Cognitive performance before and after the onset of subjective cognitive decline in old age
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Cognitive performance before and after the onset of subjective cognitive decline in old age. / Koppara, Alexander; Wagner, Michael; Lange, Carolin; Ernst, Annette; Wiese, Birgitt; König, Hans-Helmut; Brettschneider, Christian; Riedel-Heller, Steffi; Luppa, Melanie; Weyerer, Siegfried; Werle, Jochen; Bickel, Horst; Mösch, Edelgard; Pentzek, Michael; Fuchs, Angela; Wolfsgruber, Steffen; Beauducel, André; Scherer, Martin; Maier, Wolfgang; Jessen, Frank.
in: ALZH DEMENT-DADM, Jahrgang 1, Nr. 2, 06.2015, S. 194-205.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Cognitive performance before and after the onset of subjective cognitive decline in old age
AU - Koppara, Alexander
AU - Wagner, Michael
AU - Lange, Carolin
AU - Ernst, Annette
AU - Wiese, Birgitt
AU - König, Hans-Helmut
AU - Brettschneider, Christian
AU - Riedel-Heller, Steffi
AU - Luppa, Melanie
AU - Weyerer, Siegfried
AU - Werle, Jochen
AU - Bickel, Horst
AU - Mösch, Edelgard
AU - Pentzek, Michael
AU - Fuchs, Angela
AU - Wolfsgruber, Steffen
AU - Beauducel, André
AU - Scherer, Martin
AU - Maier, Wolfgang
AU - Jessen, Frank
PY - 2015/6
Y1 - 2015/6
N2 - BACKGROUND: Our objectives were (1) to test the association between the report of subjective cognitive decline (SCD) and prospective objective cognitive performance in high age individuals and (2) to study the course of longitudinal cognitive performance before and after the first report of SCD.METHODS: Cognitively normal elderly participants of the German Study on Ageing, Cognition, and Dementia study (N = 2330) with SCD (subjective decline in memory with and without associated concerns) and without SCD at baseline were assessed over 8 years with regard to immediate and delayed verbal recall, verbal fluency, working memory, and global cognition. Baseline performance and cognitive trajectories were compared between groups. In addition, cognitive trajectories before and after the initial report of SCD (incident SCD) were modelled in those without SCD at baseline.RESULTS: Baseline performance in the SCD group was lower and declined more steeply in immediate and delayed verbal recall than in the control group (no SCD at baseline). This effect was more pronounced in the SCD group with concerns. Incident SCD was preceded by decline in immediate and delayed memory and word fluency.CONCLUSIONS: SCD predicts future memory decline. Incident SCD is related to previous cognitive decline. The latter finding supports the concept of SCD indicating first subtle decline in cognitive performance that characterizes preclinical Alzheimer's disease.
AB - BACKGROUND: Our objectives were (1) to test the association between the report of subjective cognitive decline (SCD) and prospective objective cognitive performance in high age individuals and (2) to study the course of longitudinal cognitive performance before and after the first report of SCD.METHODS: Cognitively normal elderly participants of the German Study on Ageing, Cognition, and Dementia study (N = 2330) with SCD (subjective decline in memory with and without associated concerns) and without SCD at baseline were assessed over 8 years with regard to immediate and delayed verbal recall, verbal fluency, working memory, and global cognition. Baseline performance and cognitive trajectories were compared between groups. In addition, cognitive trajectories before and after the initial report of SCD (incident SCD) were modelled in those without SCD at baseline.RESULTS: Baseline performance in the SCD group was lower and declined more steeply in immediate and delayed verbal recall than in the control group (no SCD at baseline). This effect was more pronounced in the SCD group with concerns. Incident SCD was preceded by decline in immediate and delayed memory and word fluency.CONCLUSIONS: SCD predicts future memory decline. Incident SCD is related to previous cognitive decline. The latter finding supports the concept of SCD indicating first subtle decline in cognitive performance that characterizes preclinical Alzheimer's disease.
U2 - 10.1016/j.dadm.2015.02.005
DO - 10.1016/j.dadm.2015.02.005
M3 - SCORING: Journal article
C2 - 27239504
VL - 1
SP - 194
EP - 205
JO - ALZH DEMENT-DADM
JF - ALZH DEMENT-DADM
SN - 2352-8729
IS - 2
ER -