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Mild Cognitive Impairment, Dementia, and Affective Disorders in Essential Tremor: A Prospective Study Cover

Mild Cognitive Impairment, Dementia, and Affective Disorders in Essential Tremor: A Prospective Study

By: Gary Sinoff and  Samih Badarny  
Open Access
|Jun 2014

Figures & Tables

Table 1

Demographic and Health Characteristics of the Study Population

VariableNumber (n = 52)%
Male2955.8
Mean age (SD) (years)68.2 (7.46)50–88
Mean education (SD) (years)11.7 (4.19)0–20
Mean age of onset (SD) (years)55.8 (15.1)
Mean duration of illness (SD) (years)11.7 (13.59)
WHIGET rating
Mild kinetic tremor1223.1%
Obvious kinetic tremor3159.6%
Large-amplitude kinetic tremor917.3%

[i] Abbreviations: SD, Standard Deviation; WHIGET, Washington Heights–Inwood Genetic Study of Essential Tremor.

Table 2

Cognitive and Affective Assessment at T1

Screening InstrumentsT1 (n = 52)
MMSE mean scores (SD)27.3 (1.9)
SLUMS mean scores (SD)21.9 (3.9)
MCI by MMSE >24/30; CDR scale score = 0.5 and SLUMS = 21–23/3036 (69.2%)
Neuropsychological instrumentsAbnormal
Semantic fluency mean scores (SD)12.9 (3.1)25%
Phonemic fluency mean scores (SD)8.9 (4.2)63.6%
Trail Making Test A mean scores (SD)15.8 (5.2)19%
RAVLT verbal memory mean scores (SD)
Immediate8.8 (2.3)33%
Delayed7.0 (3.2)39%
Recognition11.3 (3.1)37%
Logical memory—mean scores (SD)10.4 (3.0)25%
Items mean score (SD) (concentration)5.6 (1.2)44%
Percentage with anxiety by SAST25%
Percentage with depression by short Zung instrument17.9%

[i] Abbreviations: CDR, Clinical Dementia Rating Scale; MCI, Mild Cognitive Impairment; MMSE, Mini-Mental Status Examination; RAVLT, Rey's Auditory Verbal Learning Task; SAST, Short Anxiety Screening Test; SD, Standard Deviation; SLUMS, Saint Louis University Mental Status Examination.

Table 3

Comparison of Subgroups with and without MCI

Without MCI (n = 16)With MCI (n = 36)p-Value
Mean MMSE score (SD)28.4 (1.6)27.2 (1.8)<0.01
Mean SPMSQ score (SD)9.6 (0.6)8.9 (0.8)NS
Mean SLUMS score (SD)25.1 (3.7)20.1 (4.2)<0.01
Mean Phonemic Fluency (SD)10.1 (1.6)8.7 (3.3)<0.05
Listing on Semantic Memory (SD)14.3 (2.7)12.5 (2.8)NS

[i] Abbreviations: MCI, Mild Cognitive Impairment; MMSE, Mini-Mental Status Examination; NS, Not Significant; SD, Standard Deviation; SLUMS, Saint Louis University Mental Status Examination; SPMSQ, Short Portable Mental Status Questionnaire.

Table 4

Cognitive Assessment at Follow-up (T2) (n = 24)

Screening InstrumentsAbnormal
Mean time to follow-up (months) (SD)27.5 (7.5)
MMSE mean scores (SD)27.0 (1.9)4%
SPMSQ mean scores (SD)9.2 (1.0)
SLUMS mean scores (SD)21.2 (4.0)13%
CDR Scale score
Convertors to dementia (n = 4)
1 (dementia), MMSE<24/30 and SLUMS≤20/304/24 (16.8%)
Non-convertors to dementia (n = 20)
0.5 (MCI), MMSE≥24/30 and SLUMS = 21–23/3016/20 (80%)
0 (normal), MMSE≥24/30 and SLUMS≥24/304/20 (20%)
MCI at T1 and MCI at T212/16 (75%)
Normal at T1 and MCI at T24/16 (25%)
Neuropsychological instruments
Semantic fluency mean scores (SD)11.8 (3.6)25%
Phonemic fluency mean scores (SD)8.7 (3.3)70%
Trail Making Test A mean scores (SD)15.5 (6.0)21%
RAVLT verbal memory mean scores (SD)
Immediate9.5 (2.5)18.2%
Delayed7.3 (3.3)38.1%
Recognition12.3 (2.6)38.1%
Logical memory mean scores (SD)10.3 (2.5)21%
Item mean score (SD) (concentration)5.6 (0.9)63.6%
Percentage with anxiety by SAST instrument26.1%
Percentage with depression by short Zung instrument8.6%

[i] Abbreviations: CDR, Clinical Dementia Rating; MCI, Mild Cognitive Impairment; MMSE, Mini-Mental Status Examination; RAVLT, Rey's Auditory Verbal Learning Task; SAST, Short Anxiety Screening Test; SD, Standard Deviation; SLUMS, Saint Louis University Mental Status Examination; SPMSQ, Short Portable Mental Status Questionnaire.

DOI: https://doi.org/10.5334/tohm.179 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jan 27, 2014
Accepted on: May 19, 2014
Published on: Jun 24, 2014
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2014 Gary Sinoff, Samih Badarny, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.