Do subjective memory complaints precede dementia? A three-year follow-up of patients with supposed "benign senescent forgetfulness"


John T. et al. O'Brien
Bok Engelsk 1992
Utgitt
1992
Omfang
6 s.
Opplysninger
A three-year follow-up study is reported of people presenting to a hospital memory clinic with "benign senescent forgetfulness". All were complaining of forgetfulness for which no organic or psychiatric cause could be found. Sixty-four out of the 68 patients initially seen were traced, of whom 3 had died. Six (8.8%) were found to have come demented, a slightly higher proportion than would be expectedgiven the age of the population. No particular clinical features were found that predicted the subseqouent development of dementia. Cognitive performance of remaning non-demented subjects showed a significant but relatively modest decline, probably related to the effects of normal ageing. It is concluded that memory complaint must be taken seriously in the elderly and may sometimes indicate early dementia despite normal scores on simple sceening tests. However, a finding of normality ater careful assesment is reassuringly correct in the majority of cases.
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