Center for Language and Brain, HSE University, Moscow, Russia.
Day Hospital Memory Clinic, Mental Health Clinic No. 1 named after N.A. Alexeev, Moscow, Russia.
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2024 Sep;31(5):795-822. doi: 10.1080/13825585.2023.2270209. Epub 2023 Oct 22.
To diagnose mild cognitive impairment, it is crucial to understand whether subjective cognitive complaints reflect objective cognitive deficits. This question has mostly been investigated in the memory domain, with mixed results. Our study was one of the first to address it for language. Participants were 55-to-93-year-old memory clinic patients ( = 163). They filled in a questionnaire about subjective language and memory complaints and performed two language tasks (naming-by-definition and sentence comprehension). Greater language complaints were associated with two language measures, thus showing a moderate value in predicting language performance. Greater relative severity of language versus memory complaints was a better predictor, associated with three language performance measures. Surprisingly, greater memory complaints were associated with better naming, probably due to anosognosia in further disease progression or personality-related factors. Our findings highlight the importance of relative complaint severity across domains and, clinically, call for developing self-assessment questionnaires asking specific questions about multiple cognitive functions.
为了诊断轻度认知障碍,了解主观认知抱怨是否反映客观认知缺陷至关重要。这个问题主要在记忆领域进行了研究,结果喜忧参半。我们的研究是第一个针对语言领域的研究之一。参与者是 55 岁至 93 岁的记忆诊所患者( = 163)。他们填写了一份关于主观语言和记忆抱怨的问卷,并完成了两项语言任务(定义命名和句子理解)。更多的语言抱怨与两项语言指标相关,因此在预测语言表现方面具有中等价值。语言相对于记忆抱怨的相对严重程度是一个更好的预测指标,与三项语言表现指标相关。令人惊讶的是,更多的记忆抱怨与更好的命名相关,这可能是由于疾病进一步进展或与人格相关的因素导致的认知失认症。我们的研究结果强调了跨领域相对抱怨严重程度的重要性,从临床角度来看,呼吁开发自我评估问卷,询问关于多种认知功能的具体问题。