1. Impairment in Proverb Interpretation as an Executive Function Deficit in Patients with Amnestic Mild Cognitive Impairment and Early Alzheimer’s Disease
- Author
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Ralf Saur, Gerhard W. Eschweiler, Thomas Leyhe, and Monika Milian
- Subjects
medicine.medical_specialty ,Early Alzheimer's disease ,Concrete thinking ,Cognitive Neuroscience ,Executive dysfunction ,Disease ,lcsh:Geriatrics ,Audiology ,lcsh:RC346-429 ,Developmental psychology ,Early prediction ,medicine ,In patient ,Original Research Article ,Cognitive impairment ,lcsh:Neurology. Diseases of the nervous system ,Neuropsychological testing ,Executive functions ,lcsh:RC952-954.6 ,Psychiatry and Mental health ,Early Alzheimerߣs disease ,Amnestic mild cognitive impairment ,Psychology ,Non-literal language - Abstract
Background/Aims: Proverb interpretation is assumed to reflect executive functions. We hypothesized that proverb interpretation is impaired in patients with amnestic mild cognitive impairment (aMCI) diagnosed as single-domain impairment by common neuropsychological testing. Methods: We compared performance in a proverb interpretation test in single-domain aMCI patients and patients with early Alzheimer’s disease (EAD). Results: The groups with aMCI and EAD performed significantly worse than healthy controls. Both patient groups gave concrete answers with a similar frequency. However, patients with EAD tended to give senseless answers more frequently. Conclusions: Our data suggest that in patients diagnosed as single-domain aMCI, deterioration of executive functions is detectable with subtle and appropriate neuropsychological testing. Implementation of these procedures may improve the early prediction of AD.
- Published
- 2011