The mediating effect of depression and anxiety between objective cognitive function and subjective memory in patients with epilepsy / 中华行为医学与脑科学杂志

Objective:To explore the relationship between objective cognitive function and subjective memory in patients with epilepsy and the mediating effect of depression and anxiety.Methods:A total of 123 patients with epilepsy were included, and their basic information and clinical data were collected. The quality of life in epilepsy inventory-89 memory subscale, Beck depression inventory Ⅱ, Beck anxiety scale and repeatable battery for the assessment of neuropsychological status were used to evaluate the subjective memory, depression, anxiety and objective cognitive function of patients with epilepsy. SPSS 25.0 software was used for bivariate correlation analysis and multiple regression analysis, and PROCESS V3.5 macro program was used for Bootstrap mediating effect test.Results:(1)Correlation analysis showed that the objective cognitive function score of patients with epilepsy was negatively correlated with depression score ( r=-0.392, P<0.01) and anxiety score ( r=-0.310, P<0.01), while positively correlated with subjective memory score ( r=0.388, P<0.01). Subjective memory score was significantly negatively correlated with depression score ( r=-0.436, P<0.01) and anxiety score ( r=-0.395, P<0.01). (2)The mediating effects analysis showed that objective cognitive function of patients with epilepsy could affect the subjective memory through the mediating effects of depression and anxiety indirectly. The mediating effect accounted for 33.87% and 17.93% of the total effects respectively. Conclusion:Objective cognitive function, depression and anxiety are closely related to subjective memory in patients with epilepsy. Depression and anxiety play a mediating role between objective cognitive function and subjective memory in patients with epilepsy.

The Utility of Subset of Subjective Memory Complaint Questionnaire and Mini-Mental State Examination for Dementia Screening

OBJECTIVE: Purpose of this study was to assess the potential added values of Subjective Memory Complaint Questionnaire (SMCQ) combined with Mini-Mental State Examination (MMSE) in developing a brief screening battery to improve the early detection rate of dementia in community setting. METHODS: Non-depressed community-dwelling Korean elderly aged 65 years and older who 945 randomly selected and 734 voluntarily involved were recruited. Dementia was diagnosed using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. Diagnostic ability of 10 point SMCQ subscale for everyday memory (SMCQ-E) for dementia was evaluated. Additive values of SMCQ-E combined with MMSE for dementia screening and the economic benefits of SMCQ-E and its combination with MMSE were also evaluated. RESULTS: Overall area under the curve values of SMCQ-E were 0.605 (0.565–0.646) for nonrandom sample and 0.836 (0.783–0.890) for random sample. When SMCQ-E was combined with MMSE using ‘AND’ rule, accuracy, specificity, positive predictive values and positive likelihood ratio were increased than those of MMSE. While SMCQ-E was combined the MMSE using ‘OR’ rule, sensitivity and negative predictive values were increased and negative likelihood ratio were decreased than those of SMCQ-E and MMSE. When SMCQ-E and MMSE combined with AND rule, total cost for dementia screening was reduced to about 80% compared to MMSE single use model. CONCLUSION: Results of this study showed that brief SMCQ-E and its combination with MMSE could be used to dementia screening with cost effective manner.

Subjective memory decline:risk factors and advances in neuroimaging research / 中华老年医学杂志

Subjective memory decline is one of the most common symptoms reported in the elderly,which is considered as a high-risk factor for dementia.This article presented an overview of an update of definition and epidemiology of subjective memory decline,reviewed its risk factors,and summarized neuroimaging changes in brain structure and function.Finally,some suggestions for future research were also proposed.

The perception feature and influence factors in people with subjective memory complaints / 中华行为医学与脑科学杂志

Objective To study the memory disorder perception characteristics of subjective memo-ry complaints(SMCs)and to analyze the influencing factors. Methods 302 subjects conforming to the in-clusion criteria were selected.All the subjects completed the illness perception questionnaire-memory of Chi-nese version(IPQ-M). Results (1)There was no statistical difference between the score of social compari-son(2.95±0.78)and the middle value 3.The differences between the score of the remaining dimensions of memory impairment perception(timeline acute/chronic(3.57 ± 0.89),consequences(2.24 ± 0.77),timeline stability/decline(3.71±0.88),personal control(blame)(3.61±0.92),personal control(helplessness)(3.31± 0.73),emotional representation(2.29 ± 0.70),treatment control(2.78 ± 0.67),illness coherence(3.14 ± 0.64))and the middle value 3 were statistically significant(all P<0.05).(2)Gender,education level,living condition,marital status,economic condition,family history of dementia and knowledge education of dementia were the influencing factors of memory perception of SMCs. Conclusion The memory complaining people are less aware of the related knowledge of memory decline,and there are more errors and negative percep-tions.The factors that affect the perception of memory disorders are complex.

Study on the influencing factors of subjective memory complains in community elderly / 中国实用护理杂志

Objective@#To explore the level of the subjective memory complaints and its influencing factors among the elderly people in the community.@*Methods@#The Memory Satisfaction of the Muti-factorial Memory Questionnaire was to evaluate the subjective memory complaints of the community elders, the objective memory function and general cognitive function were evaluated by the Auditory Verbal Learning Test (AVLT) and Mini-mental State Examination (MMSE) respectively, the depression was evaluate by the Geriatric Depression Scale (GDS-1), and the general population was collected by the general information questionnaire.@*Results@#The incidence of subjective memory complaints in the community was 76%, multiple regression analysis showed that GDS score (β=-0.522, P<0.001) , gender (β=0.137,P<0.05) and AVLT delayed recall score (β=0.136,P<0.05) were the main complaints of subjective memory in the elderly influencing factors.@*Conclusion@#Depression and objective memory are the main influencing factors of elderly subjective memory complaints, suggesting that when developing a primary preventive strategy, consideration should be given to cognitive screening of elderly people who with subjective memory complains and inclusion of prevention and management as a risk population for dementia, with a focus on providing health services and family visits.

A Study of Factors Influencing Subjective Memory Complaints among Community Dwelling Elderly

OBJECTIVE: We examined the factors influencing subjective memory complaints among community dwelling elderly in urban area. METHODS: The subjects of this research were 160 community-dwelling elderly people without dementia and major depressive disorder. The questionnaires regarding the socio-demographic characteristics were conducted by each person. They include Korean version of Subjective Memory Complaints Questionnaires (SMCQ), Korean version of Short Geriatric Depression Scale (SGDS-K) and Korean version of Mini-Mental State Examination (K-MMSE). Subjective memory complaints were defined as above 4 points of SMCQ. RESULTS: 39.38% of the subjects had subjective memory complaints. There were significant associations between subjective memory complaints and SGDS-K (p < 0.001), physical illness (p=0.001), but there was no association with K-MMSE (p=0.383). CONCLUSION: There is a discrepancy between subjective memory complaints and actual cognitive impairments. This discrepancy suggests that the depressive disorders including minor depressive disorder and subsyndromal depression, might play a role in the subjective memory complaints rather than actual cognitive impairments in community-dwelling elderly people. Therefore, the treatments for the depressive disorders should be considered in dealing with the subjective memory complaints.

Brain plasticity of structural and functional in elderly with subjective memory complaints / 中华行为医学与脑科学杂志

Subjective memory complaints (SMC) is increasingly recognized as the earliest prodromal stage of Alzheimer's disease.Individuals with SMC whose memory without measurable cognitive deficits,however,demonstrated some neurodegenerative brain changes.It would be more appropriate to prevent or postpone the AD process by interventing in this earlier stage of SMC,while relatively little is known about the brain plasticity in elderly with SMC.Therefore,further research is necessary in understanding the brain plasticity in SMC on the basis of further elucidating the pathophysiological mechanisms in this group of individuals.

The influence of help-seeking behavior in people with subjective memory complaints / 中华护理杂志

Objective To explore the influence factors of help-seeking behavior in people with subjective memory complaints (SMCs).Methods A total of 305 eligible SMCs people were recruited and investigated with illness perception questionnaire-memory (IPQ-M),GDS-15,Mini-mental State Examination (MMSE),auditory verbal learning test(AVLT).Subjects were comprised of two groups:help-seeking group(n=44) and non-help-seeking group(n=261).Results The ratio of SMCs people for help-seeking was very low,only accounted for 14.4％.The ratio for going to hospital to see a specialist memory clinic accounted for only 2.0％.Logistic regression analysis showed 6 related factors were prime motivators for help-seeking behavior,which were symptom (OR=1.455),treatment control (OR=2.456),emotional representation (OR=2.268),accepting dementia education (OR=1.576),lacking of blood supply to the brain(OR=1.115),not using brain(OR=2.079).Three causal attributions were obstructive factors for help-seeking behavior,which were loneliness (OR=0.253),aging (OR=0.450),and chance or bad luck (OR=0.374).Conclusion Illness perception-memory in subjects with SMCs had some prediction for help-seeking behavior.Community nurses should attach importance to illness perception-memory of SMCs people and help them promote help-seeking,so as to facilitate earlv screening,identification and prevention of dementia.

Metamemory and aging: Psychometric properties of the Brazilian version of the Multifactorial Memory Questionnaire for elderly / Metamemória e envelhecimento: propriedades psicométricas da versão brasileira do questionário multifatorial de memória para idosos

ABSTRACT Metamemory measures provide subjective memory information and are relevant to investigate memory ability in aging. However, there is a lack of metamemory instruments available in Brazil. Objective: The aim of this study was to examine the psychometric properties of the Brazilian version of the Multifactorial Memory Questionnaire (MMQ), which evaluates different dimensions of subjective memory functioning, such as Feelings, Abilities and Strategies used in everyday life. Methods: The MMQ was translated into Portuguese and administered to 30 Brazilian elderly subjects. The participants underwent cognitive tests, mood scales and metamemory instruments. Results: Analyses revealed good internal consistency (Cronbach's a coefficient ranged from 0.75 to 0.89) and test-retest validity for each MMQ dimensions (positive correlations between two applications ranged from 0.75 to 0.8). Convergent validity evidence for the MMQ was confirmed by significant positive correlations (0.47 to 0.68) with dimensions of the Metamemory in Adulthood scale (MIA) (i.e., the Ability, Control, Self-efficacy and Strategy dimensions). Discriminant validity revealed no associations between the MMQ and cognitive performance, suggesting a weak metamemory-objective memory correspondence. Moreover, there was a negative correlation between MMQ-Ability subscale scores and mood symptoms (-0.63 for anxious symptoms, and -0.54 for depressive symptoms); and the Brazilian MMQ was comparable with MMQ translations to other languages. Conclusion: The Brazilian MMQ exhibits good psychometric properties and appears promising for clinical and research purposes. Additional studies are needed to further examine the psychometric properties of the Brazilian MMQ in a larger sample.

RESUMO Medidas de metamemória fornecem informações acerca da memória subjetiva e são relevantes para se compreender a habilidade de memória no envelhecimento. Todavia, há uma falta de instrumentos de metamemória disponíveis no Brasil. Objetivo: O presente trabalho teve como objetivo examinar as propriedades psicométricas da versão brasileira do Questionário Multifatorial de Memória (MMQ), que avalia diferentes aspectos da memória subjetiva, como Sentimentos, Habilidade e Estratégias usadas na vida diária. Métodos: O MMQ foi traduzido para o Português e administrado em 30 idosos brasileiros. Os participantes realizaram testes cognitivos, escalas de humor e questionários de metamemória. Resultados: Análises revelaram boa consistência interna (coeficiente a de Cronbach's variou de 0.75 a 0.89) e validade teste-reteste para cada dimensão do MMQ (correlações positivas entre as duas aplicações variou de 0.75 a 0.8). Validade convergente do MMQ foi identificada através de correlações positivas (0.47 a 0.68) com as dimensões do Metamemory In Adulthood Questionnaire (MIA) (i.e., Habilidade, Controle, Autoeficácia e Estratégia). Validade discriminante revelou ausência de associação entre MMQ e performance cognitiva, sugerindo uma fraca correspondência entre metamemória e memória objetiva. Além disto, observou-se uma correlação negativa entre os escores da subscala MMQ-Habilidade e sintomas do humor (-0.63 para sintomas ansiosos, e -0.54 para sintomas depressivos); e o MMQ Brasileiro se mostrou comparável a traduções do MMQ em outros idiomas. Conclusão: O MMQ Brasileiro apresenta boas propriedades psicométricas e parece ser promissor para o uso clínico e de pesquisa. Estudos adicionais são necessários para investigar caracteristicas psicométricas do MMQ Brasileiro em uma amostra maior.

Association between Cerebral Amyloid Deposition and Clinical Factors Including Cognitive Function in Geriatric Depression: Pilot Study Using Amyloid Positron Emission Tomography

The purpose of this study was to explore the relationship between cerebral amyloid deposition and overall clinical factors including cognitive functions in geriatric depression by using 18F-florbetaben positron emission tomography. Thirteen subjects aged over 60 years who had a history of major depressive disorder and also had subjective memory complaint were included. Of all subjects, 3 subjects judged as amyloid positive, and the others judged as amyloid negative. Their memory, visuospatial functions and attention abilities were negatively correlated with amyloid deposition in specific brain regions, but their language and recognition abilities were not correlated with any region. The amyloid deposition of the whole brain region was significantly negatively correlated with immediate memory.

Influencing factors of mild cognitive impairment in people with subjective memory complaints / 第二军医大学学报

Objective To analyze the influencing factors of mild cognitive impairment (MCI) in the people with subjective memory complaints.Methods Convalescents aged over 60 years old with subjective memory complaints were enrolled in this study. Montreal cognitive assessment scale (MoCA), mini-mental state examination (MMSE) and activity of daily living scale (ADL) were used to screen the participants with MCI, who were allocated into the MCI group. Those without MCI were taken as controls. The sex, age, education backgrounds, chronic disease, physical activity, smoking, drinking and social activity were compared between two groups; and the prevalence rate of MCI and its influencing factors were analyzed. Results The prevalence rate of MCI was 71.15% (37/52) in the MCI group. The proportions of participants aged ≥70 years old, education period ≤12 years, with chronic disease, less physical activity and social activity were significantly higher in MCI group than those in the control group (P0.05). Conclusion Subjective memory complaint is closely related to MCI in the elderly. In those with subjective memory complaint, age, education background, presence of chronic disease, physical activity and social activity are the main influencing factors of MCI.

The reliability and validity of Chinese version of the illness perception questionnaire-memory / 中华行为医学与脑科学杂志

Objective To introduce the illness perception questionnaire-memory (IPQ-M) and translate it into Chinese and to evaluate its reliability and validity.Methods The Chinese version of IPQ-M was translated from the original,back translated and adjusted for culture adaptation.A total of 152 community-dwelling people with subjective memory complaints (SMCs),who were aged 50 years or above,were investigated with the Chinese version of IPQ-M.40 participants among them were re-evaluated 2 weeks later.Results Exploratory factor analysis got 9 factors which could explain 70.757％ of the total variance.The factor loading of each item on the corresponding factors was higher than 0.4.The correlation between Chinese version of IPQ-M and GDS were-0.208 to 0.763 (P＜0.01).The Cronbach's α coefficient was 0.872,the testretest reliability was 0.894,and the Spearman-Brown split coefficient was 0.890.Conclusion The Chinese version of IPQ-M has good reliability and validity,and it can be used in Chinese elderly people with SMCs.

Analysis on the everyday memory characteristics and life quality of people with subjective memory complaints / 中华行为医学与脑科学杂志

Objective To investigate the characteristics of everyday memory of adults with subjective memory complaints (SMC),and probe into the correlation between everyday memory function and life quality.Methods Through convenience sampling,150 adults with SMC were face-to-face interviewed by an investigator,with demographic characteristics collected,and the cognition function,everyday memory function and life quality were also assessed during the interview.Results Among the 150 adults with SMC,the impairment rate of everyday memory function reached 96％,and the median score of RBMT-II was 16.00 (interquartile range 6.00),indicating a low level of everyday memory function,with the Name andDelayed recall Story items having lower scores.All participants were divided into two groups according to cognitive status,with 67 (44.70％) adults having normal cognitive function and 83 (55.30％) impaired cognitive function.After comparison,significant differences were found in the total score of RBMT-II and scores ofFaces recognition andDelayed recall Story between the two groups (P＜0.05).In all dimensions of SF-36,the median score of general health dimension for the 150 adults was 55.00 (inter-quartile range 31.25).The Spearman rank correlation analysis showed that the scores of several dimensions in RBMT-II were positively correlated with the scores of several dimensions in SF-36 (P＜0.05).Conclusion Everyday memory function of people with SMC was positively CorTelated with their life quality.

Gray and White Matter Degenerations in Subjective Memory Impairment: Comparisons with Normal Controls and Mild Cognitive Impairment

Subjective memory impairment (SMI) is now increasingly recognized as a risk factor of progression to dementia. This study investigated gray and white matter changes in the brains of SMI patients compared with normal controls and mild cognitive impairment (MCI) patients. We recruited 28 normal controls, 28 subjects with SMI, and 29 patients with MCI aged 60 or older. We analyzed gray and white matter changes using a voxel-based morphometry (VBM), hippocampal volumetry and regions of interest in diffusion tensor imaging (DTI). DTI parameters of corpus callosum and cingulum in SMI showed more white matter changes compared with those in normal controls, they were similar to those in MCI except in the hippocampus, which showed more degenerations in MCI. In VBM, SMI showed atrophy in the frontal, temporal, and parietal lobes compared with normal controls although it was not as extensive as that in MCI. Patients with SMI showed gray and white matter degenerations, the changes were distinct in white matter structures. SMI might be the first presenting symptom within the Alzheimer's disease continuum when combined with additional risk factors and neurodegenerative changes.

Effects of the Combination Herbal Extract on Working Memory and White Matter Integrity in Healthy Individuals with Subjective Memory Complaints : A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

OBJECTIVES: The combination extract of four kinds of herbs, Gastrodia elata, Liriope platyphylla, Dimocarpus longan, and Salvia miltiorrhiza, has shown to have memory improving effects in mice. The aim of this study was to investigate the efficacy and safety of the herbal mixture for improving working memory as well as microstructural changes in white matter integrity in individuals with subjective memory complaints. METHODS: Seventy-five individuals with subjective memory complaints were assigned to receive either placebo (n = 15) or herbal mixture (low-dose group, n = 30 and high-dose group, n = 30) supplementation in an 8-week, randomized, double-blind, placebo-controlled clinical trial. Changes in working memory performance and fractional anisotropy (FA) values reflecting white matter integrity from baseline to 8-week endpoint were assessed. RESULTS: The herbal mixture group showed an increase in working memory performance compared to the placebo group (p for interaction = 0.001). In addition, the herbal mixture group showed an increase in FA values in the temporo-parietal regions (corrected p < 0.05), which are crucially involved in working memory function and are among the most affected regions in patients with cognitive impairments. CONCLUSIONS: Findings from this study indicate that the herbal mixture may be a promising therapeutic option for individuals with subjective memory complaints.

Depoimento especial de crianças: um lugar entre proteção e responsabilização? / Special testimonies from children: somewhere between protection and responsibility? / Testimonio especial de niños: ¿ un lugar entre protección y responsabilización?

Este trabalho aborda o tema do depoimento judicial de crianças. Com base em pesquisa documental e bibliográfica, comenta-se a experiência canadense nesse empreendimento. Destaca-se o que nela se diferencia dos procedimentos em discussão no Brasil. Constata-se que não existe uniformidade entre a prática canadense e a nossa, em particular quanto à figura do intermediário. Observa-se que, sob a definição de depoimento especial, um conjunto de práticas diferentes entre si podem ser invocadas e que o papel de intermediário é previsto em diretrizes e práticas internacionais. Verifica-se que a prática canadense encontrase alinhada às diretrizes da ONU sobre a prática do depoimento especial. Esse alinhamento confere a ela legitimidade calcada em princípios fundamentais dos Direitos Humanos. Aponta-se, ainda, a possibilidade de uma análise desse campo que inclua as vicissitudes da memória e do testemunho, tais como estudadas por Agamben e Seligmann-Silva. Conclui-se que há certo grau de opacidade no testemunho não passível de dissolução total em procedimentos narrativos...

This paper addresses the issue of judicial testimony from children. Based on research documents and literature, we comment the Canadian experience in this issue. We highlight what is different from it relating to the procedures under discussion in Brazil. It appears that there is no uniformity between the Canadian practice and ours, in particular with the figure of the intermediary. We observed that under the definition of special testimony, a set of different practices may be invoked and that the role of intermediary is foreseen in international guidelines and practices. Canadian practice is aligned with UN guidelines on the practice of special testimony. This alignment gives it legitimacy grounded in fundamental Human Rights principles. Furthermore, we indicate the possibility of an analysis of this field that includes the vicissitudes of memory and of testimony, such as studied by Agamben and Seligmann-Silva. We concluded that there is some degree of opacity in testimony not liable to the complete dissolution of narrative procedures...

Este trabajo aborda el tema del testimonio judicial de niños. Con base en investigación documental y bibliográfica, se comenta la experiencia canadiense en ese emprendimiento. Se destaca lo que en ella se diferencia de los procedimientos en discusión en Brasil. Se constata que no existe uniformidad entre la práctica canadiense y la nuestra, especialmente en cuanto a la figura del intermediario. Se observa que, bajo la definición de testimonio especial, un conjunto de prácticas diferentes entre sí se pueden invocar y que la función del intermediario está prevista en directrices y prácticas internacionales. Se verifica que la práctica canadiense se encuentra alineada a las directrices de la ONU acerca de la práctica del testimonio especial. Esa alineación le atribuye legitimidad basada en principios fundamentales de los Derechos Humanos. Asimismo, se señala la posibilidad de un análisis de ese campo que incluya las vicisitudes de la memoria y del testimonio, tales como estudiadas por Agamben y Seligmann Silva. Se concluye que hay cierto grado de opacidad en el testimonio no pasible de disolución total en procedimientos narrativos...

The Neurocognitive Function Between the Patients Who had Subjective Memory Impairment and Mild Cognitive Impairment

BACKGROUND: This study investigated the characteristic differences of neurocognitive function in patients with subjective memory impairment and in those with mild cognitive impairment. METHODS: Patients with complaints of subjective memory impairment were categorized into subjective memory impairment (SMI, n=42) and mild cognitive impairment (MCI, n=42) based on their scores in the Korean version of Mini-Mental State Examination, Activities of Daily Living (ADL), and Clinical Dementia Rating and the neurologist's diagnosis and evaluation. The neurocognitive function and depression rating between the SMI and the MCI groups were compared using the Seoul Neuropsychological Screening Battery and the Geriatric Depression Scale. RESULTS: The SMI group showed normal concentration, visual-spatial construction ability, and depression and deficits in the processing of memory consolidation through the delay test of verbal learning. The MCI group also showed no deficits in concentration but showed impairments in delayed recall and recognition test of verbal learning, visual memory test, and frontal lobe/executive functions. CONCLUSION: The MCI group showed more distinctive neurocognitive deficits in delayed recall and recognition test of verbal learning; encoding, storage, and retrieval of visual memory; and naming ability compared to the SMI group. The implications and suggestions of this study and further research were discussed.

Risk Factors for Subjective Memory Impairment in Cognitively Normal Elderly

OBJECTIVES: We examined the risk factors for subjective memory impairment in cognitively normal elderly. METHODS: One hundred fifty five cognitively normal elderly individuals with subjective memory impairment and 126 normal control subjects without subjective memory impairment were selected. All participants underwent clinical evaluation for dementia and clinical psychiatric disorder conformed to the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet and Korean version of Mini-International Neuropsychiatric Interview, respectively. Korean version of Geriatric Depression Scale-Revised was administered to evaluate depression. Subjective memory impairment was defined as 1) subjective memory complaint by the participant and/or the informants and 2) evidence of memory impairment. RESULTS: Depression [odds ratio (OR)=1.07, 95% confidence interval (CI)=1.03-1.10] and female (OR=2.27, 95% CI=1.17-4.39) significantly increased the risk of subjective memory impairment in cognitively normal elderly. CONCLUSION: Depression can be a risk factor of subjective memory impairment in cognitively normal elderly. The clinicians should be vigilant regarding the presence of depression when assessing the subjects with subjective memory complaint.

An analysis of cognitive status for elderly people with subjective memory complaint in seven community of Shapingba district in Chongqing city / 中华行为医学与脑科学杂志

Objective To explore the cognitive status of community-dwelling older adults with subjective memory complaints (SMC).Methods A total of 262 older adults with SMC were included based on convenience sampling.Face-to-face interview was conducted for demographic information collection and cognitive assessment.Statistical analyses Were undertaken using SPSS version 19.0.Results The participants with SMC had a low level of general cognitive function,with a mean score of 22.18±4.21 on the MoCA; the two cognitive domains of abstraction' and deIayed memory had the lowest scores,with an average score of 0.85±0.82 and 2.91± 1.50 respectively,and the average scoring rate lower than 60.00％.About 54.20％ of the older adults with SMC presented with cognitive impairment.The scores ofabstraction were low in the participants with and without cognitive impairment.In addition,the scores of visuospatial/executive function, language and delayed memory were low in the participants with cognitive impairment.The cognitive impairment of persons with SMC may be associated with age and marital status.The people over the age of 70 years and widowed ones are more likely to suffer from cognitive dysfunction.Conclusion The older adults with SMC have a low level of general cognitive function,and cognitive imPairment detection rate is higher.Advanced age and widowhood are important factors affecting their cognitive function.

Correlación entre la memoria subjetiva y objetiva episódica en pacientescon epilepsia del lóbulo temporal medial intratable / Correlation between subjective memory and episodic objective memory in patients with intractable medial temporal lobe epilepsy

Introducción. En la literatura científica revisada prevalece una discordancia en las investigaciones sobre la relación entre la memoria subjetiva y objetiva en pacientes con Epilepsia del Lóbulo Temporal medial intratable (ELTmi). Objetivo. Identificar la existencia o no de relación entre la memoria subjetiva y objetiva episódica en pacientes con ELTmi. Metodología. Se estudiaron 32 pacientes, con edades entre 15 y 60 años, empleándose el método clínico. Se aplicó una entrevista semiestructurada, el Cuestionario de Eficiencia de Memoria; el Test de aprendizaje verbal-auditivo de Rey y el Test de reproducción y copia de la figura compleja de Rey-Osterreith. Se realizó el procesamiento de los datos obtenidos. Resultados. Los pacientes reportaron quejas sobre su memoria. La modalidad viso-perceptual se mostró preservada, no así en la verbal-auditiva. No existieron diferencias en función de la lateralización de la zona de inicio ictal para ambas modalidades. Se evidenció una correlación negativa entre la memoria subjetiva y la estabilidad de la huella (modalidad verbal-auditiva). Los pacientes con lateralización izquierda mostraron correlación positiva entre la memoria subjetiva y el recuerdo demorado (modalidad viso-perceptual). Conclusiones. Los pacientes mostraron afectación de la memoria subjetiva, independientemente de la lateralización. También revelaron un perfil heterogéneo en la memoria objetiva episódica; así como la existencia de relación entre la memoria subjetiva y la objetiva episódica en la estabilidad de la huella (modalidad verbal-auditiva) y el recuerdo demorado (modalidad viso-perceptual) solo en los pacientes con lateralización izquierda.

Introduction. In the scientific literature there is not agreement about the existence of relationship between subjective memory and the episodic objective memory in untreatable medial temporal lobe epileptic patients (UMTLE). Objective. To identify the presence of relationship between subjective memory and the episodic objective memory in UMTLE patients. Methods. We studied 32 patients, aged 15-60; all of them were interviewed using a semiestructured interview model and a Questionnaire of Memory Efficiency; the Rey´s Auditory Verbal Learning Test and the Reproduction and copy of complex figure Rey-Osterreith. Test data were analyzed. Results. Patients complained about their memory, viso-perceptual modality was preserved but verbal-auditive modality did not. We didnot find any differences related to the lateralization of the ictal zone for both modalities. There was a negative correlation between the subjective memory and the verbal-auditive modality. Patients with left side lateralization showed a positive correlation between the subjective memory and the delayed viso-perceptual memory type. Conclusions. Patients had abnormalities in the subjective memory unrelated to the lateralization. They also had an heterogeneous profile in the episodic memory and the existence of relationship between subjective memory and the episodic objective memory (verbal-auditive), and a delayed visoperceptual memory type only in patients with left lateralization.