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Published on: July 24, 2019
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.
Abstract:
Mild cognitive impairment (MCI) is common in Parkinson's disease (PD), affecting almost all patients with PD at some time. It has been shown that patients with PD, who express subjective cognitive complaints, are at a higher risk of eventually developing PD-MCI. This is corroborated by the Movement Disorders Society's (MDS) diagnostic criteria from 2012 for PD-MCI, from which it follows that a subjective cognitive complaint must be present in addition to objective cognitive impairment for a patient with PD to receive a diagnosis of PD-MCI. Nevertheless, there is currently no standardized measurement available for assessing subjective cognitive complaints. Therefore, this review aims to generate an overview of how subjective cognitive complaints are commonly operationalized in the empirical literature as well as whether they are found to be associated with the level of cognitive impairment. The findings revealed that a broad range of measures has been used to obtain subjective cognitive complaints and that there is little consistency between different studies with regard to how they have obtained these complaints, from whom they had obtained them, how many they have obtained, which types of complaints they have obtained and whether they were associated with cognitive impairment. Given the fact that the presence of subjective cognitive complaints is a requirement for setting a diagnosis, there is a need for more methodological consensus with regard to the measurement hereof.
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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