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Practice Effects Predict Cognitive Outcome in Amnestic Mild Cognitive Impairment
Journal article   Peer reviewed

Practice Effects Predict Cognitive Outcome in Amnestic Mild Cognitive Impairment

Kevin Duff, Constantine G Lyketsos, Leigh J Beglinger, Gordon Chelune, David J Moser, Stephan Arndt, Susan K Schultz, Jane S Paulsen, Ronald C Petersen and Robert J McCaffrey
The American journal of geriatric psychiatry, Vol.19(11), pp.932-939
11/2011
DOI: 10.1097/JGP.0b013e318209dd3a
PMCID: PMC3202689
PMID: 22024617
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3202689View
Open Access

Abstract

Practice effects on cognitive tests have been shown to further characterize patients with amnestic mild cognitive impairment (aMCI) and may provide predictive information about cognitive change across time. We tested the hypothesis that a loss of practice effects would portend a worse prognosis in aMCI. Longitudinal, observational design following participants across 1 year. Community-based cohort. Three groups of older adults: 1) cognitively intact (n = 57), 2) aMCI with large practice effects across 1 week (MCI + PE, n = 25), and 3) aMCI with minimal practice effects across 1 week (MCI − PE, n = 26). Neuropsychological tests. After controlling for age and baseline cognitive differences, the MCI − PE group performed significantly worse than the other groups after 1 year on measures of immediate memory, delayed memory, language, and overall cognition. Although these results need to be replicated in larger samples, the loss of short-term practice effects portends a worse prognosis in patients with aMCI.
practice effects mild cognitive impairment Dementia

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