Department of Geriatric Psychiatry, Clinical Sciences, Lund University Hospital, SE-221 85 Lund, Sweden.
Arch Gerontol Geriatr. 2010 May-Jun;50(3):e26-30. doi: 10.1016/j.archger.2009.04.018. Epub 2009 Jun 10.
The objectives of this study were to examine potential clinical and neuropsychological changes over time in non-demented patients with subjective memory complaints (<or=70 years) and to compare the patients with objective memory impairment (OMI) with those who suffer from subjective memory impairment (SMI). OMI and SMI patients did not differ regarding duration of memory problems, age or education. At baseline no differences were revealed between the OMI and SMI patients regarding self-reported cognitive deficits, self-reported worry about deficits, and symptoms of anxiety or depression. None of the patients had converted to dementia at follow-up. Eighty percent of the OMI patients and 61% of the SMI patients reported cognitive deficits to the same degree at follow-up as at baseline. Despite a significant reduction of depressive symptoms in the OMI patients, a considerable portion of both OMI and SMI patients scored above the cut off score on both anxiety and depression subscales at baseline as well as at follow-up. Our study reveals close points of similarity between patients with memory complaints, verified by test, and patients with memory complaints, not verified by test, as well as stability over time regarding important clinical aspects.
本研究的目的是观察无痴呆、有主观记忆主诉(<或=70 岁)的患者在一段时间内潜在的临床和神经心理学变化,并比较有客观记忆损害(OMI)和有主观记忆损害(SMI)的患者。OMI 和 SMI 患者在记忆问题持续时间、年龄和教育程度方面没有差异。在基线时,OMI 和 SMI 患者在自我报告的认知缺陷、对缺陷的担忧、焦虑或抑郁症状方面没有差异。在随访中,没有患者转为痴呆。80%的 OMI 患者和 61%的 SMI 患者在随访时报告的认知缺陷与基线时相同。尽管 OMI 患者的抑郁症状显著减轻,但在基线和随访时,OMI 和 SMI 患者中有相当一部分患者在焦虑和抑郁分量表上的得分都高于临界值。我们的研究揭示了经过测试证实有记忆主诉的患者和未经测试证实有记忆主诉的患者之间的相似之处,以及在重要临床方面随时间的稳定性。