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January 1, 2005Neuropsychology

Cognitive impairment in preclinical Alzheimer's disease: A meta-analysis.

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Authors

LBLars BäckmanSJSari JonesABAnna‐Karin Berger

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Overview

Meta-analysis reveals marked multi-domain cognitive deficits in preclinical Alzheimer's disease, indicating widespread neurological impairment emerges years prior to clinical diagnosis.

Key Points

  • To determine the magnitude and profile of impairment across different cognitive domains in individuals during the preclinical phase of Alzheimer's disease.
  • Meta-analysis synthesizing 47 studies encompassing 1,207 preclinical Alzheimer's disease cases and 9,097 control participants.
  • Evaluated performance across cognitive domains—including global cognitive ability, episodic memory, executive functioning, perceptual speed, and verbal skills—stratified by age, follow-up interval, and testing method.
  • Marked preclinical deficits occurred in global cognitive ability, episodic memory, perceptual speed, and executive functioning, alongside moderate deficits in verbal ability, visuospatial skill, and attention, whereas primary memory remained intact.
  • Larger effect sizes for global cognitive ability and episodic memory were observed in cohorts younger than 75 years and with follow-up intervals under 3 years.
  • Delayed testing and recall-based assessment generated the largest effect sizes within the episodic memory domain.

Cite This Study

Bäckman et al. (2005) studied this question.

synapsesocial.com/papers/69ff89ecda5c1eb07f2d7c27https://doi.org/10.1037/0894-4105.19.4.520
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