Abnormal visual search in mild cognitive impairment and Alzheimer’s disease

Our aim was to further characterize the clinical concept of mild cognitive impairment (MCI). We examined the status of visual attention-related processing in such patients in relation to healthy older adults and patients with Alzheimer’s disease (AD) by measuring performance on a computer-based visual search task. We tested 20 older adult control participants, 13 patients with amnestic mild cognitive impairment and 12 patients with AD. Patients with AD and with MCI exhibited a significant detriment in visual search performance compared to the older adult controls. The deficit in visual search was greater for the patients with AD than the patients with MCI. The pattern of results displayed by the MCI group indicates that patients who appear clinically to suffer only from a deficit in memory also display a deficit in visual attention-related processing, which although not as severe as those with AD, represents a significant detriment in such performance compared to that seen in healthy ageing. The authors would like to thank all the participants for taking part and Mr A. Hughes for statistical support. Sara Nelson is now at The Department of Experimental Psychology, University of Bristol, Bristol, UK

[1]  R. Petersen,et al.  Mild cognitive impairment , 2006, The Lancet.

[2]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[3]  A. Drzezga,et al.  Primary Degenerative Mild Cognitive Impairment: Study Population, Clinical, Brain Imaging and Biochemical Findings , 2001, Dementia and Geriatric Cognitive Disorders.

[4]  Charles J Duffy,et al.  A visuospatial variant of mild cognitive impairment , 2003, Neurology.

[5]  C. Cahill,et al.  A compendium of neuropsychological tests (3rd edition) , 2007 .

[6]  R. Sperling,et al.  Use of IQ-adjusted norms to predict progressive cognitive decline in highly intelligent older individuals. , 2004, Neuropsychology.

[7]  D. Stuss,et al.  Visual attention deficits in Alzheimer's disease: simple versus conjoined feature search. , 1999, Neuropsychology.

[8]  M. P. Friedman,et al.  HANDBOOK OF PERCEPTION , 1977 .

[9]  John R Hodges,et al.  Dissociation between top‐down attentional control and the time course of visual attention as measured by attentional dwell time in patients with mild cognitive impairment , 2003, The European journal of neuroscience.

[10]  V. Phongsathorn,et al.  Assessment of kendrick cognitive tests for the elderly , 1991 .

[11]  J. Hodges,et al.  Attention and executive deficits in Alzheimer's disease. A critical review. , 1999, Brain : a journal of neurology.

[12]  J. J. Ryan,et al.  Wechsler Adult Intelligence Scale-III , 2001 .

[13]  R. Bucks,et al.  Validation of a new scoring system for the Weigl Color Form Sorting Test in a memory disorders clinic sample. , 1998, Journal of clinical and experimental neuropsychology.

[14]  C. P. Hughes,et al.  A New Clinical Scale for the Staging of Dementia , 1982, British Journal of Psychiatry.

[15]  M. Mesulam,et al.  Alterations of visual search strategy in Alzheimer's disease and aging. , 2000, Neuropsychology.

[16]  Allen Allport,et al.  Visual attention , 1989 .

[17]  N. Foldi,et al.  The effect of attentional dysfunction in Alzheimer's disease: theoretical and practical implications. , 2002, Seminars in speech and language.

[18]  J. Muir,et al.  Visuospatial Attention: The Role of Target Contrast and Task Difficulty when Assessing the Effects of Cues , 2001, Perception.

[19]  Roy Jones,et al.  The effects of saliency and task difficulty on visual search performance in ageing and Alzheimer’s disease , 2004, Neuropsychologia.

[20]  J. Greene Contributions to Neuropsychological Assessment , 1995 .

[21]  Matthew Rizzo,et al.  Spatial attention: normal processes and their breakdown. , 2003, Neurologic clinics.

[22]  D. Royall,et al.  CLOX: an executive clock drawing task , 1998, Journal of neurology, neurosurgery, and psychiatry.

[23]  Alterations of visual search strategy in Alzheimer's disease and aging. , 2000 .

[24]  R. Bucks,et al.  Assessment of activities of daily living in dementia: development of the Bristol Activities of Daily Living Scale. , 1996, Age and ageing.

[25]  N. Denburg,et al.  Parallel short forms for the Boston Naming Test: psychometric properties and norms for older adults. , 1998, Journal of clinical and experimental neuropsychology.

[26]  Ralph H. B. Benedict,et al.  Hopkins Verbal Learning Test—Revised: Normative data and analysis of inter-form and test–retest reliability. , 1998 .

[27]  M. Folstein,et al.  Clinical diagnosis of Alzheimer's disease , 1984, Neurology.

[28]  Kenneth Rockwood,et al.  Conceptualization of mild cognitive impairment: a review , 2004, International journal of geriatric psychiatry.

[29]  M. Prince,et al.  The development and initial validation of a telephone‐administered cognitive test battery (TACT) , 1999 .

[30]  Alan D. Baddeley,et al.  The Rivermead Behavioural Memory Test - Extended Version , 1999 .