Screening ability of subjective memory complaints, informant-reports for cognitive decline, and their combination in memory clinic setting

Seon Jin Yim, Dahyun Yi, Min Soo Byun, Young Min Choe, Hyo Jung Choi, Hyewon Baek, Bo Kyung Sohn, Jee Wook Kim, Eui Jung Kim, Dong Young Lee

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Objective This study aimed to compare the accuracy of subjective memory complaints, informant-reports for cognitive declines, and their combination for screening cognitive disorders in memory clinic setting. Methods One-hundred thirtytwo cognitively normal (CN), 136 mild cognitive impairment (MCI), and 546 dementia who visited the memory clinic in the Seoul National University Hospital underwent standardized clinical evaluation and comprehensive neuropsychological assessment. The Subjective Memory Complaints Questionnaire (SMCQ) and the Seoul Informant Report Questionnaire for Dementia (SIRQD) were used to assess subjective memory complaints and informant-reports for cognitive declines, respectively. Results Both SMCQ and SIRQD showed significant screening ability for MCI, dementia, and overall cognitive disorder (CDall: MCI plus dementia) (screening accuracy: 60.1–94.6%). The combination of SMCQ and SIRQD (SMCQ+SIRQD) was found to have significantly better screening accuracy compared to SMCQ alone for any cognitive disorders. SMCQ+SIRQD also significantly improved screening accuracy of SIRQD alone for MCI and CDall, but not for dementia. Conclusion Our findings suggest that the combined information of both subjective memory complaints and informant-reports for cognitive declines can improve MCI screening by each individual information, while such combination appears not better than informant-reports in regard of dementia screening.

Original languageEnglish
Pages (from-to)640-646
Number of pages7
JournalPsychiatry Investigation
Volume14
Issue number5
DOIs
StatePublished - Sep 2017

Keywords

  • Cognitive disorder
  • Elderly
  • Informant-report
  • Memory
  • Screening
  • Subjective complaints

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