Conversion to dementia in mild cognitive impairment diagnosed with DSM-5 criteria and with Petersen's criteria

2015 ◽  
Vol 133 (5) ◽  
pp. 378-385 ◽  
Author(s):  
G. Marcos ◽  
J. Santabárbara ◽  
R. Lopez-Anton ◽  
C. De-la-Cámara ◽  
P. Gracia-García ◽  
...  

2017 ◽  
Vol 43 (3-4) ◽  
pp. 193-203 ◽  
Author(s):  
Ji Won Han ◽  
Yoonseop So ◽  
Tae Hui Kim ◽  
Dong Young Lee ◽  
Seung-Ho Ryu ◽  
...  

Aim: To examine the impact of the revised diagnostic criteria for neurocognitive disorders (NCDs) in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) on the prevalence of dementia and mild cognitive impairment (MCI). Methods: A total of 755 participants aged 65 years or older in the Nationwide Survey on Dementia Epidemiology in Korea 2012 were rediagnosed according to the DSM-5 criteria. Results: The estimated age-, gender-, education-, and urbanicity-standardized prevalence rates of major and mild NCDs were 8.35 and 11.10%, respectively, and those of dementia and MCI were 8.74 and 31.85%, respectively. Cohen's κ for dementia and major NCD was 0.988, and that for MCI and mild NCD was 0.273. Conclusion: Diagnostic discrepancies between major/mild NCDs and dementia/MCI might depend on the operationalization of neuropsychological performance criteria.



2012 ◽  
Vol 74 (4) ◽  
pp. 295-298
Author(s):  
Moises Gaviria ◽  
Erin Cullnan

Mild cognitive impairment (MCI) is a relatively newly described phenomenon representing a mild deficit on the continuum between normal aging and dementia. Although MCI is the source of much interest and research in the fields of neuroscience and medicine, its definition, prevalence, and criteria for diagnosis has yet to become standardized and is the subject of much controversy. While there is some consensus among American and European researchers about the construct of MCI, others argue that these researchers focus too much on MCI as a preclinical state of Alzheimer’s disease (Ad) and thus is too narrow. MCI must also be examined in the context of each individual patient, taking into account each person’s unique needs and the degree to which his or her life is affected by the cognitive impairment in question. As the upcoming DSM-5 criteria are still being decided, it is a particularly opportune time to focus on alternative perspectives and definitions of MCI to ensure the best clinical definition possible can be determined.



2017 ◽  
Vol 31 (2) ◽  
pp. 80-86 ◽  
Author(s):  
G. Pírez ◽  
J. Santabárbara ◽  
R. Lopez-Anton ◽  
P. Gracia-García ◽  
E. Lobo ◽  
...  


Author(s):  
David C. Hsu ◽  
James M. Ellison

Mild cognitive impairment (MCI), and the newly described DSM-5 diagnosis of mild neurocognitive disorder, often lie at the intersection of geriatric and forensic psychiatry. The concept of MCI as a distinct syndrome between normal cognitive aging and major neurocognitive disorder (dementia) has continued to evolve over the past decade. Given MCI’s range of potential etiologies, as well as its increasing prevalence in an aging population, its evaluation and management can perplex the seasoned clinician and complicate legal proceedings. This chapter describes the clinical phenomenon of MCI, as well as its corresponding forensic implications. Capacity assessments, risk management, competence to stand trial, and cognitive malingering are covered.



2014 ◽  
Vol 131 (1) ◽  
pp. 29-39 ◽  
Author(s):  
R. Lopez-Anton ◽  
J. Santabárbara ◽  
C. De-la-Cámara ◽  
P. Gracia-García ◽  
E. Lobo ◽  
...  


2018 ◽  
Vol 31 (1) ◽  
pp. 133-138 ◽  
Author(s):  
Abu P. Varghese ◽  
J. Prasad ◽  
K. S. Jacob

ABSTRACTBackground and Aims:The changes in DSM-5 diagnostic criteria for dementia (Major neurocognitive disorder (NCD)) and mild cognitive impairment (mild NCD) mandate a re-evaluation of screening instruments. This study attempted to validate screening instruments, identify optimum threshold, and describe their indices of efficacy.Method:Consecutive people above the age of 65 years attending the outpatient department of a general hospital were recruited. They were assessed using the Mini-Mental State Examination and the Vellore Screening Instruments for Dementia and were evaluated against the DSM-5 standard. Bivariate and multivariate statistics were obtained. Receiver-operating-characteristic curves were drawn, optimum thresholds obtained, sensitivity, specificity, and predictive values calculated.Results:One hundred and thirty four older people were recruited. The majority were women, married, with low levels of education, not employed, living with family, and had medical co-morbidity. A minority satisfied DSM-5 criteria for major (1.5%) and mild NCD (36.5%). The factors associated with NCD were older age, fewer years of education, and lower socio-economic status. MMSE, VSID patient, and VSID informant scores were significantly associated with NCD. The indices of efficacy for the MMSE and VSID patient version were modest for identifying Mild NCD. However, their performance in identifying major NCD was better. Nevertheless, optimal thresholds for recognition differed markedly from their originally recommended cut-offs.Conclusions:The DSM-5 standards, with new and different cognitive domains, mandate a revaluation and recalibration of existing screening instruments. Ideally, new screening instruments, which match the cognitive domains and DSM-5 standard should be developed.



2016 ◽  
Vol 24 (11) ◽  
pp. 977-986 ◽  
Author(s):  
Javier Santabárbara ◽  
Patricia Gracia-García ◽  
Guillermo Pírez ◽  
Raúl López-Antón ◽  
Concepcion De La Cámara ◽  
...  


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