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Early cognitive markers of the incidence of dementia and mortality
 — a longitudinal study of the oldest old
Author(s)Boo Johansson, Steven H Zarit
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 1, January 1997
Pagespp 53-59
KeywordsDementia ; Mental health [elderly] ; Assessment procedures for mental patients ; Octogenarians ; Death ; Longitudinal surveys ; Sweden.
AnnotationThis study examines whether cognitive markers at prior examinations are indicative of subsequent dementia and mortality. The sample of Swedish subjects aged 84-90 at baseline were re-examined three times over a 6 year period on a comprehensive biobehavioural battery of tests: memory-in-reality (MIR) test; a prose recall test (100 words); the Swedish clock test; the coin test; and the Mini-Mental State Examination (MMSE). Dementia was evaluated at each examination using DSM-III-R criteria. Results indicated that incident cases of dementia had lower cognitive scores both 2 and 4 years prior to diagnosis, compared to non-demented survivors. Evidence for terminal decline was also found, as people who subsequently died also had lower cognitive performance at prior examinations, compared to non-demented survivors. The findings suggest that mild cognitive dysfunction is an important clinical finding among the oldest old, and may herald either the onset of dementia or mortality.
Accession NumberCPA-970807207 A
ClassmarkEA: D: DA:4C: BBM: CW: 3J: 76P

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