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Published on: December 16, 2022
Executive functions deficit in mild cognitive impairment
Latchezar Traykov1, Nadine Raoux, Florence Latour
1Hôpital Henri Mondor, Department of Neurology, University Paris XII, Créteil, France. traykov_l@yahoo.fr
Objective:
To investigate whether patients diagnosed with amnestic mild cognitive impairment (MCI) have also impairment in attention/executive functions, and therefore to clarify whether all subcomponents of executive control are equally affected in MCI.
Background:
MCI refers to the transitional state between normal aging and dementia. Amnestic MCI is characterized by impaired episodic memory, although subtle impairment of executive functions has been noted on neuropsychologic tests.
Methods:
We investigated 20 MCI patients and 20 normal controls using episodic memory, attention/executive functions, language, and praxis tests.
Results:
MCI patients had significantly lower scores on all measures of the Free and Cued Selective Reminding Test (P<0.05 to 0.01) than controls. Furthermore, MCI had a greater number of perseverations (P<0.01) on Modified Card Sorting Test and the lowest performance on the Stroop Test (P<0.02).
Conclusions:
Our findings showed impairment in episodic memory performance in MCI as compared with that of controls. In addition, MCI patients had problems with response inhibition, switching, and cognitive flexibility, which encompass various aspects of executive functions. This suggests that MCI may be identified by using a more detailed procedure for the assessment of cognitive decline than the evaluation of memory alone.
Insights
Patients with mild cognitive impairment (MCI) show deficits not only in memory but also in executive functions like response inhibition and cognitive flexibility. Comprehensive cognitive assessment is crucial for identifying MCI.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Gerontology
Background:
- Mild cognitive impairment (MCI) represents a transitional stage between normal aging and dementia.
- Amnestic MCI is primarily defined by episodic memory impairment, with potential subtle executive function deficits.
Purpose of the Study:
- To determine if amnestic MCI patients exhibit impairments in attention and executive functions.
- To ascertain if all executive control subcomponents are equally affected in MCI.
Main Methods:
- A study involving 20 MCI patients and 20 healthy controls.
- Utilized tests assessing episodic memory, attention, executive functions, language, and praxis.
Main Results:
- MCI patients scored significantly lower on all Free and Cued Selective Reminding Test measures compared to controls.
- MCI patients demonstrated more perseverations on the Modified Card Sorting Test and poorer performance on the Stroop Test.
Conclusions:
- MCI patients exhibit impairments in episodic memory, response inhibition, switching, and cognitive flexibility.
- Executive function deficits are present in MCI, suggesting a need for detailed cognitive assessment beyond memory evaluation.
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