La maladie de Parkinson en France (serveur d'exploration)

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Neuropsychological prediction of dementia in Parkinson's disease.

Identifieur interne : 001485 ( PubMed/Corpus ); précédent : 001484; suivant : 001486

Neuropsychological prediction of dementia in Parkinson's disease.

Auteurs : F. Mahieux ; G. Fénelon ; A. Flahault ; M J Manifacier ; D. Michelet ; F. Boller

Source :

RBID : pubmed:9489527

English descriptors

Abstract

To identify neuropsychological characteristics predictive of later dementia in Parkinson's disease.

PubMed: 9489527

Links to Exploration step

pubmed:9489527

Le document en format XML

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<div type="abstract" xml:lang="en">To identify neuropsychological characteristics predictive of later dementia in Parkinson's disease.</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify neuropsychological characteristics predictive of later dementia in Parkinson's disease.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A comprehensive neuropsychological test battery was administered to a cohort of 89 initially non-demented patients with Parkinson's disease consecutively enrolled at a specialised Parkinson's disease clinic. They were reassessed after a mean of 3.5 years for the diagnosis of dementia. The Cox proportional hazards model was used to identify baseline characteristics predictive of dementia.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Only four of the baseline clinical characteristics of Parkinson's disease and neuropsychological variables remained independently linked to subsequent development of dementia: the age of onset of Parkinson's disease (>60 years; relative risk (RR) 4.1, 95% confidence interval (95% CI) 1.8-24.0, p<0.03), the picture completion subtest of the Wechsler adult intelligence scale (score<10; RR 4.9, 95% CI 1.0-24.1, p<0.02), the interference section of the Stroop test (score<21; RR 3.8, p=0.08), and a verbal fluency task (score<9; RR 2.7, 95% CI 0.8-9.1, p=0.09). Depressive symptoms and the severity of motor impairment were not predictive of dementia.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These features are different from the neuropsychological characteristics predictive of Alzheimer's dementia in healthy elderly people (mainly memory and language performance). They are in keeping with the well known specificity of the impairments in Parkinson's disease for visuospatial abilities and difficulties in inhibiting irrelevant stimuli. It is postulated that the composite nature of the picture completion subtest, involving several cognitive abilities impaired in Parkinson's disease, explains its sensitivity.</AbstractText>
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HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i   -Sk "pubmed:9489527" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd   \
       | NlmPubMed2Wicri -a ParkinsonFranceV1 

Wicri

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