| Title |
Subjective memory decline predicts greater rates of clinical progression in preclinical Alzheimer's disease
|
|---|---|
| Published in |
Alzheimer's & Dementia: the Journal of the Alzheimer's Association, February 2016
|
| DOI | 10.1016/j.jalz.2015.12.013 |
| Pubmed ID | |
| Authors | |
| Abstract |
To determine the utility of subjective memory decline (SMD) to predict episodic memory change and rates of clinical progression in cognitively normal older adults with evidence of high β-amyloid burden (CN Aβ+). Fifty-eight CN Aβ+ participants from the Australian Imaging, Biomarkers, and Lifestyle study responded to an SMD questionnaire and underwent comprehensive neuropsychological assessments. Participant data for three follow-up assessments were analyzed. In CN Aβ+, subjects with high SMD did not exhibit significantly greater episodic memory decline than those with low SMD. High SMD was related to greater rates of progression to mild cognitive impairment or Alzheimer's disease (AD) dementia (hazard ratio = 5.1; 95% confidence interval, 1.4-20.0, P = .02) compared with low SMD. High SMD was associated with greater depressive symptomatology and smaller left hippocampal volume. High SMD is a harbinger of greater rates of clinical progression in preclinical AD. Although SMD reflects broader diagnostic implications for CN Aβ+, more sensitive measures may be required to detect early subtle cognitive change. |
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X Demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 4 | 25% |
| United Kingdom | 4 | 25% |
| Canada | 1 | 6% |
| Unknown | 7 | 44% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 11 | 69% |
| Scientists | 4 | 25% |
| Science communicators (journalists, bloggers, editors) | 1 | 6% |
Mendeley demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| New Zealand | 1 | <1% |
| United Kingdom | 1 | <1% |
| Germany | 1 | <1% |
| Canada | 1 | <1% |
| Unknown | 288 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 50 | 17% |
| Researcher | 40 | 14% |
| Student > Master | 31 | 11% |
| Student > Doctoral Student | 21 | 7% |
| Student > Bachelor | 19 | 7% |
| Other | 48 | 16% |
| Unknown | 83 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 75 | 26% |
| Neuroscience | 49 | 17% |
| Medicine and Dentistry | 41 | 14% |
| Nursing and Health Professions | 6 | 2% |
| Agricultural and Biological Sciences | 5 | 2% |
| Other | 24 | 8% |
| Unknown | 92 | 32% |