Chung Jenny C C, Man David W K
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Honk Kong, SAR, China.
Dement Geriatr Cogn Disord. 2009;27(2):187-93. doi: 10.1159/000200467. Epub 2009 Feb 7.
BACKGROUND/AIM: The current knowledge of how self-appraised memory and cognitive function relates to informant reports and neuropsychological performances in mild cognitive impairment (MCI) is limited.
Sixty-nine older community-dwelling subjects with MCI and 86 adults with normal cognition (NC) were evaluated on self-appraised (Multifactorial Memory Questionnaire) and objective performance of memory and cognitive function (Mini-Mental State Examination, Fuld Object Memory Evaluation, Digit Span tests, Rivermead Behavioral Memory Test). Informant ratings on the subjects' cognitive and memory functioning (Informant Questionnaire on Cognitive Decline in the Elderly) were also obtained. The two groups (MCI, NC) did not significantly differ in mean age (79 +/- 5.29 vs. 77 +/- 5.33) and mean years of education (2.8 +/- 3.03 vs. 3.7 +/- 4.18).
Self-appraised satisfaction and ability of memory and cognitive functions did not correlate with informant reports and neuropsychological performances, but self-reported strategy use correlated with list recall and everyday memory tests in MCI.
Persons with MCI may show signs of diminished awareness towards their subtle impairments of memory and cognitive function, as indicated by informant reports and neuropsychological tests.
背景/目的:目前关于轻度认知障碍(MCI)患者自我评估的记忆和认知功能与知情者报告及神经心理学表现之间关系的了解有限。
对69名居住在社区的患有MCI的老年人和86名认知正常(NC)的成年人进行了自我评估(多因素记忆问卷)以及记忆和认知功能的客观表现评估(简易精神状态检查表、福尔迪物体记忆评估、数字广度测试、里弗米德行为记忆测试)。还获取了知情者对受试者认知和记忆功能的评分(老年人认知衰退知情者问卷)。两组(MCI组、NC组)在平均年龄(79±5.29岁对77±5.33岁)和平均受教育年限(2.8±3.03年对3.7±4.18年)方面无显著差异。
自我评估的记忆和认知功能满意度及能力与知情者报告和神经心理学表现无关,但自我报告的策略使用与MCI患者的列表回忆和日常记忆测试相关。
如知情者报告和神经心理学测试所示,MCI患者可能对其记忆和认知功能的细微损害表现出意识减弱的迹象。