When the amnestic mild cognitive impairment disappears: characterisation of the memory profile

Cogn Behav Neurol. 2009 Jun;22(2):109-16. doi: 10.1097/WNN.0b013e3181a7225c.

Abstract

Background/objectives: Subjects affected by mild cognitive impairment (MCI) may improve during the observation period. This is the first study investigating qualitative features of memory deficits in subjects affected by reversible MCI [reversible cognitive impairment (RCI)].

Methods: Baseline cognitive and memory performances of 18 subjects affected by amnestic MCI who had normalized cognitive performances at follow-ups were compared with those of 76 amnestic MCI subjects who still showed impaired cognitive performances at the 24-month follow-up (MCI) and with those of a group of 87 matched control subjects (normal controls).

Results: Compared with normal controls the memory deficit in the MCI group affected all aspects of explicit long-term memory functioning; in the RCI group, instead, the memory deficit only affected the free recall of verbal material, particularly when the encoding could be improved by the use of semantic strategies.

Conclusions: These results are consistent with the view that the memory deficit in the MCI group is due to a very early degenerative pathology; in the RCI group, instead, a transitory reduction of processing resources, resulting a poor encoding of incoming material, is likely at the origin of the reversible memory disorder.

MeSH terms

  • Aged
  • Alzheimer Disease / psychology
  • Amnesia / psychology*
  • Cognition Disorders / psychology*
  • Disease Progression
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Memory / physiology*
  • Memory, Short-Term
  • Mental Recall
  • Neuropsychological Tests
  • Psychomotor Performance / physiology
  • Recognition, Psychology / physiology