Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular

OBJECTIVE: Cerebrovascular disease (CVD) is associated with cognitive deficits. This cross-sectional study examines differences among healthy elderly controls and patients with vascular mild cognitive impairment (VaMCI) and vascular dementia (VaD) in performances on CAMCOG subscales. METHOD: Elderly...

Full description

Saved in:
Bibliographic Details
Main Authors: Felipe Kenji Sudo, Gilberto Sousa Alves, Carlos Eduardo de Oliveira Alves, Maria Elisa Lanna, Letice Ericeira-Valente, Denise Madeira Moreira, Eliasz Engelhardt, Jerson Laks
Format: Article
Language:English
Published: Thieme Revinter Publicações 2010-04-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000200005
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849409492822786048
author Felipe Kenji Sudo
Gilberto Sousa Alves
Carlos Eduardo de Oliveira Alves
Maria Elisa Lanna
Letice Ericeira-Valente
Denise Madeira Moreira
Eliasz Engelhardt
Jerson Laks
author_facet Felipe Kenji Sudo
Gilberto Sousa Alves
Carlos Eduardo de Oliveira Alves
Maria Elisa Lanna
Letice Ericeira-Valente
Denise Madeira Moreira
Eliasz Engelhardt
Jerson Laks
author_sort Felipe Kenji Sudo
collection DOAJ
description OBJECTIVE: Cerebrovascular disease (CVD) is associated with cognitive deficits. This cross-sectional study examines differences among healthy elderly controls and patients with vascular mild cognitive impairment (VaMCI) and vascular dementia (VaD) in performances on CAMCOG subscales. METHOD: Elderly individuals (n=61) were divided into 3 groups, according to cognitive and neuroimaging status: 16 controls, 20 VaMCI and 25 VaD. VaMCI and VaD individuals scored over 4 points on the Hachinski Ischemic Scale. RESULTS: Significant differences in total CAMCOG scores were observed across the three groups (p<0.001). VaD subjects performed worse than those with VaMCI in most CAMCOG subscales (p<0.001). All subscales showed differences between controls and VaD (p<0.001). Performance on abstract thinking showed difference between VaMCI and controls (p<0.001). CONCLUSION: CAMCOG discriminated controls from VaMCI and VaD. Assessment of abstract thinking may be useful as a screening item for diagnosis of VaMCI.<br>OBJETIVO: A doença cerebrovascular (DCV) associa-se a déficits cognitivos. Este estudo transversal objetiva examinar diferenças entre controles saudáveis idosos e pacientes com comprometimento cognitivo leve vascular (CCLV) e demência vascular (DV) nas subescalas do CAMCOG. MÉTODO: Indivíduos idosos (n=61) foram divididos em 3 grupos, de acordo com o perfil cognitivo e com a neuroimagem: 16 controles, 20 CCLV e 25 DV. Pacientes com CCLV e DV pontuaram acima de 4 pontos no Escore Isquêmico de Hachinski. RESULTADOS: Diferenças significativas foram observadas entre os três grupos no resultado final do CAMCOG. Pacientes com DV obtiveram escores inferiores àqueles dos indivíduos com CCLV em quase todas as subescalas. Todas as subescalas mostraram diferenças entre DV e controles. O desempenho no item pensamento abstrato mostrou diferenças entre CCLV e controles. CONCLUSÃO: O CAMCOG diferenciou controles de pacientes com CCLV e DV. A avaliação do pensamento abstrato pode ser útil para discriminar CCLV de controles.
format Article
id doaj-art-7ceee6eac1bb4b7ba0e4b2c4bf07ed3c
institution Kabale University
issn 0004-282X
1678-4227
language English
publishDate 2010-04-01
publisher Thieme Revinter Publicações
record_format Article
series Arquivos de Neuro-Psiquiatria
spelling doaj-art-7ceee6eac1bb4b7ba0e4b2c4bf07ed3c2025-08-20T03:35:28ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-42272010-04-0168217918410.1590/S0004-282X2010000200005Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascularFelipe Kenji SudoGilberto Sousa AlvesCarlos Eduardo de Oliveira AlvesMaria Elisa LannaLetice Ericeira-ValenteDenise Madeira MoreiraEliasz EngelhardtJerson LaksOBJECTIVE: Cerebrovascular disease (CVD) is associated with cognitive deficits. This cross-sectional study examines differences among healthy elderly controls and patients with vascular mild cognitive impairment (VaMCI) and vascular dementia (VaD) in performances on CAMCOG subscales. METHOD: Elderly individuals (n=61) were divided into 3 groups, according to cognitive and neuroimaging status: 16 controls, 20 VaMCI and 25 VaD. VaMCI and VaD individuals scored over 4 points on the Hachinski Ischemic Scale. RESULTS: Significant differences in total CAMCOG scores were observed across the three groups (p<0.001). VaD subjects performed worse than those with VaMCI in most CAMCOG subscales (p<0.001). All subscales showed differences between controls and VaD (p<0.001). Performance on abstract thinking showed difference between VaMCI and controls (p<0.001). CONCLUSION: CAMCOG discriminated controls from VaMCI and VaD. Assessment of abstract thinking may be useful as a screening item for diagnosis of VaMCI.<br>OBJETIVO: A doença cerebrovascular (DCV) associa-se a déficits cognitivos. Este estudo transversal objetiva examinar diferenças entre controles saudáveis idosos e pacientes com comprometimento cognitivo leve vascular (CCLV) e demência vascular (DV) nas subescalas do CAMCOG. MÉTODO: Indivíduos idosos (n=61) foram divididos em 3 grupos, de acordo com o perfil cognitivo e com a neuroimagem: 16 controles, 20 CCLV e 25 DV. Pacientes com CCLV e DV pontuaram acima de 4 pontos no Escore Isquêmico de Hachinski. RESULTADOS: Diferenças significativas foram observadas entre os três grupos no resultado final do CAMCOG. Pacientes com DV obtiveram escores inferiores àqueles dos indivíduos com CCLV em quase todas as subescalas. Todas as subescalas mostraram diferenças entre DV e controles. O desempenho no item pensamento abstrato mostrou diferenças entre CCLV e controles. CONCLUSÃO: O CAMCOG diferenciou controles de pacientes com CCLV e DV. A avaliação do pensamento abstrato pode ser útil para discriminar CCLV de controles.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000200005CAMCOGidososcomprometimento cognitivo levedemência vasculardoença cerebrovascularpensamento abstratoCAMCOGelderlymild cognitive impairmentvascular dementiacerebrovascular diseaseabstract thinking
spellingShingle Felipe Kenji Sudo
Gilberto Sousa Alves
Carlos Eduardo de Oliveira Alves
Maria Elisa Lanna
Letice Ericeira-Valente
Denise Madeira Moreira
Eliasz Engelhardt
Jerson Laks
Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular
Arquivos de Neuro-Psiquiatria
CAMCOG
idosos
comprometimento cognitivo leve
demência vascular
doença cerebrovascular
pensamento abstrato
CAMCOG
elderly
mild cognitive impairment
vascular dementia
cerebrovascular disease
abstract thinking
title Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular
title_full Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular
title_fullStr Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular
title_full_unstemmed Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular
title_short Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment O pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular
title_sort impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment o pensamento abstrato comprometido pode diferenciar o envelhecimento normal do comprometimento cognitivo leve vascular
topic CAMCOG
idosos
comprometimento cognitivo leve
demência vascular
doença cerebrovascular
pensamento abstrato
CAMCOG
elderly
mild cognitive impairment
vascular dementia
cerebrovascular disease
abstract thinking
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000200005
work_keys_str_mv AT felipekenjisudo impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular
AT gilbertosousaalves impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular
AT carloseduardodeoliveiraalves impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular
AT mariaelisalanna impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular
AT leticeericeiravalente impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular
AT denisemadeiramoreira impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular
AT eliaszengelhardt impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular
AT jersonlaks impairedabstractthinkingmaydiscriminatebetweennormalagingandvascularmildcognitiveimpairmentopensamentoabstratocomprometidopodediferenciaroenvelhecimentonormaldocomprometimentocognitivolevevascular