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The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

Prevalence of Neuropsychiatric Symptoms in Mild Cognitive Impairment and Normal Cognitive Aging: Population-Based Study

Open access
Geda, Yonas E., Roberts, Rosebud O., Knopman, David S., Petersen, Ronald C., Christianson, Teresa J. H., Pankratz, Vernon S., Smith, Glenn E., Boeve, Bradley F., Ivnik, Robert J., Tangalos, Eric G., Rocca, Walter A.·2008·Archives of General Psychiatry

Abstract

CONTEXT: Little is known about the population-based prevalence of neuropsychiatric symptoms in mild cognitive impairment (MCI). OBJECTIVE: To estimate the prevalence of neuropsychiatric symptoms in MCI and normal cognitive aging in a defined population. DESIGN: Cross-sectional study derived from an ongoing population-based prospective cohort study. SETTING: The Mayo Clinic Study of Aging. PARTICIPANTS: We studied a random sample of 1969 individuals without dementia from the target population of 9965 elderly persons residing in Olmsted County (Minnesota) on the prevalence date (October 1, 2004). Neuropsychiatric data were available for 319 of 329 subjects with MCI (97.0%) and 1590 of 1640 subjects with normal cognition (97.0%). Neurologic, cognitive, and neuropsychiatric data were obtained from the study participants. A classification of MCI, dementia, and normal cognitive aging was adjudicated by an expert consensus panel. Accordingly, 329 subjects were classified as having MCI and the remaining 1640 subjects were classified as having normal cognition. MAIN OUTCOME MEASURE: Neuropsychiatric Inventory Questionnaire score. RESULTS: Multivariate logistic regression analyses were conducted after adjusting for age, sex, and educational status. By considering both the odds ratio (OR) and the frequency of a symptom, the most distinguishing features between the 2 groups were apathy (OR, 4.53; 95% confidence interval [CI], 3.11-6.60; P < .001), agitation (3.60; 2.18-5.92; P < .001), anxiety (3.00; 2.01-4.48; P < .001), irritability 2.99; 2.11-4.22; P < .001), and depression (2.78; 2.06-3.76; P < .001). The OR was highest for delusion (8.12; 95% CI, 2.92-22.60; P < .001); however, it was rare in both subjects with MCI (11 of 319 [3.4%]) and those with normal cognition (6 of 1590 [0.4%]). Thus, the population attributable risk for delusion was only 2.62% compared with 14.60% for apathy. CONCLUSIONS: Nonpsychotic symptoms affected approximately 50% of subjects with MCI and 25% of subjects with normal cognition. In contrast, psychotic symptoms were rare.

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Metadata

Authors
Geda, Y. E., Roberts, R. O., Knopman, D. S., Petersen, R. C., Christianson, T. J. H., Pankratz, V. S., Smith, G. E., Boeve, B. F., Ivnik, R. J., Tangalos, E. G., & Rocca, W. A.
Venue
Archives of General Psychiatry
Published
2008-10-06
Volume
65
Issue
10
Pages
1193
ISSN
0003-990X (ISSN-L)
OpenAlex
W2062698830
Cited by
438
References
31
FWCI
12.33
Type
journal article
Language
en
Open access
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Geda, Y. E., Roberts, R. O., Knopman, D. S., Petersen, R. C., Christianson, T. J. H., Pankratz, V. S., Smith, G. E., Boeve, B. F., Ivnik, R. J., Tangalos, E. G., & Rocca, W. A. (2008). Prevalence of Neuropsychiatric Symptoms in Mild Cognitive Impairment and Normal Cognitive Aging: Population-Based Study. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.65.10.1193

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