The Impact of Cognitive Reserve on the Neuropsychological Functioning of Hispanic Patients with Minor Neurocognitive Disorder
- 1 1Medical Care Consortium, Inc., Miami, USA 2Herbert Wertheim College of Medicine, Florida International University, Miami, USA
- 2 1Medical Care Consortium, Inc., Miami, USA 2Neurobehavioral Institute of Miami, Coral Gables, Miami, USA
- 3 1Medical Care Consortium, Inc., Miami, USA 2Herbert Wertheim College of Medicine, Florida International University, Miami, USA
Abstract
The purpose of this study was to explore the impact of cognitive reserve, on the neuropsychological status of a sample of otherwise healthy Hispanic patients, who complained of memory difficulties, and thus were suspected to present minor neurocognitive disorder. To this effect, 100 consecutive cases referred for neuropsychological evaluation by their primary care physicians comprised the initial sample. Two groups of 32 patients were formed on the basis of their scores in the Cognitive Reserve Questionnaire (CRQ) that was administered to all participants. The results obtained by both groups in an eclectic battery of neuropsychological instruments were compared. The results indicated that the CRQ High Score group had significantly better performance than the CRQ Low Score group in the tests administered, except those tapped into memory processes. This was interpreted, to be related to the fact that all of these patients fell into the category of mild cognitive impairment of the amnestic type, as neither group performed well in these specific instruments. The findings of this study were interpreted to lend support to the notion that better cognitive reserve was associated with better cognitive status in the later years of life.
- Alberca Serrano, R. (1998). Demencias: Diagnóstico y tratamiento. Barcelona: Masson.
- Albert, M. S., Dekowsky, S. T., Dickson, D., Dubois, B., Feldman, H. H., Fox, N. C., et al. (2013). The diagnosis of mild cognitive impairment due to Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimer’s Association’s Workgroups on Diagnostic Guidelines for Alzheimer’s Disease. FOCUS, 11, 96-106. http://dx.doi.org/10.1176/appi.focus.11.1.96
- American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: American Psychiatric Association.
- Benton, A. L. (2002). Test de retención visual de Benton: Manual (5th ed.). Madrid: TEA Ediciones, S.A.
- Benton, A. L. (1974). Revised visual retention test (4th ed.), New York: The Psychological Corporation.
- Kaplan, E. F., Goodglass, H., & Weintraub, S. (1996). Test de vocabulario de Boston (2nd ed.). Buenos Aires: Editorial Médica Panamericana.
- Kaplan, E. F., Goodglass, H., & Weintraub, S. (1983). The Boston naming test (2nd ed.). Philadelphia (PA): Lea & Febiger.
- Lezak, M. D. Howieson, D. D., & Loring, D. W. (2004). Neuropsychological assessment (4th ed.). New York: Oxford University Press.
- Meyers, J. E., & Meyers, K. R. (1995). Rey complex figure test and recognition trial. Odessa (FL): Psychological Assessment Resources.
- Petersen, R. C. (2004). Mild cognitive impairment as a diagnostic entity. Journal of Internal Medicine, 256, 183-194. http://dx.doi.org/10.1111/j.1365-2796.2004.01388.x
- Petersen, R. C., Doody, R., Kurz, A., Mohs, R. C., Morris, J. C., Rabins, P. V., Ritchie, K., Rossor, M., Leon Thal, L., & Winblad, B. (2001). Current concepts in mild cognitive impairment. Archives of Neurology, 58, 1985-1992. http://dx.doi.org/10.1001/archneur.58.12.1985
- Petersen, R. C., Smith, G. E., Waring, S. C., Ivnik, R. J., Tangalos, E. G., & Kokmen, E. (1999). Mild cognitive impairment: Clinical characterization and outcome. Archives of Neurology, 56, 303-308. http://dx.doi.org/10.1001/archneur.56.3.303
- Rey, A. (2003). Test de copia y reproducción de memoria de figuras complejas (8th ed.). Madrid: TEA Ediciones, S.A.
- Saxton, J., Ratcliff, G, Munro, C. A., Coffey, C. E., Becker, J. T., Fried, L., & Kuller, L. (2000). Normative data on the Boston Naming Test and two equivalent 30-item short forms. The Clinical Neuropsychologist, 14, 526-534. http://dx.doi.org/10.1076/clin.14.4.526.7204