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Subjective cognitive decline: Self and informant comparisons
Open accessAbstract
BACKGROUND: It is unclear whether self- or informant-based subjective cognition better distinguishes emotional factors from early-stage Alzheimer's disease (AD). METHODS: Healthy members (n = 447) of the Arizona apolipoprotein E (APOE) cohort and their informants completed the self and informant paired Multidimensional Assessment of Neurodegenerative Symptoms questionnaire (MANS). RESULTS: Decline on the MANS was endorsed by 30.6% of members and 26.2% of informants. Self- and informant-based decliners had higher scores of psychological distress and slightly lower cognitive scores than nondecliners. Over the next 6.7 years, 20 developed mild cognitive impairment (MCI). Converters were older at entry than nonconverters (63.8 [7.0] vs 58.8 [7.3] years, P = .003), 85% were APOE ε4 carriers (P < .0001), and they self-endorsed decline earlier than informants (58.9 [39.2] vs 28.0 [40.4] months before MCI; P = .002). CONCLUSIONS: Self- and informant-based subjective decline correlated with greater psychological distress and slightly lower cognitive performance. Those with incident MCI generally self-endorsed decline earlier than informants.
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“In cognitively unimpaired individuals, self-reported complaints and complaints reported by an informant should be clearly distinguished, because informant complaints indicate that these individuals are at increased risk of progression110 and merit a closer follow-up with regular clinical and neuropsychological evaluations.”
From Clinical diagnosis of Alzheimer’s disease: Recommendations of the International Working Group (2021) · cites this paper as [110]
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Metadata
- Authors
- Caselli, R. J., Chen, K., Locke, D. E. C., Lee, W., Roontiva, A., Bandy, D., Fleisher, A. S., & Reiman, E. M.
- Affiliations
- Mayo Clinic (US)
- Mayo Clinic in Arizona (US)
- Corresponding author
- Caselli, Richard J.
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2013-04-05
- Volume
- 10
- Issue
- 1
- Pages
- 93-98
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- PMC
- PMC3732500
- OpenAlex
- W1975005502
- Cited by
- 145
- References
- 27
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 11 · 2023: 10 · 2022: 8 · 2021: 8 · 2020: 7 · 2019: 20 · 2018: 12 · 2017: 17 · 2016: 9 · 2015: 17 · 2014: 6 · 2013: 1
- FWCI
- 7.82
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alzheimer s & Dementia (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG031581, P30AG19610)
- Arizona Alzheimer’s Consortium
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Keywords
- subjective cognitive decline, self-report versus informant report
- MeSH terms
- Acoustic Stimulation, Aged, Apolipoproteins E, Cognition Disorders, Female, Humans, Language Disorders, Male, Middle Aged, Neurologic Examination, Neuropsychological Tests, Psychomotor Performance, Surveys and Questionnaires, Severity of Illness Index, Space Perception, Verbal Learning, Cohort Studies, Executive Function, Self Report
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