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Two Year Outcomes, Cognitive and Behavioral Markers of Decline in Healthy, Cognitively Normal Older Persons With Global Deterioration Scale Stage 2 (Subjective Cognitive Decline With Impairment) Publisher Pubmed



Reisberg B1, 6, 14, 15 ; Torossian C1 ; Shulman MB1, 2 ; Monteiro I1 ; Boksay I1 ; Golomb J1, 2 ; Benarous FG1, 2 ; Ulysse A2 ; Oo T2 ; Vedvyas A2 ; Rao JA2 ; Marsh K2 ; Kluger A1, 7 ; Sangha J1 Show All Authors
Authors
  1. Reisberg B1, 6, 14, 15
  2. Torossian C1
  3. Shulman MB1, 2
  4. Monteiro I1
  5. Boksay I1
  6. Golomb J1, 2
  7. Benarous FG1, 2
  8. Ulysse A2
  9. Oo T2
  10. Vedvyas A2
  11. Rao JA2
  12. Marsh K2
  13. Kluger A1, 7
  14. Sangha J1
  15. Hassan M1
  16. Alshalabi M1
  17. Arain F1
  18. Shaikh N8
  19. Buj M1
  20. Kenowsky S1
  21. Masurkar AV2
  22. Rabin L9, 15
  23. Noroozian M10, 14
  24. Sanchezsaudinos MB11, 12
  25. Blesa R11, 12, 14
  26. Auer S13
  27. Zhang Y5
  28. De Leon M1
  29. Sadowski M1, 2, 3
  30. Wisniewski T1, 2, 4
  31. Gauthier S6, 14
  32. Shao Y5

Source: Journal of Alzheimer's Disease Published:2019


Abstract

Background: Little is known with respect to behavioral markers of subjective cognitive decline (SCD), a condition initially described in association with Global Deterioration Scale (GDS) stage 2. Objective: Two-year interval behavioral markers were investigated herein. Methods: Subjects from a published 7-year outcome study of GDS stage 2 subjects were selected. This study had demonstrated a hazard ratio of 4.5 for progression of GDS stage 2, in comparison with GDS stage 1 (no subjective or objective cognitive decline) subjects, after controlling for demographic and temporal variables. Because GDS 2 subjects have previously demonstrated impairment in comparison with healthy persons free of complaints, we herein suggest the terminology SCD(I) for these persons. 98 SCD(I) persons, 63 women and 35 men, mean baseline age, 67.12±8.75 years, with a mean educational background of 15.55±2.60 years, and mean baselineMMSEscores of 28.9±1.24 were followed for 2.13±0.30 years. Results: Observed annual decline on the GDS was 6.701% per annum, very close to a 1986 published estimate. At follow up, the MMSE, and 7 of 8 psychometric tests did not decline significantly. Of 21 Hamilton Depression Scale items, 2 improved and the remainder were unchanged. Anxieties declined from multiple perspectives. The Brief Cognitive Rating Scale (BCRS) declined significantly (p < 0.001), with component declines in Remote memory (p < 0.01), and Functioning/self-care (p = 0.01). Conclusion: SCD(I) persons decline at an annual rate of approximately 6.7%/year from several recent studies. The BCRS assessments and the Digit Symbol Substitution Test can be sensitive measures for future studies of progression mitigation. © 2019 IOS Press and the authors. All rights reserved.
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