Department of Neuroscience, Tor Vergata University, Rome, Italy.
Neuropsychol Rev. 2011 Mar;21(1):54-65. doi: 10.1007/s11065-010-9153-7. Epub 2010 Nov 18.
Aim of the present review paper was to evaluate the hypothesis (included in the proposal of new research criteria for Alzheimer's disease; Dubois et al., Lancet Neurology, 6, 734-746, 2007) that a neuropsychological tool which provides support for the semantic encoding of memorandum at the time of study and supplies category cues at the time of retrieval (i.e. the Grober-Buschke paradigm) is more effective than traditional measures of free recall in 1) differentiating patients affected by the amnestic form of Mild Cognitive Impairment (MCI) or by mild to moderate forms of Alzheimer's disease (AD) from healthy matches, 2) predicting the conversion of individuals with MCI to AD, and 3) differentiating AD patients from individuals affected by other forms of dementia. Results of the review are controversial regarding the superiority of the Grober-Buschke procedure in differentiating individuals affected by AD or MCI from healthy individuals. The only study that evaluated this issue directly found that the Grober-Buschke procedure was more sensitive and specific than more traditional memory tests in predicting the conversion of MCI patients to AD. Finally, two studies reported that patients affected by AD or other forms of dementia showed different performance patterns in the free and cued recall tasks of the Grober-Buschke procedure. In conclusion, although encouraging results are reported in the few studies that investigated the ability of this procedure to predict the evolution of individuals with amnestic MCI and to differentiate AD patients from patients with other forms of cortical and subcortical dementia, more experimental work is needed to confirm these positive findings.
本综述论文的目的是评估这一假设(包含在阿尔茨海默病新研究标准的提案中;Dubois 等人,《柳叶刀神经病学》,6,734-746,2007),即一种神经心理学工具,它在学习时提供记忆的语义编码支持,并在检索时提供类别线索(即 Grober-Buschke 范式),比传统的自由回忆测量方法更有效地在 1)区分受遗忘型轻度认知障碍(MCI)或轻度至中度阿尔茨海默病(AD)影响的患者与健康匹配者,2)预测 MCI 患者向 AD 的转化,以及 3)区分 AD 患者与受其他形式痴呆影响的个体。关于 Grober-Buschke 程序在区分 AD 或 MCI 患者与健康个体方面的优越性,综述结果存在争议。唯一一项直接评估这一问题的研究发现,Grober-Buschke 程序在预测 MCI 患者向 AD 的转化方面比更传统的记忆测试更敏感和特异。最后,两项研究报告称,AD 或其他形式痴呆的患者在 Grober-Buschke 程序的自由和提示回忆任务中表现出不同的模式。总之,尽管少数研究报告了该程序预测遗忘型 MCI 患者演变和区分 AD 患者与其他形式皮质和皮质下痴呆患者的能力的令人鼓舞的结果,但需要更多的实验工作来证实这些积极发现。