological testing. Overall, the estimation errors were significantly higher before than after experience with test performance, ps < .01, partial η²s = .17. An overall effect of domain (four levels), ps < .001, partial η²s = .22 was found. These results suggest that self-awareness is domain-specific, and although it is adaptive to the experience of mental effort, it is most dependent on preexisting beliefs about one's own cognitive abilities.

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Cognitive complaints, neuropsychological performance and affective disorders in elderly community residents

Abstract: Cognitive complaints of the elderly can reflect objective memory and executive-performance impairments, independent of affective disorders. Cognitive complaints should be assessed using both memory and executive-performance tests.

Cited by 29 publications

References 39 publications

Cognitive complaints in Parkinson’s disease: its relationship with objective cognitive decline

Cognitive complaints in Parkinson’s disease: its relationship with objective cognitive decline

Motoric Cognitive Risk Syndrome and Falls Risk: A Multi-Center Study

Insight in Cognition: Self-Awareness of Performance Across Cognitive Domains

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