Brief Report| Volume 16, ISSUE 12, P1095-1096, December 01, 2015

Sociodemographic and Clinical Changes Over Time of Individuals Evaluated for Cognitive Disturbances: Good or Bad News?


      In recent years, “prevention” and “early diagnosis” have been growingly discussed and explored in the field of cognitive disorders. Such increased attention to cognitive disturbances and neurodegenerative conditions may constitute a key step for achieving early/timely diagnosis of dementing illnesses. At the same time, it may generate possible issues (such as a greater proportion of negative diagnostic procedures with potential misuse of resources) that should be acknowledged by health care systems. In this report, we present exploratory analyses aimed at investigating the sociodemographic and clinical changes over time of all the individuals who have been cognitively assessed in a Memory Clinic between 2002 and 2014. Overall, individuals evaluated for cognitive disturbances have gradually become younger, more educated, and less impaired in cognitive and physical functions at their first cognitive assessment. To date, nearly 1 of 4 individuals completing a neuropsychological evaluation has no objective cognitive deficits, thus presenting subjective cognitive complaints. Based on these findings, the development and implementation of strategies for improving the referral to memory clinics is strongly needed.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of the American Medical Directors Association
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Prince M.J.
        • Wu F.
        • Guo Y.
        • et al.
        The burden of disease in older people and implications for health policy and practice.
        Lancet. 2015; 385: 549-562
        • Solomon A.
        • Mangialasche F.
        • Richard E.
        • et al.
        Advances in the prevention of Alzheimer's disease and dementia.
        J Intern Med. 2014; 275: 229-250
        • World Health Organization
        Alzheimer's Disease International. Dementia: A Public Health Priority.
        World Health Organization, Geneva, Switzerland2012
        • Jessen F.
        • Amariglio R.E.
        • van Boxtel M.
        • et al.
        • Subjective Cognitive Decline Initiative (SCD-I) Working Group
        A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer's disease.
        Alzheimers Dement. 2014; 10: 844-852
        • Lautenschlager N.T.
        • Cox K.L.
        • Flicker L.
        • et al.
        Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: A randomized trial.
        JAMA. 2008; 300: 1027-1037
        • Morris M.C.
        • Tangney C.C.
        • Wang Y.
        • et al.
        Mediterranean-dietary approach to systolic hypertension diet intervention for neurodegenerative delay diet slows cognitive decline with aging.
        Alzheimers Dement. 2015; 11: 1015-1022