Self-rated and informant-rated everyday function in comparison to objective markers of Alzheimer's disease.

Self-rated and informant-rated everyday function in comparison to objective markers of Alzheimer's disease.
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DOI:
10.1016/j.jalz.2014.09.002
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发表时间:
2015-09
影响因子:
14
通讯作者:
Farias, Sarah Tomaszewski
Farias, Sarah Tomaszewski
中科院分区:
医学1区
文献类型:
--
作者:
Rueda, Alicia D.;Lau, Karen M.;Saito, Naomi;Harvey, Danielle;Risacher, Shannon L.;Aisen, Paul S.;Petersen, Ronald C.;Saykin, Andrew J.;Farias, Sarah Tomaszewski

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人们认识到,患有轻度认知障碍(MCI)的个体在日常功能方面已经表现出困难,这预示着疾病的进展。本研究考察了自我报告与举报人报告的功能能力之间的关系,以及这些报告如何与整个疾病谱系(即认知正常、轻度认知障碍、阿尔茨海默病)的客观疾病测量相关联。共有1080名受试者接受了自我和/或被告知的日常认知(ECog)问卷调查。客观测量包括认知功能、结构性脑萎缩、脑脊液(CSF)异常,以及使用[18F]AV45 (florbetapir)使用正电子发射断层扫描(PET)检测淀粉样蛋白沉积标志物。总体而言,尽管自我报告的功能状态可能在早期疾病中仍有一些效用,但举报人报告始终比自我报告与疾病的客观标记更相关。
It is recognized that individuals with mild cognitive impairment (MCI) already demonstrate difficulty in aspects of daily functioning, which predicts disease progression. This study examined the relationship between self- versus informant-report of functional ability, and how those reports relate to objective disease measures across the disease spectrum (i.e. cognitively normal, MCI, Alzheimer’s disease). A total of 1,080 subjects with self- and/or informant-rated Everyday Cognition (ECog) questionnaires were included. Objective measures included cognitive functioning, structural brain atrophy, cerebrospinal fluid (CSF) abnormalities, and a marker of amyloid deposition using positron emission tomography (PET) with [18F]AV45 (florbetapir). Overall, informant-report was consistently more associated with objective markers of disease than self-report although self-reported functional status may still have some utility in early disease.
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