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The Memory Clinic: A New Approach to the Detection of Dementia

Published online by Cambridge University Press:  02 January 2018

T. J. M. Van der Cammen*
Affiliation:
Geriatric Medicine. Department of Geriatric Medicine, University College London
J. M. Simpson
Affiliation:
Geriatric Medicine. Department of Geriatric Medicine, University College London
R. M. Fraser
Affiliation:
Geriatric Medicine. Department of Geriatric Medicine, University College London
A. S. Preker
Affiliation:
Geriatric Medicine. Department of Geriatric Medicine, University College London
A. N. Exton-Smith
Affiliation:
Geriatric Medicine. Department of Geriatric Medicine, University College London
*
Consultant Physician in Geriatric Medicine, Dijkzigt University Hospital, Room D 406, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

Abstract

Memory impairment is a salient and early feature of developing dementia, but in practice is often not recognised until it has reached an advanced stage. The operation described is of a Memory Clinic opened on an experimental basis at the Geriatric Research Unit, University College London, in 1983, with the aim of identifying the causes of memory impairment in the elderly, with particular reference to the early detection of dementia. It proved possible to identify a group of people with early dementia who had previously been undiagnosed, and also to reveal deficiencies in the utilisation of existing services. Memory clinics would be a valuable addition to geriatric and psychogeriatric services.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Acheson, R. M. (1963) Thoughts on a service for the pre-symptomatic diagnosis of disease. Public Health, 77, 261273.Google Scholar
Bergmann, K. (1979) The problem of early diagnosis. In Alzheimer's Disease: Early Recognition of Potentially Reversible Deficits (eds A. I. M. Glen & L. J. Whalley). London: Churchill Livingstone.Google Scholar
Bergmann, K., Kay, D. W. K., Foster, E. M., McKechnie, A. A. & Roth, M. (1971) A follow-up study of randomly selected community residents to assess the effects of chronic brain syndrome and cerebrovascular disease. Psychiatry (Part II) Medical International Congress Series No. 274. Amsterdam: Excerpta Medica.Google Scholar
Cooper, B. & Bickel, H. (1984) Population screening and the early detection of dementing disorders in old age: a review. Psychological Medicine, 14, 8195.Google Scholar
Erikson, R. C. & Scott, M. L. (1977) Clinical memory testing: a review. Psychological Bulletin, 84, 11301149.CrossRefGoogle Scholar
Gibson, A. J. & Kendrick, D. C. (1979) The Manual for the Kendrick Battery for the Detection of Dementia in the Elderly. Windsor, UK: NFER Publishing Co.Google Scholar
Graham-White, J., Merrick, M. & Harbison, J. J. M. (1969) Williams scale for the measurement of memory: test reliability and validity in a psychiatric population. British Journal of Social & Clinical Psychology, 8, 141151.Google Scholar
Gruer, R. (1975) Needs of the elderly in the Scottish borders. Scottish Health Service Studies No. 33, 102103.Google Scholar
Hachinski, V. C, Iliff, L. D. & Zilhka, E. (1975) Cerebral blood flow in dementia. Archives of Neurology, 32, 632637.Google Scholar
Hare, M. (1978) Clinical checklist for diagnosis of dementia. British Medical Journal, ii, 266267.Google Scholar
Henderson, A. S. & Huppert, F. A. (1984) The problem of mild dementia. Psychological Medicine, 14, 511.Google Scholar
Hinton, J. & Withers, E. (1971) The usefulness of the clinical tests of the sensorium. British Journal of Psychiatry, 119, 918.CrossRefGoogle ScholarPubMed
Hodkinson, H. M. (1974) Mental impairment in the elderly. Journal of the Royal College of Physicians, 7, 305.Google Scholar
Isaacs, B. (1963) The diagnostic value of tests with toys in old people. Gerontologica Clinica, 5, 822.Google Scholar
Kay, D. W. K., Bergmann, K., Foster, E. M. & Garside, R. F. (1968) A four-year follow-up of a random sample of old people originally seen in their own homes: a physical and psychiatric enquiry. Proceedings, Fourth World Congress of Psychiatry, Madrid, 3, 16681670. Amsterdam: Excerpta Medica.Google Scholar
Kendrick, D. C, Gibson, A. J. & Moyes, I. C. A. (1979) The revised Kendrick Battery: clinical studies. British Journal of Social & Clinical Psychology, 18, 329340.Google Scholar
McDonald, C. (1969) Clinical heterogeneity in senile dementia. British Journal of Psychiatry, 115, 267271.Google Scholar
Miller, E., Pearce, J. M. S., Perry, E. K. & Perry, R. H. (1984) The dementing diseases. In Dementia: A Clinical Approach (ed. J. M. S. Pearce). London: Black well.Google Scholar
Priest, R. G. & Woolfson, G. W. (1986) In Handbook of Psychiatry. London: Heinemann.Google Scholar
Randt, C. T., Brown, E. R. & Osborne, D. P. (1980) A memory test for longitudinal measurement of mild to moderate deficits. Clinical Neuropsychology, 4, 184194.Google Scholar
Report of The Royal College of Physicians on Organic Mental Impairment in The Elderly (1981) Journal of the Royal College of Physicians, 15, 429.Google Scholar
Rosen, W. G., Terry, R. D., Fuld, P. A., Katzman, R. & Peck, A. (1980) Pathological verification of ischemic score in differentiation of dementias. Annals of Neurology, 7, 486488.Google Scholar
Ross, N. & Horne, D. J. (1977) An evaluative study of Silver's cerebral function test. Journal of the American Geriatrics Society, 25, 249252.Google Scholar
Roth, M. & Hopkins, B. (1953) Psychological test performance in patients over sixty. 1. Senile psychosis and the affective disorders of old age. Journal of Mental Science, 99, 439.CrossRefGoogle Scholar
Silver, C. P. (1972) Simple methods of testing ability in geriatric patients. Gerontologica Clinica, 14, 110122.Google Scholar
Simpson, J. M. & Linney, A. D. (1985) The use of computer automated psychological tests to assess mentally impaired old people. In Interdisciplinary Topics in Gerontology (ed. F. Clifford Rose); Vol. 20: Modern Approaches to the Dementias. Part II: Clinical and Therapeutic Aspects. Basel: Karger.Google Scholar
Solomon, S., Hotchkiss, S., Saravay, S. M., Bayer, C, Ramsey, P. & Blum, R. S. (1983) Impairment of memory function by antihypertensive medication. Archives of General Psychiatry, 40, 11091112.Google Scholar
Thompson, M. K. (1985) Myths about the care of the elderly. Lancet, i, 523.Google Scholar
Whitehead, A. & Hunt, A. (1982) Elderly psychiatric patients: a five-year prospective study. Psychological Medicine, 12, 149157.CrossRefGoogle ScholarPubMed
Williamson, J., Stokoe, I. H. & Gray, S. (1964) Old people at home: their unreported needs. Lancet, i, 11171120.Google Scholar
Wilson, J. M. G. & Jungner, G. (1968) Principles and practice of screening. Public Health Paper No. 34. Geneva: WHO Google Scholar
Wood, R. A. (1984) Clinical algorithms: memory loss. British Medical Journal, 288, 14431447.Google Scholar
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