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Originalia

Charakterisierung kognitiver Einbußen von Patienten mit “Mild Cognitive Impairment” (MCI) in der CERAD- Screeningbatterie

Published Online:https://doi.org/10.1024/1016-264X.16.3.139

Zusammenfassung: Die frühzeitige Diagnose kognitiver Abbauprozesse ist vor dem Hintergrund der “alternden Gesellschaft” von enormer Bedeutung. In der vorliegenden Arbeit wurde das Potenzial der CERAD-kognitiven Screeningbatterie als Untersuchungsprotokoll zur Diagnostik leichter kognitiver Beeinträchtigungen (MCI, Petersen et al., 1995) sowie als Verlaufsinstrument überprüft. Die Leistungen von 51 MCI-Patienten wurden mit 81 gesunden Kontrollpersonen verglichen. Die Leistungen der MCI-Gruppe unterschied sich in nahezu allen Subtests der CERAD-Batterie signifikant von denen der Kontrollgruppe. In der Verlaufsuntersuchung an einer Teilstichprobe (n = 18) fanden sich hingegen in der CERAD-Batterie keine signifikanten Veränderungen. Zusammenfassend lässt sich feststellen, dass die CERAD-Batterie bei leichten kognitiven Beeinträchtigungen ein ausreichend valides Screeninginstrument darstellt; für Verlaufsuntersuchungen scheint sie hingegen weniger gut geeignet zu sein.


Assessment of Deficits in Subjects with “Mild Cognitive Impairment” (MCI) Using CERAD

Abstract: This study addresses the usefulness of the CERAD cognitive screening battery as an early diagnostic tool to assess mild cognitive impairment (MCI, Petersen et al., 1995) and as instrument for evaluating its progression. The performance of 51 MCI-subjects was compared to 81 healthy age-matched controls. We found significant differences in cognitive performance between the two groups, in particular in verbal memory. In the 19 months follow-up study with 18 MCI-subjects no significant changes were found in the CERAD. In conclusion, the CERAD-Screening battery is a useful and sufficiently valid tool for the assessment of MCI but may have limited value for follow-up studies.

References

  • Blackford, R., La Rue, A. (1989). Criteria for diagnosing age-associated memory impairment: Proposed improvements from the field. Developmental Neuropsychology, 5, 295–306. First citation in articleCrossrefGoogle Scholar

  • Bozoki, A., Giordani, B., Heidebrink, J.L., Berent, S., Foster, N.L. (2001). Mild cognitive impairments predict dementia in nondemented elderly patients with memory loss. Archives of Neurology, 58, 411–416. First citation in articleCrossrefGoogle Scholar

  • Bschor, T., Kühl, K.P., Reischies, F.M. (2001). Spontaneous speech of patients with dementia of the Alzheimer type and mild cognitive impairment. International Psychogeriatrics, 13, 289–298. First citation in articleCrossrefGoogle Scholar

  • Burns, A., Zaudig, M. (2002). Mild cognitive impairment in older people. Lancet, 360, 1963–1965. First citation in articleCrossrefGoogle Scholar

  • Calabrese, P. (2000). Neuropsychologie der Alzheimer-Demenz. In P. Calabrese & H. Förstl (Hrsg.), Psychopathologie und Neuropsychologie der Demenzen (S. 31-67). Lengerich: Pabst. First citation in articleGoogle Scholar

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York: Erlbaum Lawrence Association. First citation in articleGoogle Scholar

  • Crook, T., Bartus, R., Ferris, S., Whitehouse, P., Cohen, G.D., Gershon, S. (1986). Age-associated memory impairment: Proposed diagnostic criteria and measures of clinical change - report of a national institute of Mental Health Work Group. Developmental Neuropsychology, 2, 261–276. First citation in articleCrossrefGoogle Scholar

  • Davis, K.L., Price, C.C., Kaplan, E., Libon, D.J. (2002). Error analysis of the nine-word California Verbal Learning Test (CVLT-9) among older adults with and without dementia. Clinical Neuropsychology, 16, 81–89. First citation in articleCrossrefGoogle Scholar

  • De Jager, C.A., Hogervoerst, E., Combrinck, M., Budge, M.M. (2003). Sensitivity and specificity of neuropsychological tests for mild cognitive impairment, vascular cognitive impairment and Alzheimer's disease. Psychological Medicine, 33, 1039–1050. First citation in articleCrossrefGoogle Scholar

  • Folstein, M.F., Folstein, S.E., McHugh, P.R. (1975). “Mini-mental state”; A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. First citation in articleCrossrefGoogle Scholar

  • Gragnaniello, D., Kessler, J., Bley, M., Mielke, R. (1998). Copying and free drawing by patients with Alzheimer disease of different dementia stages. Nervenarzt, 69, 991–8. First citation in articleCrossrefGoogle Scholar

  • Guillozet, A.L., Weintraub, S., Mash, D.C., Mesulam, M. (2003). Neurofibrillary tangles, amyloid, and memory in aging and mild cognitive impairment. Archives of Neurology, 60, 729–736. First citation in articleCrossrefGoogle Scholar

  • Han, L., Cole, M., Bellavance, F., McCusker, J., Primeau, F. (2000). Tracking cognitive decline in Alzheimer's disease using the mini-mental state examination: A meta-analysis. International Psychogeriatrics, 12, 231–247. First citation in articleCrossrefGoogle Scholar

  • Houben, I., Saß, H., Wittchen, H.-U., Zaudig, M. (2000). Diagnostisches und Statistisches Manual Psychischer Störungen (DSM-IV). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Jacobs, D.M., Sano, M., Dooneief, G., Marder, K., Bell, K.L., Stern, Y. (1995). Neuropsychological detection and characterization of preclinical Alzheimer's disease. Neurology, 45, 957–962. First citation in articleCrossrefGoogle Scholar

  • Kaltreider, L.B., Cicerello, A.R., Lacritz, L.H., Honig, L.S., Rosenberg, R.N., Cullum, M.C. (2000). Comparison of the CERAD and CVLT list-learning tasks in Alzheimer's disease. Clinical Neuropsychology, 14, 269–274. First citation in articleCrossrefGoogle Scholar

  • Kaplan, E.F., Goodglass, H., Weintraub, S. (1978). The Boston naming test. Boston, MA: Veterans Administration Medical Center. First citation in articleGoogle Scholar

  • Kluger, A., Ferris, S.H., Golomb, J., Mittelman, M.S., Reisberg, B. (1999). Neuropsychological prediction of decline to dementia in nondemented elderly. Journal of Geriatric Psychiatry and Neurology, 12, 168–179. First citation in articleCrossrefGoogle Scholar

  • Le Moal, S., Reymann, J.M., Thomas, V., Cattenoz, C., Lieury, A., Allain, H. (1997). Effect of normal aging and of Alzheimer's disease on episodic memory. Dementia and Geriatric Cognitive Disorders, 8, 281–7. First citation in articleCrossrefGoogle Scholar

  • Manning, S.K., Greenhut-Wertz, J., Mackell, J.A. (1996). Intrusions in Alzheimer's disease in immediate and delayed memory as a function of presentation modality. Experimental Aging Research, 22, 343–361. First citation in articleCrossrefGoogle Scholar

  • McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., Stadlan, E.M. (1984). Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology, 34, 939–44. First citation in articleCrossrefGoogle Scholar

  • Mirra, S.S., Heyman, A., McKeel, D., Sumi, S.M., Crain, B.J., Brownlee, L.M., Vogel, F.S., Hughes, J.P., van Belle, G., Berg, L. (1991). The consortium to establish a registry for Alzheimer's Disease (CERAD). Part II. Standardization of the neuropathologic assessment of Alzheimer's disease. Neurology, 41, 479–86. First citation in articleCrossrefGoogle Scholar

  • Mitrushina, M., Drebing, C., Uchiyama, C., Satz, P., Van Gorp, W., Chervinsky, A. (1994). The pattern of deficit in different memory components in normal aging and dementia of Alzheimer's type. Journal of Clinical Psychology, 50, 591–6. First citation in articleCrossrefGoogle Scholar

  • Monsch, A.U. (1997). Die neuropsychologische Untersuchung bei Demenzabklärungen. Praxis, 86, 1340– 1342. First citation in articleGoogle Scholar

  • Monsch, A.U., Bondi, M.W., Butters, N., Salmon, D.P., Katzman, R., Thal, L.J. (1992). Comparisons of verbal fluency tasks in the detection of dementia of the Alzheimer type. Archives of Neurology, 49, 1253– 1258. First citation in articleCrossrefGoogle Scholar

  • Morris, J.C., Edland, S., Clark, C., Galasko, D., Koss, E., Mohs, R., van Belle, G., Fillenbaum, G., Heyman, A. (1993). The consortium to establish a registry for Alzheimer's disease (CERAD). Part IV. Rates of cognitive change in the longitudinal assessment of probable Alzheimer's disease. Neurology, 43, 2457–2465. First citation in articleCrossrefGoogle Scholar

  • Morris, J.C., Heyman, A., Mohs, R.C., Hughes, J.P., van Belle, G., Fillenbaum, G., Mellits, E.D., Clark, C. (1989). The consortium to establish a registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease. Neurology, 39, 1159–1165. First citation in articleCrossrefGoogle Scholar

  • Petersen, R.C. (2003a). Conceptual overview. In R.C. Petersen (Ed.), Mild cognitive impairment. Aging to Alzheimer's Disease (pp. 1-14). Oxford: University Press. First citation in articleGoogle Scholar

  • Petersen, R.C. (2003b). Mild cognitive impairment. Clinical trials. Nature, 2, 646–653. First citation in articleCrossrefGoogle Scholar

  • Petersen, R.C., Kanow, C. (2001). Mild cognitive impairment - state of the art 2001. Reviews of Neurology (Paris), 157, 29– . First citation in articleGoogle Scholar

  • Petersen, R.C., Smith, G.E., Ivnik, R.J., Tangalos, E.G., Schaid, D.J., Thibodeau, S.N., Kokmen, E., Waring, S.C., Kurland, L.T. (1995). Apolipoprotein E status as a predictor of the development of Alzheimer's disease in memory-impaired individuals. Journal of the American Medical Association, 273, 1274–8. First citation in articleCrossrefGoogle Scholar

  • Petersen, R.C., Smith, G.E., Waring, S.C., Ivnik, R.J., Kokmen, E., Tangelos, E.G. (1997). Aging, memory, and mild cognitive impairment. International Psychogeriatrics, 9(Suppl 1), 65–69. First citation in articleCrossrefGoogle Scholar

  • Petersen, R.C., Smith, G.E., Waring, S.C., Ivnik, R.J., Tangalos, E.G., Kokmen, E. (1999). Mild cognitive impairment: Clinical characterization and outcome. Archives of Neurology, 56, 303–8. First citation in articleCrossrefGoogle Scholar

  • Reisberg, B. (1983). Alzheimer's Disease. New York: The Free Press. First citation in articleGoogle Scholar

  • Reisberg, B., Ferris, S.H., de Leon, M.J., Crook, T. (1988). Global Deterioration Scale (GDS). Psychopharmacology Bulletin, 24, 661–663. First citation in articleGoogle Scholar

  • Reischies, F.M., Geiselmann, B., Gessner, R., Kanowski, S., Wagner, M., Wernicke, F., Helmchen, H. (1997). Dementia in the very elderly. Results of the Berlin Aging Study. Nervenarzt, 68, 719–29. First citation in articleCrossrefGoogle Scholar

  • Salmon, D.P., Thomas, R.G., Pay, M.M., Booth, A., Hofstetter, C.R., Thal, L.J., Katzman, R. (2002). Alzheimer's disease can be accurately diagnosed in very mildly impaired individuals. Neurology, 59, 1022–8. First citation in articleCrossrefGoogle Scholar

  • Smith, G.E., Petersen, R.C., Parisi, J.E., Ivnik, R.J., Kokmen, E., Tangalos, E.G., Waring, S.C. (1996). Definition, course and outcome of mild cognitive impairment. Aging, Neuropsychology, and Cognition, 3, 141–147. First citation in articleCrossrefGoogle Scholar

  • Tuokko, H., Frerichs, R.J. (2000). Cognitive impairment with no dementia (CIND): Longitudinal studies, the findings, and the issues. Clinical Neuropsychology, 14, 504–525. First citation in articleCrossrefGoogle Scholar

  • Welsh, K., Butters, N., Hughes, J., Mohs, R., Heyman, A. (1991). Detection of abnormal memory decline in mild cases of Alzheimer's disease using CERAD neuropsychological measures. Archives of Neurology, 48, 278–281. First citation in articleCrossrefGoogle Scholar

  • Welsh, K.A., Butters, N., Hughes, J.P., Mohs, R.C., Heyman, A. (1992). Detection and staging of dementia in Alzheimer's disease. Use of the neuropsychological measures developed for the Consortium to Establish a Registry for Alzheimer's Disease. Archives of Neurology, 49, 448–452. First citation in articleCrossrefGoogle Scholar

  • Welsh, K.A., Mirra, S.S., Fillenbaum, G., Gearing, M., Beekly, D. (1996). Neuropsychological and neuropathological differentiation of Alzheimer's disease from other dementias: The CERAD experience [abstract]. Journal of the International Neuropsychological Society, 2, 12– . First citation in articleGoogle Scholar

  • Welsh-Bohmer, K.A., Mohs, R.C. (1997). Neuropsychological assessment of Alzheimer's disease. Neurology, 49, 11–3. First citation in articleCrossrefGoogle Scholar

  • Zec, R.F. (1993). Neuropsychological functioning in Alzheimer's disease. In R.F. Zec & R.S. Wilson (Eds.), Neuropsychology of Alzheimer's disease and other dementias (pp. 3-80). New York: Oxford University Press. First citation in articleGoogle Scholar