{"id":3531,"date":"2015-06-02T14:09:29","date_gmt":"2015-06-02T06:09:29","guid":{"rendered":"http:\/\/www.appliedpsyj.org\/journal\/?p=3531"},"modified":"2015-06-02T14:09:48","modified_gmt":"2015-06-02T06:09:48","slug":"subjective-memory-complaint-an-early-sign-of-dementia%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/www.appliedpsyj.org.tw\/journal\/?p=3531","title":{"rendered":"Subjective Memory Complaint: An Early Sign of Dementia\uff1f"},"content":{"rendered":"

Ker-Neng Lin <\/strong>
\nPei-Ning Wang <\/strong>
\nYa-Yun Chuang <\/strong>
\nHsiu-Chih Liu<\/strong>
\nThe Neurological Institute\u00a0Taipei Veterans General Hospital<\/p>\n

Is subjective memory complaint (SMC) an early sign of dementia? In order to study the relationship between SMC and actual memory ability and the clinical significance of SMC, we studied the community elderly population and the patients from memory clinic. In community study, 543 subjects were visited twice in 1993 and 1996. In addition to neurologists\u2019 examination, the subjects also took Cognitive Abilities Screening Instrument (CASI) and Geriatric Depression Scale-Simple Form (GDS-S) during each visit. In clinical study, 709 patients, self-referred or referred by family members to the memory clinic, were recruited. CASI and Clinical Dementia Rating (CDR) were administered to the patients, and family members or caregivers were interview independently during the CDR. Both studies indicate that SMC is very common in elderly population. In community population, SMC reflected the actual cognitive abilities, but did not reflect the actual cognitive decline in the subsequent or past three years. This suggests that the cognitive decline is a very slow process in normal aging. In clinical population, SMC did not reflect the actual cognitive abilities. Furthermore, as the severity of memory impairment increases, the self-awareness of memory impairment decreases. Family members had an accurate estimation of the patients\u2019 memory impairment and became an important resource for evaluating the patients\u2019 daily function. Subjects with SMC increase the possibilities in developing questionable dementia or dementia. SMC is an early sign for dementia and deserves family members\u2019 or clinicians\u2019 attention.<\/p>\n

Keywords: dementia, memory complaint, CASI, CDR<\/p>\n","protected":false},"excerpt":{"rendered":"

Ker-Neng Lin Pei-Ning Wang Ya-Yun Chuang Hsiu-Chih Liu …<\/span> Read More →<\/span><\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[96],"tags":[],"class_list":["post-3531","post","type-post","status-publish","format-standard","hentry","category-96"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t