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Associations between the Brief Memory and Executive Test (BMET), Activities of Daily Living, and Quality of Life in Patients with Cerebral Small Vessel Disease

Published online by Cambridge University Press:  06 April 2016

Matthew J. Hollocks ,
Rebecca Brookes ,
Robin G. Morris  and
Hugh S. Markus
Matthew J. Hollocks
Affiliation:
University of Cambridge, Department of Clinical Neurosciences, R3, Box 183, Addenbrookes Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom
Rebecca Brookes
Affiliation:
University of Cambridge, Department of Clinical Neurosciences, R3, Box 183, Addenbrookes Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom
Robin G. Morris
Affiliation:
King’s College London, Institute of Psychiatry, Neurosciences and Psychology, Department of Psychology, PO Box 078, De Crespigny Park, London, SE5 8AF, United Kingdom
Hugh S. Markus*
Affiliation:
University of Cambridge, Department of Clinical Neurosciences, R3, Box 183, Addenbrookes Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom
*
Correspondence and reprint requests to: Hugh S. Markus, University of Cambridge, Department of Clinical Neurosciences, R3, Box 183, Addenbrookes Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom. E-mail: [email protected]
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Abstract

Objectives: In addition to neuropsychological difficulties, patients with cerebral small vessel disease (SVD) can have reduced activities of daily living and a poorer quality of life compared to healthy adults. The Brief Memory and Executive Test (BMET), is a cognitive screening tool designed to be sensitive to the neuropsychological profile of patients with SVD. While the BMET is sensitive to the cognitive consequences of SVD, it is unclear how well scores on this measure relate to functional outcomes. The aims of this study are to investigate the relationship between scores on the BMET and functional outcomes (activities of daily living and quality of life) in SVD, and to compare this with other commonly used cognitive screening tools. Methods: This study included 184 participants with SVD (mean age=63.2; SD=9.9) and 299 healthy controls (mean age=62.4; SD=13.8) who were tested using the BMET, Montreal Cognitive Assessment (MoCA), Mini-Mental State Examination (MMSE), Stroke Specific - Quality of Life Scale (SS-QoL), Geriatric Depression Scale (GDS), and measures of both instrumental activities of daily living (IADL) and basic activities of daily living (BADL). Results: After controlling for covariates the scores on the BMET, but not the MoCA or MMSE, were significantly related to poorer IADL and quality of life in the SVD group. In addition to the BMET scores, symptoms of depression were found to be significant associated with functional outcome. Conclusion: These results support the clinical utility of using of the BMET, in combination with a standardized depression questionnaire, during the early assessment of patients with SVD. (JINS, 2016, 22, 1–9)

Keywords

AdultsDementiaCerebrovascular diseaseCognitiveNeuropsychological testsStroke
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 22 , Issue 5 , May 2016 , pp. 561 - 569
Copyright
Copyright © The International Neuropsychological Society 2016 

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