scholarly journals Classifying Mild Cognitive Impairment from Behavioral Responses in Emotional Arousal and Valence Evaluation Task – AI Approach for Early Dementia Biomarker in Aging Societies –

Author(s):  
Tomasz M. Rutkowski ◽  
Masato S. Abe ◽  
Marcin Koculak ◽  
Mihoko Otake-Matsuura
CNS Spectrums ◽  
2008 ◽  
Vol 13 (1) ◽  
pp. 45-53 ◽  
Author(s):  
Ronald C. Petersen ◽  
Selamawit Negash

ABSTRACTMild cognitive impairment (MCI) refers to the transitional state between the cognitive changes of normal aging and very early dementia. MCI has generated a great deal of research from both clinical and research perspectives. Several population- and community-based studies have documented an accelerated rate of progression to dementia and Alzheimer's disease in individuals diagnosed with MCI. Clinical subtypes of MCI have been proposed to broaden the concept and include prodromal forms of a variety of dementias. An algorithm is presented to assist the clinician in identifying subjects and subclassifying them into the various types of MCI. Progression factors, including genetic, neuroimaging, biomarker, and clinical characteristics, are discussed. Neuropathological studies indicating an intermediate state between normal aging and early dementia in subjects with MCI are presented. The recently completed clinical trials as well as neuropsychological and nutritional interventions are discussed. Finally, the clinical utility of MCI, and directions for future research are proposed.


2008 ◽  
Vol 20 (1) ◽  
pp. 18-31 ◽  
Author(s):  
Barry Reisberg ◽  
Steven H. Ferris ◽  
Alan Kluger ◽  
Emile Franssen ◽  
Jerzy Wegiel ◽  
...  

ABSTRACTDescriptions of dementia can be traced to antiquity. Prichard (1837) described four dementia stages and Kral (1962) described a “benign senescent forgetfulness” condition. The American Psychiatric Association's DSM-III (1980) identified an early dementia stage.In 1982, the Clinical Dementia Rating (CDR) and the Global Deterioration Scale (GDS) were published, which identified dementia antecedents. The CDR 0.5 “questionable dementia” stage encompasses both mild dementia and earlier antecedents. GDS stage 3 described a predementia condition termed “mild cognitive decline” or, alternatively, beginning in 1988, “mild cognitive impairment” (MCI). This GDS stage 3 MCI condition is differentiated from both a preceding GDS stage 2, “subjective cognitive impairment” (SCI) stage and a subsequent GDS 4 stage of mild dementia.GDS stage 3 MCI has been well characterized. For example, specific clinical concomitants, mental status and psychological assessment score ranges, behavioral and emotional changes, neuroimaging concomitants, neurological reflex changes, electrophysiological changes, motor and coordination changes, and changes in activities, accompanying GDS stage 3 MCI have been described.Petersen and associates proposed a definition of MCI in 2001 which has been widely used (hereafter referred to as “Petersen's MCI”). Important differences between GDS stage 3 MCI and Petersen's MCI are that, because of denial, GDS stage 3 MCI does not require memory complaints. Also, GDS stage 3 MCI recognizes the occurrence of executive level functional deficits, which Petersen's MCI did not. Nevertheless, longitudinal and other studies indicate essential compatibility between GDS stage 3 MCI and Petersen's MCI duration and outcomes.


2007 ◽  
Vol 80 (special_issue_2) ◽  
pp. S109-S114 ◽  
Author(s):  
N SCHUFF ◽  
X P ZHU

2013 ◽  
Vol 25 (12) ◽  
pp. 1963-1984 ◽  
Author(s):  
Bridget Regan ◽  
Laura Varanelli

ABSTRACTBackground:Many people with mild cognitive impairment (MCI) or early dementia suffer from concomitant depression and anxiety disorders, which in some cases, may be related difficulties adjusting to their diagnosis and associated cognitive problems. Successful adjustment and alleviation of depression and anxiety symptoms in these people is of critical importance for quality of life and may also help prevent, or delay, further cognitive decline. A variety of psychosocial intervention approaches has been trialed with this group.Method:The literature was systematically searched for community-based intervention studies that aim to improve depression, anxiety, or adjustment. Studies were included or excluded using a priori criteria. Once included, the quality of studies was evaluated using pre-set criteria.Results:Seventeen of 925 studies identified through literature databases and manual searches met the inclusion criteria. Of these, 16 were considered to be of at least “adequate quality.” These included seven randomized controlled trials and eight pre–post studies. A diverse range of psychotherapeutic approaches, formats (individual or group), outcome measures, inclusion criteria, and cultural contexts were apparent, making comparisons between studies challenging.Conclusions:Several studies have demonstrated positive findings in the treatment of depression in older adults with early dementia using problem solving and modified cognitive behavior therapy (CBT) approaches. Amongst the large range of approaches trialed to improve adjustment and quality of life for patients with MCI and early dementia, some approaches, such as modified CBT, have shown promise. There is a need for replication studies using more rigorous methodology before clear clinical recommendations can be made.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. K. Lalitha ◽  
Dr. D. Jamuna

One of the common concerns of older people is the complaint that their memory was not as good as it was. Empirical studies on memory have highlighted that memory losses are not uncommon in any age. According to statistics, 70% of older adults report that they have memory problems, but objective tests are needed to determine if they have mild cognitive impairment, which is also known as benign senescent forgetfulness (AAMD) and early dementia. Mild cognitive impairment is basically a transitional stage between normal aging and Alzheimer’s disease. Studies show that 17% to 34% of elderly people have mild cognitive impairment. One of the significant areas of contemporary gerontological researches is planning of systematic interventions in improving memory. This article focuses on the research carried out on memory and old age in India and discusses the need for further research.


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