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| Attitudes of UK psychiatrists to the diagnosis of MCI in clinical practice | | Author(s) | Joanne Rodda, Santhosh Dontham Gandhi, Naaheed Mukadam, Zuzana Walker |
| Journal title | International Psychogeriatrics, vol 25, no 2, February 2013 |
| Publisher | Cambridge University Press, February 2013 |
| Pages | pp 286-291 |
| Source | journals.cambridge.org/ipg |
| Keywords | Cognitive impairment ; Dementia ; Memory disorders ; Evaluation ; Diagnosis ; Psychiatrists ; Attitude. |
| Annotation | Mild cognitive impairment (MCI) may represent a transitional stage between normal functioning and dementia. Following the initial criteria developed by Petersen et al. in 1999, which focused on memory deficit in the context of otherwise normal cognition and general functioning, the concept has evolved with the introduction of subtypes of MCI and improved understanding of etiology. The aim of this study was to investigate current practice as well as familiarity with and attitudes toward the concept of MCI amongst UK old age psychiatrists. An anonymous postal survey was sent to all clinicians on the Royal College of Psychiatrists Old Age Psychiatry register. Questions covered attitudes toward the concept of MCI in addition to diagnostic criteria and assessment tools used. The survey response rate was 39% (453 of 1,154 questionnaires returned completed). The majority of respondents were consultants (83%) and 91% diagnosed MCI. Only 4.4% of the respondents thought that the concept of MCI was not useful and 79% of them required a memory complaint from either the patient or an informant for a diagnosis, but the majority did not have a specific cut-off on cognitive testing. 82% reported that they required no or minimal impairment in activities of daily living for a diagnosis of MCI. The two most frequently used tools for assessment were the Mini-Mental State Examination and the Addenbrooke's Cognitive Examination (Revised). Overall results of the survey show that in the United Kingdom, the term MCI has become part of everyday clinical practice in psychiatry, suggesting that clinicians find it a useful term to conceptualise the transitional stage between normal ageing and dementia. However there is variability in diagnostic practice. (JL). |
| Accession Number | CPA-130118212 A |
| Classmark | E4: EA: EH: 4C: LK7: QT9: DP |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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