Health & Medical Neurological Conditions

Awareness of Memory Problems Fades a Few Years Before Dementia: Study

Awareness of Memory Problems Fades a Few Years Before Dementia: Study

When Awareness of Memory Problems Fades


Finding based on nearly 2,100 older adults who were assessed annually for more than 10 years

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- Older adults destined to develop dementia may start to lose awareness of their memory problems two to three years before the disease is full blown, a new study finds.

That had been suspected, but not clearly shown before, said lead investigator Robert Wilson, senior neuropsychologist at the Rush Alzheimer's Disease Center in Chicago.

"As researchers, we're very interested in what the experience of dementia is like for the individual," Wilson said. "It's important to understand its natural progression."

The findings also offer some useful information for the average person, according to Wilson.

"If you're aware enough to be worried about your memory, you probably don't have dementia," he said. Nor is it clear that you ever will, since memory issues do not mean a person is doomed to develop Alzheimer's or other forms of dementia.

The findings, published in the Aug. 26 issue of Neurology, are based on nearly 2,100 older adults who were assessed annually for over a decade. They took standard tests of memory and thinking skills, and gave their own opinions of their mental sharpness, answering questions such as, "How often do you have trouble remembering things?"

Overall, 239 people were diagnosed with dementia during the study period. Wilson's team found that their awareness of their own memory problems began to fade two to three years before the onset of dementia, on average.

Defining the onset of dementia is not clear-cut, according to Wilson. But, he said, it is based on more than just memory loss: People with dementia also typically have problems with language, concentration and planning, and may often become confused about the day or month, or where they are.

The new findings give support to what doctors and researchers have believed to be true, said David Morgan, director of the Signature Program in Neuroscience at the University of South Florida College of Medicine, in Tampa.

"This is something we've been aware of," said Morgan, who is also a spokesperson for the American Federation for Aging Research. "There's a saying in the field that if you know you have memory problems, then you don't have dementia."
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