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Han K, Liang W, Geng H, Jing X, Wang X, Huo Y, Li W, Huang A, An C. The diagnostic value of cognitive assessment indicators for mild cognitive impairment (MCI). APPLIED NEUROPSYCHOLOGY. ADULT 2024:1-10. [PMID: 38316014 DOI: 10.1080/23279095.2024.2306144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
OBJECTIVE This study aims to evaluate and analyze the standard diagnostic methods for mild cognitive impairment (MCI). METHODS This study used a prospective case-control study to examine baseline data and diagnostic indicators in a population of elderly with MCI. Based on different cognitive abilities, this study divided MCI and healthy control groups. The diagnostic indicators included CDT, MOCA, MMSE, PSQI, MBI, DST, HAMD, AD-related blood markers, and olfactory testing. The diagnostic value of each indicator was done using the ROC curve. RESULTS This study included 240 adult participants, 135 in the health group and 105 in the MCI group. A comparison of baseline data revealed statistically significant differences between the two groups regarding age, blood glucose, MMSE, CTD, MOCA, ability to perform daily living, AD-related blood indices and olfactory tests (all p < 0.05). Logistic regression analysis statistically showed that age, MOCA, and CDT were independent diagnostic factors for MCI (all p < 0.05). Combining these three indicators has the best diagnostic specificity (92.54%). AD-related blood and olfactory tests indices had only moderate diagnostic values (AUC: 0.7-0.8). CONCLUSION Age, MOCA, and CDT are good indicators for diagnosing early-stage MCI. AD-related blood indices and olfactory tests can serve as valuable adjuncts in diagnosing MCI.
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Affiliation(s)
- Keyan Han
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Wei Liang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Hao Geng
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Xinyang Jing
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Xuemeng Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Yaxin Huo
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Wei Li
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Anqi Huang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
| | - Cuixia An
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, China
- Hebei Clinical Research Center for Mental Disorders and Institute of Mental Health, Shijiazhuang, China
- Mental Health Center, Hebei Medical University and Hebei technical Innovation Center for Mental Health assessment and Intervention, Shijiazhuang, China
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Liang Y, Liu W, Wang M. Characteristics of macroscopic sleep structure in patients with mild cognitive impairment: a systematic review. Front Psychiatry 2023; 14:1212514. [PMID: 37547222 PMCID: PMC10399242 DOI: 10.3389/fpsyt.2023.1212514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 06/27/2023] [Indexed: 08/08/2023] Open
Abstract
Objectives Conducting a systematic analysis of objective measurement tools to assess the characteristics of macroscopic sleep architecture in patients with mild cognitive impairment (MCI), amnestic MCI (aMCI), and non-amnestic MCI (naMCI) in order to provide sleep disorder guidance for MCI patients. Methods PubMed, EMbase, Web of Science, Cochrane Library, CNKI, SinoMed, Wanfang Data, and VIP Data were examined to find literature relating to sleep in patients with MCI, aMCI, and naMCI, with a search time frame of build to April 2023. Following independent literature screening, data extraction, and quality evaluation by two researchers, statistical analysis was performed using RevMan 5.4 software. Results Twenty-five papers with 1,165 study subjects were included. Patients with MCI and aMCI were found to have altered total sleep time (TST), reduced sleep efficiency (SE), more wake-time after sleep onset (WASO), longer sleep latency (SL), a higher proportion of N1 stage and a lower proportion of N2 and N3 stage. naMCI was only found to have statistically significant differences in WASO. Conclusions The results of this study provide evidence for macroscopic sleep architecture abnormalities among MCI patients with sleep disorders. Maintaining a normal sleep time, improving SE, and reducing sleep fragmentation may have an association with a slowed development of cognitive impairment. Further exploration is required of the effects each component of macroscopic sleep structure after the intervention has on altered sleep disturbance and cognition in MCI, aMCI, and naMCI. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023401937, identifier: CRD42023401937.
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Affiliation(s)
- Yahui Liang
- School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, China
| | - Weihua Liu
- School of Chemistry and Pharmaceutical Engineering, Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, China
| | - Meizi Wang
- School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, China
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Bueno-Cayo AM, del Rio Carmona M, Castell-Enguix R, Iborra-Marmolejo I, Murphy M, Irigaray TQ, Cervera JF, Moret-Tatay C. Predicting Scores on the Mini-Mental State Examination (MMSE) from Spontaneous Speech. Behav Sci (Basel) 2022; 12:bs12090339. [PMID: 36135143 PMCID: PMC9495889 DOI: 10.3390/bs12090339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 09/11/2022] [Accepted: 09/13/2022] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to examine the relationship between language components, such as lexical density, length, and content in terms of “Time, Space and Action”, with MMSE scores. For this reason, a group of 33 older participants, without a diagnosis of dementia, was examined, providing information regarding recent and future events. Participants with higher MMSE scores showed higher lexical density, speech length, as well as number of tokens related to Time, Place and Action in their speech. However, these differences only reach the statistical level for lexical density when participants were divided into two groups (MCI and healthy controls). Word frequency was lower for participants with MCI but this difference was not statistically significant. Lastly, lexical density was positively correlated with MMSE scores and predicted MMSE scores. These results could be of interest at the applied level in the screening of MCI.
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Affiliation(s)
- Alma M. Bueno-Cayo
- Escuela de Doctorado, Universidad Católica de Valencia San Vicente Mártir, San Agustín 3, Esc. A, Entresuelo 1, 46002 Valencia, Spain
- Correspondence: (A.M.B.-C.); (C.M.-T.)
| | - Minerva del Rio Carmona
- Faculty of Psychology, Universidad Católica de Valencia San Vicente Mártir, Sede Padre Jofré, Av., Ilustración nº2, 46100 Valencia, Spain
| | - Rosa Castell-Enguix
- Faculty of Psychology, Universidad Católica de Valencia San Vicente Mártir, Sede Padre Jofré, Av., Ilustración nº2, 46100 Valencia, Spain
| | - Isabel Iborra-Marmolejo
- Faculty of Psychology, Universidad Católica de Valencia San Vicente Mártir, Sede Padre Jofré, Av., Ilustración nº2, 46100 Valencia, Spain
| | - Mike Murphy
- School of Applied Psychology, University College Cork, N Mall, Kilbarry Enterprise Centre, T12 YN60 Cork, Ireland
| | - Tatiana Quarti Irigaray
- Pós-Graduate Program in Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre 91215-330, Brazil
| | - José Francisco Cervera
- Faculty of Psychology, Universidad Católica de Valencia San Vicente Mártir, Sede Padre Jofré, Av., Ilustración nº2, 46100 Valencia, Spain
| | - Carmen Moret-Tatay
- Faculty of Psychology, Universidad Católica de Valencia San Vicente Mártir, Sede Padre Jofré, Av., Ilustración nº2, 46100 Valencia, Spain
- Correspondence: (A.M.B.-C.); (C.M.-T.)
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