ParkinsonFranceV1, PubMed, Corpus, bibRecord, 000B24

Cognitive complaints in Parkinson's disease: its relationship with objective cognitive decline.

Identifieur interne : 000B24 ( PubMed/Corpus ); précédent : 000B23; suivant : 000B25

Cognitive complaints in Parkinson's disease: its relationship with objective cognitive decline.

Auteurs : Kathy Dujardin ; Alain Duhamel ; Marie Delliaux ; Catherine Thomas-Antérion ; Alain Destée ; Luc Defebvre

Source :

Journal of neurology [ 1432-1459 ] ; 2010.

RBID : pubmed:19690907

English descriptors

KwdEn :
- Age Factors, Cognition, Cognition Disorders (etiology), Cognition Disorders (psychology), Dementia (etiology), Dementia (psychology), Educational Status, Female, Humans, Interview, Psychological (methods), Logistic Models, Male, Middle Aged, Multivariate Analysis, Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (psychology), Probability, Psychiatric Status Rating Scales, ROC Curve, Self-Assessment, Sensitivity and Specificity.
MESH :
- complications : Parkinson Disease.
- etiology : Cognition Disorders, Dementia.
- methods : Interview, Psychological.
- psychology : Cognition Disorders, Dementia, Parkinson Disease.
- Age Factors, Cognition, Educational Status, Female, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Neuropsychological Tests, Probability, Psychiatric Status Rating Scales, ROC Curve, Self-Assessment, Sensitivity and Specificity.

Abstract

Cognitive complaint interviews (CCI) have been shown to be useful in the early detection of dementia in elderly people. Surprisingly, CCIs are rarely used in Parkinson's disease (PD), despite a six-fold higher risk of dementia than in healthy subjects. The present study sought to determine whether a structured CCI could detect cognitive decline in PD. A validated CCI was added to the usual clinical interview for 180 PD patients. Objective cognitive status was assessed by the Mattis dementia rating scale score. The CCIs ability to detect cognitive decline in PD patients was determined using a receiver operating characteristic (ROC) curve. 58 (32.22%) patients had a significant, subjective cognitive complaint (CCI score >3). Of these, 48.27% had objective cognitive decline. Objective cognitive decline was significantly more frequent in the patients with subjective cognitive complaint. However, the ROC curve for discriminating between patients with and without objective cognitive deficits as a function of their subjective cognitive complaint had low sensitivity (0.50, 95% CI: 0.36-0.64) and moderate specificity (0.74, 95% CI: 0.69-0.84). Logistic regression incorporating the main demographical and clinical variables showed that the CCI score's discriminant power was improved by adding age and the number of years in education to the predictive model. Objective cognitive decline and dementia are more frequent among PD patients reporting a cognitive complaint than among patients not reporting a complaint. However, the CCI does not enable more accurate screening for PD-associated dementia.

DOI: 10.1007/s00415-009-5268-2
PubMed: 19690907

Links to Exploration step

pubmed:19690907

Le document en format XML

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<author><name sortKey="Dujardin, Kathy" sort="Dujardin, Kathy" uniqKey="Dujardin K" first="Kathy" last="Dujardin">Kathy Dujardin</name>
<affiliation><nlm:affiliation>Neurology and Movement Disorders Unit, EA2683, Faculty of Medicine and University Medical Center, Lille, France. k-dujardin@chru-lille.fr</nlm:affiliation>
</affiliation>
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<author><name sortKey="Duhamel, Alain" sort="Duhamel, Alain" uniqKey="Duhamel A" first="Alain" last="Duhamel">Alain Duhamel</name>
</author>
<author><name sortKey="Delliaux, Marie" sort="Delliaux, Marie" uniqKey="Delliaux M" first="Marie" last="Delliaux">Marie Delliaux</name>
</author>
<author><name sortKey="Thomas Anterion, Catherine" sort="Thomas Anterion, Catherine" uniqKey="Thomas Anterion C" first="Catherine" last="Thomas-Antérion">Catherine Thomas-Antérion</name>
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<author><name sortKey="Destee, Alain" sort="Destee, Alain" uniqKey="Destee A" first="Alain" last="Destée">Alain Destée</name>
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<author><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Cognitive complaints in Parkinson's disease: its relationship with objective cognitive decline.</title>
<author><name sortKey="Dujardin, Kathy" sort="Dujardin, Kathy" uniqKey="Dujardin K" first="Kathy" last="Dujardin">Kathy Dujardin</name>
<affiliation><nlm:affiliation>Neurology and Movement Disorders Unit, EA2683, Faculty of Medicine and University Medical Center, Lille, France. k-dujardin@chru-lille.fr</nlm:affiliation>
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<author><name sortKey="Duhamel, Alain" sort="Duhamel, Alain" uniqKey="Duhamel A" first="Alain" last="Duhamel">Alain Duhamel</name>
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<author><name sortKey="Delliaux, Marie" sort="Delliaux, Marie" uniqKey="Delliaux M" first="Marie" last="Delliaux">Marie Delliaux</name>
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<author><name sortKey="Thomas Anterion, Catherine" sort="Thomas Anterion, Catherine" uniqKey="Thomas Anterion C" first="Catherine" last="Thomas-Antérion">Catherine Thomas-Antérion</name>
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<author><name sortKey="Destee, Alain" sort="Destee, Alain" uniqKey="Destee A" first="Alain" last="Destée">Alain Destée</name>
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<author><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name>
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<series><title level="j">Journal of neurology</title>
<idno type="eISSN">1432-1459</idno>
<imprint><date when="2010" type="published">2010</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors</term>
<term>Cognition</term>
<term>Cognition Disorders (etiology)</term>
<term>Cognition Disorders (psychology)</term>
<term>Dementia (etiology)</term>
<term>Dementia (psychology)</term>
<term>Educational Status</term>
<term>Female</term>
<term>Humans</term>
<term>Interview, Psychological (methods)</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (psychology)</term>
<term>Probability</term>
<term>Psychiatric Status Rating Scales</term>
<term>ROC Curve</term>
<term>Self-Assessment</term>
<term>Sensitivity and Specificity</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term>
<term>Dementia</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Interview, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cognition Disorders</term>
<term>Dementia</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Cognition</term>
<term>Educational Status</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Neuropsychological Tests</term>
<term>Probability</term>
<term>Psychiatric Status Rating Scales</term>
<term>ROC Curve</term>
<term>Self-Assessment</term>
<term>Sensitivity and Specificity</term>
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<front><div type="abstract" xml:lang="en">Cognitive complaint interviews (CCI) have been shown to be useful in the early detection of dementia in elderly people. Surprisingly, CCIs are rarely used in Parkinson's disease (PD), despite a six-fold higher risk of dementia than in healthy subjects. The present study sought to determine whether a structured CCI could detect cognitive decline in PD. A validated CCI was added to the usual clinical interview for 180 PD patients. Objective cognitive status was assessed by the Mattis dementia rating scale score. The CCIs ability to detect cognitive decline in PD patients was determined using a receiver operating characteristic (ROC) curve. 58 (32.22%) patients had a significant, subjective cognitive complaint (CCI score >3). Of these, 48.27% had objective cognitive decline. Objective cognitive decline was significantly more frequent in the patients with subjective cognitive complaint. However, the ROC curve for discriminating between patients with and without objective cognitive deficits as a function of their subjective cognitive complaint had low sensitivity (0.50, 95% CI: 0.36-0.64) and moderate specificity (0.74, 95% CI: 0.69-0.84). Logistic regression incorporating the main demographical and clinical variables showed that the CCI score's discriminant power was improved by adding age and the number of years in education to the predictive model. Objective cognitive decline and dementia are more frequent among PD patients reporting a cognitive complaint than among patients not reporting a complaint. However, the CCI does not enable more accurate screening for PD-associated dementia.</div>
</front>
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<Title>Journal of neurology</Title>
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<Abstract><AbstractText>Cognitive complaint interviews (CCI) have been shown to be useful in the early detection of dementia in elderly people. Surprisingly, CCIs are rarely used in Parkinson's disease (PD), despite a six-fold higher risk of dementia than in healthy subjects. The present study sought to determine whether a structured CCI could detect cognitive decline in PD. A validated CCI was added to the usual clinical interview for 180 PD patients. Objective cognitive status was assessed by the Mattis dementia rating scale score. The CCIs ability to detect cognitive decline in PD patients was determined using a receiver operating characteristic (ROC) curve. 58 (32.22%) patients had a significant, subjective cognitive complaint (CCI score >3). Of these, 48.27% had objective cognitive decline. Objective cognitive decline was significantly more frequent in the patients with subjective cognitive complaint. However, the ROC curve for discriminating between patients with and without objective cognitive deficits as a function of their subjective cognitive complaint had low sensitivity (0.50, 95% CI: 0.36-0.64) and moderate specificity (0.74, 95% CI: 0.69-0.84). Logistic regression incorporating the main demographical and clinical variables showed that the CCI score's discriminant power was improved by adding age and the number of years in education to the predictive model. Objective cognitive decline and dementia are more frequent among PD patients reporting a cognitive complaint than among patients not reporting a complaint. However, the CCI does not enable more accurate screening for PD-associated dementia.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dujardin</LastName>
<ForeName>Kathy</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Neurology and Movement Disorders Unit, EA2683, Faculty of Medicine and University Medical Center, Lille, France. k-dujardin@chru-lille.fr</Affiliation>
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	La maladie de Parkinson en France (serveur d'exploration)
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La maladie de Parkinson en France (serveur d'exploration)

Cognitive complaints in Parkinson's disease: its relationship with objective cognitive decline.

Cognitive complaints in Parkinson's disease: its relationship with objective cognitive decline.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki