Subjective cognitive complaints in patients with Parkinson's disease

Pernille Louise Kjeldsen1,2, Malene Flensborg Damholdt1,3

  • 1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Insights

Subjective cognitive complaints are crucial for diagnosing Parkinson's disease mild cognitive impairment (PD-MCI). However, current research lacks standardized methods for measuring these complaints, hindering consistent diagnosis.

Area of Science:

  • Neurology
  • Neuroscience
  • Cognitive Science

Background:

  • Mild cognitive impairment (MCI) is highly prevalent in Parkinson's disease (PD), impacting nearly all patients.
  • Subjective cognitive complaints in PD patients indicate an elevated risk for developing PD-MCI.
  • The Movement Disorders Society (MDS) 2012 criteria mandate subjective cognitive complaints alongside objective impairment for PD-MCI diagnosis.

Purpose of the Study:

  • To review how subjective cognitive complaints are operationalized in empirical literature for Parkinson's disease mild cognitive impairment (PD-MCI).
  • To assess the association between subjective cognitive complaints and the level of cognitive impairment in PD patients.
  • To highlight the need for standardized measurement of subjective cognitive complaints in PD-MCI diagnosis.

Main Methods:

  • Systematic review of empirical studies on subjective cognitive complaints in Parkinson's disease.
  • Analysis of operationalization methods, data sources, and reported associations with cognitive impairment.
  • Evaluation of consistency and standardization in subjective cognitive complaint assessment.

Main Results:

  • A wide variety of measures are employed to assess subjective cognitive complaints in PD.
  • Significant inconsistency exists across studies regarding the methods, sources, quantity, and types of subjective cognitive complaints.
  • The association between subjective cognitive complaints and objective cognitive impairment varies across studies.

Conclusions:

  • The current lack of standardized measurement for subjective cognitive complaints poses a challenge for consistent PD-MCI diagnosis.
  • Methodological consensus is urgently needed for the reliable assessment of subjective cognitive complaints in Parkinson's disease.
  • Standardized measurement will improve diagnostic accuracy and research consistency in PD-MCI.

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