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Impact of neuropsychological assessment on subjective memory complaints in patients with mild cognitive impairment

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dc.contributor.authorAnjos, Ricardo
dc.contributor.authorMadruga, Nuno
dc.contributor.authorCardoso, Sandra
dc.contributor.authorSchmand, Ben
dc.contributor.authorGuerreiro, Manuela
dc.contributor.authorDe Mendonça, Alexandre
dc.contributor.authorRibeiro, Filipa
dc.date.accessioned2024-12-02T14:25:53Z
dc.date.available2024-12-02T14:25:53Z
dc.date.issued2024
dc.description© 2024 John Wiley & Sons Ltdpt_PT
dc.description.abstractIntroduction: Patients with Alzheimer's disease (AD), namely at an initial stage like amnestic cognitive impairment (aMCI), typically present with memory complaints. They also have difficulties regarding self-knowledge about their cognitive deficits. In clinical practice, a formal neuropsychological assessment is often done. The present study aimed to understand whether patients with aMCI retain the ability to monitor the success or failure in their performance during the neuropsychological assessment and adjust the report of memory complaints accordingly, as compared to healthy controls. Methods: Participants were patients with aMCI and healthy controls who were questioned about their own memory abilities using the Subjective Memory Complaints (SMC) scale, applied before and after the neuropsychological assessment protocol. A repeated measures General Linear Model was performed to analyze changes in SMC (within-subjects effects) after the neuropsychological assessment, in patients with aMCI and healthy controls (between-subjects effects). Results: Eighty volunteers, 40 patients with aMCI and 40 healthy controls, participated in the study. Patients with aMCI showed lower MMSE scores, more depressive symptoms, and deficits in memory and learning, language and executive domains. Patients with aMCI had higher SMC scores [9.4(3.6)] than healthy controls [4.4(2.3)] before the neuropsychological assessment. A statistically significant interaction was found between the SMC and the diagnostic group, meaning that healthy controls decreased SMC [3.4(1.9)] after the neuropsychological assessment, whereas patients with aMCI kept high levels of SMC [9.6(3.9)]. In patients with aMCI, an inverse correlation between logical memory and the change in SMC was found, so that patients with lower scores in the logical memory test tended to increase their memory complaints after the assessment. Conclusions: Both patients with aMCI and healthy controls can monitor and update the impression about their memory abilities following a formal neuropsychological assessment. Patients with aMCI maintain a high SMC level, which is inversely associated with their memory performance. In practical terms, SMC should be measured consistently at a particular moment in time, preferably preceding the objective neuropsychological assessment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Geriatr Psychiatry. 2024 Nov;39(11):e70007pt_PT
dc.identifier.doi10.1002/gps.70007pt_PT
dc.identifier.eissn1099-1166
dc.identifier.issn0885-6230
dc.identifier.urihttp://hdl.handle.net/10400.5/95854
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/journal/10991166pt_PT
dc.subjectAlzheimer's diseasept_PT
dc.subjectMetamemorypt_PT
dc.subjectMild cognitive impairmentpt_PT
dc.subjectNeuropsychological assessmentpt_PT
dc.subjectSubjective memory complaintspt_PT
dc.titleImpact of neuropsychological assessment on subjective memory complaints in patients with mild cognitive impairmentpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue11pt_PT
oaire.citation.titleInternational Journal of Geriatric Psychiatrypt_PT
oaire.citation.volume39pt_PT
person.familyNameCardoso
person.familyNameGuerreiro
person.familyNamede Mendonça
person.givenNameSandra
person.givenNameManuela
person.givenNameAlexandre
person.identifier.ciencia-id1615-41B4-0848
person.identifier.orcid0000-0001-8333-0133
person.identifier.orcid0000-0002-1948-1516
person.identifier.orcid0000-0002-0488-1453
person.identifier.scopus-author-id7005985367
person.identifier.scopus-author-id7003320823
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication850d908d-4e9f-4dd4-abc4-e592f3e4ff3b
relation.isAuthorOfPublication84a46e8c-68d9-4854-86b6-0699df8c129b
relation.isAuthorOfPublication53ca3547-99ce-4b68-9330-7879a54c47b7
relation.isAuthorOfPublication.latestForDiscovery850d908d-4e9f-4dd4-abc4-e592f3e4ff3b

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