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Five-year incidence and prediction of dementia and cognitive decline in a population sample of women aged 70-79 at baseline
Author(s)Carol Brayne, Nicky Best, Mary Muir
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 11, November 1997
Pagespp 1107-1118
KeywordsOlder women ; Over 70s ; Dementia ; Mental ageing ; Longitudinal surveys.
AnnotationThe incidence of dementia of all severities in this 5-study of 365 women in their seventies was 3.1% per annum. The women were interviewed using an augmented version of CAMDEX, including informant interview, and reaction times at baseline and 5 years later. IQ was estimated at baseline only. CAMCOG declined by 12.6 points in those who became demented, MMSE by 3 points. Observed, self-reported and informant-reported cognitive difficulty at baseline all predicted later incidence of dementia. The additional use of estimated IQ and reaction times did not increase the efficiency of either cross-sectional detection of dementia or prediction of dementia at 5 years. The incidence of dementia was in the range reported by other studies; slight cognitive decline was noted in the total population, increasing with age and marked in incident dementia. Of clinical importance was the finding that both the individuals and the informants of those who subsequently demented were aware of decline 5 years earlier. Simple and relatively easily administered cognitive tests were found to be the most efficient method for detecting dementia. (RH).
Accession NumberCPA-981001218 A
ClassmarkBD: BBK: EA: D6: 3J

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