Different characteristics of cognitive impairment in elderly schizophrenia and Alzheimer's disease in the mild cognitive impairment stage

Hiroaki Kazui, Tetsuhiko Yoshida, Masahiko Takaya, Hiromichi Sugiyama, Daisuke Yamamoto, Yumiko Kito, Tamiki Wada, Keiko Nomura, Yuka Yasuda, Hidenaga Yamamori, Kazutaka Ohi, Motoyuki Fukumoto, Naomi Iike, Masao Iwase, Takashi Morihara, Shinji Tagami, Eku Shimosegawa, Jun Hatazawa, Yoshiyuki Ikeda, Eiichi Uchida, Toshihisa Tanaka, Takashi Kudo, Ryota Hashimoto, Masatoshi Takeda
Dementia and Geriatric Cognitive Disorders Extra 2011, 1 (1): 20-30
We compared indices of the revised version of the Wechsler Memory Scale (WMS-R) and scaled scores of the five subtests of the revised version of the Wechsler Adult Intelligence Scale (WAIS-R) in 30 elderly schizophrenia (ES) patients and 25 Alzheimer's disease (AD) patients in the amnestic mild cognitive impairment (aMCI) stage (AD-aMCI). In the WMS-R, attention/concentration was rated lower and delayed recall was rated higher in ES than in AD-aMCI, although general memory was comparable in the two groups. In WAIS-R, digit symbol substitution, similarity, picture completion, and block design scores were significantly lower in ES than in AD-aMCI, but the information scores were comparable between the two groups. Delayed recall and forgetfulness were less impaired, and attention, working memory and executive function were more impaired in ES than in AD-aMCI. These results should help clinicians to distinguish ES combined with AD-aMCI from ES alone.

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