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Differential Memory Test Sensitivity for Diagnosing Amnestic Mild Cognitive Impairment and Predicting Conversion to Alzheimer's Disease
Open accessAbstract
Episodic memory is the first and most severely affected cognitive domain in Alzheimer's disease (AD), and it is also the key early marker in prodromal stages including amnestic mild cognitive impairment (MCI). The relative ability of memory tests to discriminate between MCI and normal aging has not been well characterized. We compared the classification value of widely used verbal memory tests in distinguishing healthy older adults (n = 51) from those with MCI (n = 38). Univariate logistic regression indicated that the total learning score from the California Verbal Learning Test-II (CVLT-II) ranked highest in terms of distinguishing MCI from normal aging (sensitivity = 90.2; specificity = 84.2). Inclusion of the delayed recall condition of a story memory task (i.e., WMS-III Logical Memory, Story A) enhanced the overall accuracy of classification (sensitivity = 92.2; specificity = 94.7). Combining Logical Memory recognition and CVLT-II long delay best predicted progression from MCI to AD over a 4-year period (accurate classification = 87.5%). Learning across multiple trials may provide the most sensitive index for initial diagnosis of MCI, but inclusion of additional variables may enhance overall accuracy and may represent the optimal strategy for identifying individuals most likely to progress to dementia.
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“Second, story recall may be less sensitive to MCI or an evolving dementia than tests of verbal list learning [11–16] or perhaps visual memory [17].”
From Neuropsychological Criteria for Mild Cognitive Impairment Improves Diagnostic Precision, Biomarker Associations, and Progression Rates (2014) · cites this paper as [15]
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Metadata
- Authors
- Rabin, L. A., Paré, N., Saykin, A. J., Brown, M. J., Wishart, H. A., Flashman, L. A., & Santulli, R. B.
- Affiliations
- The Graduate Center, CUNY (US)
- Nebraska Medical Center (US)
- Indiana University Indianapolis (US)
- City University of New York (US)
- Corresponding author
- Rabin, Laura A.
- Venue
- Aging, Neuropsychology, and Cognition
- Publisher
- Informa UK Limited
- Published
- 2009-05-05
- Volume
- 16
- Issue
- 3
- Pages
- 357-376
- ISSN
- 0928-9917 (ISSN-L)
- 1382-5585
- 1744-4128
- PMC
- PMC3114447
- OpenAlex
- W2150223607
- Cited by
- 256
- References
- 97
- Citations by year
- 2026: 14 · 2025: 14 · 2024: 19 · 2023: 14 · 2022: 18 · 2021: 18 · 2020: 22 · 2019: 15 · 2018: 14 · 2017: 20 · 2016: 10 · 2015: 10 · 2014: 20 · 2013: 17 · 2012: 13
- FWCI
- 6.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Aging Neuropsychology and Cognition (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Institute on Aging (R01 AG19771, R01AG019771)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- amnestic mild cognitive impairment, Alzheimer's disease, conversion to Alzheimer's disease, episodic memory, California Verbal Learning Test-II, story recall, MCI diagnosis, normal aging
- MeSH terms
- Aged, Alzheimer Disease, Amnesia, Cognition Disorders, Diagnosis, Differential, Female, Humans, Longitudinal Studies, Male, Memory, Neuropsychological Tests, Predictive Value of Tests, Sensitivity and Specificity, Logistic Models, Disease Progression
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