Memory Complaint Scale (MCS)

Original Articles
Dement Neuropsychol 2012 December;6(4):212-218
Memory complaint scale (MCS)

Proposed tool for active systematic search
Francisco A.C. Vale1, Ari P. Balieiro-Jr2, Jos Humberto Silva-Filho3
ABSTRACT. Subjective Memory Complaints (SMC) are frequent among adults and elderly and are associated with poor quality
of life. The etiology and clinical significance of SMCs are unclear, but these complaints are associated with objective cognitive
decline or with depression, anxiety and psychosocial stressors. Biological and physiological brain alterations resembling those
in Alzheimers Disease have been found in SMC. SMC can evolve with different outcomes and represent the initial symptom
or a risk factor of dementia. Active systematic search can be useful for early screening of candidates for preventive or
therapeutic interventions. Objective: To propose a Memory Complaints Scale (MCS) as an instrument for actively searching
for memory complaints and to investigate its utility for discriminating demented from cognitively normal elderly. Methods: A
total of 161 patients from a teaching behavioral neurology outpatient unit of a tertiary hospital were studied. The MCS was
used in two ways, by direct application to the patient and by application to the patients companion. Cognitive tests assessing
depression and daily living activities were also applied. Results: High Cronbachs alpha coefficients were found for the two
application methods. Correlations between the two versions and the other instruments administered for patients grouped by
type and severity of dementia were also found. Conclusion: The MCS is a useful scale for identifying memory complaints
and discriminating demented from cognitively normal elderly. Further studies confirming these findings are warranted.
Key words: subjective memory complaints, memory, psychometric tests, dementia.
ESCALA DE QUEIXA DE MEMRIA (EQM).PROPOSTA DE UM INSTRUMENTO PARA BUSCA ATIVA E SISTEMATIZADA
RESUMO. Queixa Subjetiva de Memria (QSM) frequente entre adultos e idosos e est associada a pior qualidade de vida.
Etiologia e significado clnico so incertos, sendo associada a perdas cognitivas objetivas ou a depresso, ansiedade e
estressores psicossociais. Foram demonstradas alteraes biolgicas e fisiolgicas enceflicas semelhantes s da doena
de Alzheimer. Pode ter diferentes desfechos e representar sintoma inicial ou fator de risco para demncia. A busca ativa
e sistematizada pode ser til na identificao precoce de pessoas que podero receber intervenes preventivas ou
teraputicas. Objetivo: Propor a Escala de Queixa de Memria (EQM) como um instrumento para a busca de queixa de
memria e investigar se til para discriminar idosos demenciados de normais. Mtodos: Foram estudados 161 pacientes
de um ambulatrio didtico de neurologia comportamental de um hospital tercirio. A EQM foi utilizada nas duas formas,
uma diretamente aplicada ao paciente e a outra aplicada ao acompanhante sobre o paciente. Tambm foram aplicados
testes cognitivos, para depresso e para atividades dirias. Resultados: Foram encontrados altos coeficientes alfa de
Cronbach para as duas formas. Tambm foram encontradas correlaes entre as duas formas e os outros instrumentos,
para os pacientes agrupados conforme tipo e gravidade da demncia. Concluso: A EQM uma escala til para identificar
queixa de memria e pode ser til para discriminar idosos demenciados de normais. Estudos subsequentes devero ser
realizados para verificar essas informaes.
Palavras-chave: queixas subjetivas de memria, memria, testes psicomtricos, demncia.
INTRODUCTION
he term Subjective Memory Complaint

(SMC) is used generally to designate a report of memory problems which may or may
not be perceived by others, although there is

currently no consensus on a standard definition for this symptom. Subjective Cognitive
Complaint (SCC) and Subjective Memory
Behavioral Neurology Outpatient Unit of the Clnicas Hospital of the Hospital of the Ribeiro Preto School of Medicine of the University of So Paulo, Ribeiro Preto
SP, Brazil. 1PhD, Adjunct Professor of Medicine of the Federal University of So Carlos (UFSCar), Neurologist, So Carlos SP, Brazil. 2Masters, Assistant Researcher of
the Cognitive and Behavioral Neurology Group of the UFSCar and the Laboratory of Psychological Assessment of the UFAM, psychologist. 3PhD, Adjunct Professor
of the School of Psychology of the Federal University of Amazonas (UFAM), psychologist, Manaus AM, Brazil.
Francisco A.C. Vale. Federal University of So Carlos / Department of Medicine Rod. Washington Lus, km 235 / SP-310 13565-905 So Carlos SP
Brazil. E-mail: [email protected]
Disclosure: The authors report no conflicts of interest. Received September 10, 2012. Accepted in final form November 15, 2012.
212 Memory complaint scale: a new tool Vale FAC, et al.
Impairment (SMI) are other terms used to describe the

same symptom.1
SMC is a frequent symptom among adults and elderly the prevalence of which increases with age. Population-based studies estimate prevalences as high as
46.3% in adults 50-59 years old and 63.4% in older old
80-100 years of age. Female gender and low educational
level have also been associated with higher prevalences
of SMC.2-4 Two Brazilian population samples with different cultural and sociodemographic characteristics, one
located in the Northern and the other in the Southern
region, estimated SMC prevalences at 70.0% and 56.0%,
respectively.5,6
Data in the literature vary widely regarding the etiology and clinical significance of SMC, with studies reporting conflicting results. Studies involving population
samples have shown that SMC is associated with impaired performance on memory tests, in elderly without
dementia or depression4,7 and may predict dementia by
up to three years, particularly if associated with objective
memory deficits.8 Other studies however, have associated
SMC with psychosocial stress, anxiety or depression.9,10
Mild Cognitive Impairment (MCI) includes SMC as a
key diagnostic criterion.11 There is evidence suggesting
that SMC in elderly is a significant risk factor for MCI 12
or for dementia.13,14
Some studies have shown biological or physiological brain changes in SMC which closely resemble those
seen in Alzheimers Disease (AD), based on structural,
functional and metabolic neuroimaging,15-18 as well as
electroencephalographic19, magnetoencephalographic,20
genetic,21 and neuropathologic studies.22 A recent study
has shown that hippocampal volumes correlate with
outcomes of memory training interventions in adults
with MCI.23
In another recent study, cognitive decline was evident in subjects from 45 years of age and older.24 However, even when individuals report symptoms and exhibit objective deficit, dementia may not be diagnosed.
Up to 75% of patients with moderate to severe dementia may not be identified by the General Practitioner as
having cognitive disorders while up to 97% of patients
with mild cognitive disorders are not identified as having incipient dementia.25
SMCs in the elderly are associated with poorer quality of life and impaired activities of daily living (ADL)26
and generate costs with the utilization of public primary
health care services.27
Particularly among the elderly, SMC should not be
attributed to a harmless phenomenon of senescence or
a symptom or depression. The condition is polymorphic
with different outcomes and may represent an initial

symptom of dementia or a risk factor for future dementia. Therefore, SMC should be taken seriously warranting a thorough investigation and follow-up.4,28
Active systematic search can be useful for early
screening of at-risk individuals with SMC, enabling
prompt preventive or therapeutic interventions.
The aim of this study was to propose a structured
questionnaire (Memory Complaints Scale MCS) as
an instrument for actively searching for memory complaints, and to investigate Its utility for discriminating
demented from cognitively normal elderly.
METHODS
Casuistic. The study data were collected directly from pa-
tients aged 60 years and older and also from their companions, at the Behavioral Neurology Outpatient Unit
of the Clnicas Hospital of the Ribeiro Preto School of
Medicine of the University of So Paulo (ANCP-HCFMRP) over a period spanning 18 months. The sample comprised 161 subjects, 59.0% of female gender. Mean age
was 72.07.67 years and mean schooling was 4.63.2
years. Of the participants, 5.0% were single, 60.2% married, 3.1% separated and 31.7% widowed. After full clinical and laboratory assessments, 28.0% of patients were
diagnosed with AD, 26.7% MCI, 16.8% vascular dementia, 26.1% other dementia types and 2.5% with SMC.
Instruments. Memory Complaint Scale (MCS). MCS (Ap-
pendices 1 and 2) has been used as part of the routine

protocols of two teaching outpatient clinics, previously
by the ANCP-HCFMRP29 and currently by the Interdisciplinary Outpatient Unit of Neurology of the UFSCar
(ANEU-UFSCar).30 The MCS is a scale designed for carrying out a systematic active search for memory complaints. It comprises a questionnaire containing seven
questions with graded responses of increasing intensity
(0, 1 and 2). The test subject is classified in terms of memory complaint (MC) based on their score as follows: No
MC (0-2), mild MC (3-6), moderate MC (7-10) or severe
MC (11-14). The Scale has two versions, one for application directly to the test subject (MCS-A) and another for
application to the companion (MCS-B). Both versions
contain the same items, but the first is a self-report version while in the second the companion describes their
observations concerning the patients memory. The instrument explores the frequency of complaints and the
degree these problems impact everyday activities, and
also seeks to compare current memory with that at a
younger age and with the memory of others of similar
age. Both versions were employed in this study.
Vale FAC, et al. Memory complaint scale: a new tool 213
Other assessment instruments included in the cited

protocols were: Mini-Mental State Exam (MMSE);31,32
Clinical Dementia Rating (CDR);33,34 Words List (immediate recall, delayed recall and recognition) adapted from
the CERAD;35 Clock Drawing Test;36 Geriatric Depression Scale (GDS);37,38 Pfeffer Functional Activities Questionnaire (FAQ);39 and Frontal Assessment Battery.40,41
Table 1. Subgroups by CDR.

CDR
Indicators
Mean
SD
0 (N=43)
MCS-A
7.40
4.204
MCS-B
5.58
5.225
MMSE
23.20
4.468
MCS-A
7.74
4.075
MCS-B
9.54
4.372
MMSE
17.78
4.129
MCS-A
5.15
4.009
MCS-B
11.26
3.848
MMSE
14.78
4.145
MCS-A
4.96
3.948
MCS-B
12.09
2.859
MMSE
7.93
6.070
1 (N=50)
Procedure. This study was conducted at the ANCP-HCFM-
RP and approved by the Research Ethics Committee of

the HCFMRP-USP (Under CAAE 0387.0.004.000-07).
This was a correlational prospective correlational study
involving a randomly selected sample drawn from the
casuistic of a specialized outpatient unit of a teaching
hospital. The data were collected on an individual basis
through two visits with the elderly and their companion,
specifically assessing the clinical, cognitive and functional status of the patient. Data were analyzed in an
effort to initially check the validity and reliability of the
MCS-A and MCS-B using Cronbachs alpha, while also
investigating the item-total correlation. Subsequently,
the data obtained using the two versions of the scale
were stratified into four subgroups by CDR (0, 1, 2 and
3) in order to assess the informative and discriminative
power of the two MCSs (A and B), comparing the results
on the scales against the results found on the MMSE.
The data found in these four groups were submitted to
Multivariate Analysis (ANOVA) in order to identify any
statistically significant differences among them. Finally,
in order to explore the informative and predictive power
of the MCS instruments, correlation studies were performed between the scores obtained using versions A
and B, and the results on cognitive tests from the protocol of the outpatient unit, specifically on the previously
mentioned tests.
RESULTS
Internal consistency of the MCS-A and MCS-B. With regard
to the MCS-A (self-report), a high Alpha coefficient

(0.850) was found along with item-total correlations
greater than 0.512 on the seven items of the scale. With
the regard to the MCS-B (companion report), a similarly
high Alpha coefficient (0.847) was found and item-total
correlations greater than 0.470. The coefficients found
for both scales proved reliable (above 0.080) indicating
good internal consistency of the data. Correlations of
the items with total score of each scale were all greater
than 0.30, indicating that all items had good informative properties for the construct investigated, with no
need or desire to remove any of the items from either
scale for adjustment purposes.
2 (N=34)
3 (N=23)
CDR: Clinical Dementia Rating; SD: standard deviation.
Analysis of subgroups by CDR. The sample was stratified
into four subgroups by CDR (0, 1, 2 and 3) in order to assess the informative and discriminative potential of the
MCS-A and MCS-B, comparing the results on the scales
against mean values on the MMSE for each subgroup.
The results shown in Table 1, indicate that the MCS-A
(self-report) had higher memory complaint scores in
milder clinical conditions (CDR 0 and 1) and less intense
scores in more advanced clinical conditions (CDR 2 and
3). Moreover, comparison of the patient self-report
(MCS-A) in the first subgroup (CDR=0) revealed that
in this category, indicating absence of dementia, the
mean memory complaint score was 7.40, higher than
the mean score on the MCS-B (companion report) of
5.58. These results appear to show that, although not
recognized by the companion, a memory problem was
already perceived by the patients even in the absence of
a dementia condition.
Results showed that, on average, patients with CDR
1 reported an MC closer to CDR 0, whereas the reported
intensity of their complaint reduced progressively at
CDR 2 and 3, suggesting the occurrence of anosognosia, a common symptom in dementia conditions. On
the MCS-B however, a growing number of MCs were reported accompanying the progression in the dementia
condition. The same trend was evident for MMSE scores
in each subgroup, with decreasing scores as dementia
progressed. Multivariate analysis (ANOVA) comparing
the means for the MCS-A, MCS-B and MMSE among
the four CDR subgroups (0, 1, 2 and 3), confirmed statistically significant differences between means on the
MCS-A (p0.05), and likewise for the MCS-B and MMSE

in each group (p0.01).
Significant correlations with other instruments:
Studying the overall sample in search of correlations
between scores on the MCS A and B and the other assessment instruments revealed various significant correlations, albeit of weak to reasonable intensities. Most
notable however, were the correlations between scores
obtained on the MCS-B and the Pfeffer Functional Assessment Questionnaire (0.470, p<0.01), and between
the MCS-B and the CDR (0.509, p<0.01) (Table 2).
Subgroups of the overall sample were also explored
to identify correlations. In the subgroup containing patients diagnosed with AD and those with cerebral vascular disease, correlations were identified between scores
on the MCS-B and on the Pfeffer-FAQ (0.383, p<0.01);
as well as on the CDR (0.407, p<0.01). In the subgroup
formed by only patients with AD diagnosis, correlations
of 0.497 (p<0.01) between the MCS-B and Pfeffer-FAQ;
and of 0.512 (p<0.01) between the MCS-B and CDR,
were detected.
Table 2 highlights the statistically significant weak
positive correlations between the MCS-A and performance on cognitive tests, in addition to a positive correlation (reasonable to good) with depression, suggesting
that cognitively functional individuals seeking neurological assistance may have MC which is possibly associated to other psychic problems.
At the same time, statistically significant inverse correlations were seen (weak to reasonable) between MCSB and performance on cognitive tests. These results suggest that the higher the MC reported by the companion
the lower the performance by the patient on cognitive
tests. In addition, a weak inverse correlation was also
observed between MCS-A and age, i.e. in this sample,
the older individuals tended to exhibit fewer MCs.
DISCUSSION
A number of different types of validated questionnaires
are available for assessing SMC3,6,13,42-45 but are extensive
or fail to effectively discriminate SMC from dementia.
A Memory Complaint Scale (MCS) was proposed in
the present study. It was decided to designate the scale
a Memory Complaint (MC) instrument because a subjective memory complaint, as commonly used in the literature, is redundant in the sense that all complaints by
definition refer to a subjective symptom.
The results of this study showed that the MCS is a
stable, informative and discriminate scale, for both versions A and B. These results corroborate previous reports validating the scale.46-48
Table 2. Significant Correlations of MCS-A + B with other instruments.

MCS-A
Age (N=161)
MCS-B
0.219**
0.241*
0.321**
CDR (N=150)
0.246**
0.470**
Words list (Immediate recall) (N=157)
0.241**
0.330**
Words list (Delayed recall) (N=154)
0.240**
0.325**
MMSE (N=113)
Words list (Recognition) (N=146)
0.272**
0.304**
0.246**
0.509**
Frontal Assessment Battery (N=161)
0.247**
0.250**
Geriatric Depression Scale (N=144)
0.374**
Clock Drawing Test (N=137)

Functional Assessment Questionnaire (N=161)
* p<0.05; ** p<0.01.
Data given in Table 1 shows that elderly without dementia can complain of memory problems even though
the companion does not recognize them. However, patients with mild dementia reported MCs in a similar
manner to those without dementia, where the intensity of complaints reduced progressively with advancing dementia, probably due to anosognosia, a frequent
symptom in dementia conditions.49 Conversely, reports
by the companion increased progressively with advancing dementia. The same phenomenon was observed regarding MMSE scores, with progressively lower scores
accompanying the evolution of the dementia.
In patients with AD, reports by the companion correlated with patient performance on ADLs and severity
of dementia. In preliminary results reported previously,
the MCS was considered a useful tool since although
anosognosic patients self-assessed as having no dementia, the discrepancy with the assessment by the companions is itself discriminative. The same holds true for
patients with dementia in general.46,48
The data contained in Table 2 shows the weak positive correlations between patient-reported MCs and
performance on tests of memory and executive functions. The results also evidence a positive correlation
(reasonable to good) with the depressive symptoms
questioned, suggesting that cognitively functional individuals seeking neurological assistance may have MCs
which could be associated to depression. Other studies
in outpatient casuistics have also shown an association
between MCs and depression, as well as with anxiety
and psychosocial stressors.9,10 On the other hand, MCs
are common among adults and often a source of stress
and concern.50
These findings also showed negative correlations
(weak to reasonable) between patient memory prob-
lems as reported by the companion and performance on

tests of memory, executive functions and CDR, suggesting that the worse the patients cognitive performance,
the more intense the report by the companion. The
same pattern was seen for patient performance on activities of daily living. Other studies have affirmed that
MCs are associated with performance on memory tests,
even after controlling for number of depressive symptoms.4,7 In addition, a weak negative correlation was
also observed between MCS-A and age, suggesting that
in this sample of patients from a specialized outpatient
clinic, older individuals tended to exhibit fewer MCs.
However, population-based studies suggest that age is
generally associated with MCs, independently of degree

of cognitive functioning.3,4
Based on these results, it can be concluded that the
MCS, used in its two versions, is a useful scale for active systematic and consistent search for memory complaints, and may be used to discriminate demented
from cognitively normal elderly. Further studies to confirm these findings are warranted.
Acknowledgements. The authors would like to thank
Ms. Lara Vieira Balieiro and Ms. Lia Vieira Balieiro for
carefully and patiently keying in the hard copies of the
protocols.
REFERENCES
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Abdulrab K, Heun R. Subjective Memory Impairment. A review of its

definitions indicates the need for a comprehensive set of standardised
and validated criteria. Euro Psychiatry 2008;23:321-330.
Westoby CJ, Mallen CD, Thomas E. Cognitive complaints in a general
population of older adults: prevalence, association with pain and the influence of concurrent affective disorders. Eur J Pain 2009;13:970-976.
Park MH, Min JY, Min HY, Lee HJ, Lee DH, Song MS. Subjective memory complaints and clinical characteristics in elderly Koreans: a questionnaire survey. Int J Nurs Stud 2007;44:1400-1405.
Jonker C, Geerlings MI, Schmand B. Are memory complaints predictive
for dementia? A review of clinical and population-based studies. Int J
Geriatr Psychiatry 2000;15:983-991.
Brucki SM, Nitrini R. Subjective memory impairment in a rural population with low education in the Amazon rainforest: an exploratory study.
Int Psychogeriatr 2009;21:164-171.
Xavier F, Ferraz MPT, Argimon I, Moriguchi EH. The prevalence of a
subjective perception of loss of memory in the elderly. Rev Bras Neurol
2001;37:24-28.
Snitz BE, Morrow LA, Rodriguez EG, Huber KA, Saxton JA. Subjective
memory complaints and concurrent memory performance in older patients of primary care providers. J Int Neuropsychol Soc 2008;14:1004.
Schmand B, Jonker C, Geerlings MI, Lindeboom J. Subjective memory
complaints in the elderly: depressive symptoms and future dementia. Br
J Psychiatry 1997;171:373-376.
Elfgren C, Gustafson L, Vestberg S, Passant U. Subjective memory
complaints, neuropsychological performance and psychiatric variables
in memory clinic attendees: a 3-year follow-up study. Arch Gerontol
Geriatr 2010;51:e110-114.
Fischer CE, Jiang D, Schweizer TA. Determining the association of
medical co-morbidity with subjective and objective cognitive performance in an inner city memory disorders clinic: a retrospective chart
review. BMC Geriatr 2010;10:89.
Petersen RC, Stevens JC, Ganguli M, Tangalos EG, Cummings JL,
DeKosky ST. Practice parameter: early detection of dementia: mild
cognitive impairment (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology.
Neurology 2001;56:1133-1142.
Luck T, Riedel-Heller SG, Luppa M, et al. Risk factors for incident mild
cognitive impairment--results from the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe). Acta Psychiatr
Scand 2010;121:260-272.
Schmand B, Jonker C, Hooijer C, Lindeboom J. Subjective memory
complaints may announce dementia. Neurology 1996;46:121-125.
Wang L, Belle Gv, Crane PK, et al. Subjective Memory Deterioration
and Future Dementia in People Aged 65 and Older. J Am Geriatr Soc
2004;52:2045-2051.
Stewart R, Dufouil C, Godin O, et al. Neuroimaging correlates of
subjective memory deficits in a community population. Neurology.
2008;70:1601-1607.
Jessen F, Feyen L, Freymann K, et al. Volume reduction of the en-
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
torhinal cortex in subjective memory impairment. Neurobiol Aging

2006;27:1751-1756.
Rodda J, Okello A, Edison P, Dannhauser T, Brooks DJ, Walker Z.
(11)C-PIB PET in subjective cognitive impairment. Eur Psychiatry
2010;25:123-125.
Hohman TJ, Beason-Held LL, Lamar M, Resnick SM. Subjective cognitive complaints and longitudinal changes in memory and brain function.
Neuropsychology 2011;25:125-130.
Babiloni C, Visser PJ, Frisoni G, et al. Cortical sources of resting EEG
rhythms in mild cognitive impairment and subjective memory complaint.
Neurobiol Aging 2010;31:1787-1798.
Maestu F, Baykova E, Ruiz JM, et al. Increased biomagnetic activity in
healthy elderly with subjective memory complaints. Clin Neurophysiol
2011;122:499-505.
Dik MG, Jonker C, Comijs HC, et al. Memory complaints and APOE4 accelerate cognitive decline in cognitively normal elderly. Neurology
2001;57:2217-2222.
Barnes LL, Schneider JA, Boyle PA, Bienias JL, Bennett DA. Memory
complaints are related to Alzheimer disease pathology in older persons.
Neurology 2006;67:1581-1585.
Engvig A, Fjell AM, Westlye LT, Skaane NV, Sundseth , Walhovd KB.
Hippocampal subfield volumes correlate with memory training benefit in
subjective memory impairment. NeuroImage 2012;61:188-194.
Singh-Manoux A, Kivimaki M, Glymour MM, et al. Timing of onset of
cognitive decline: results from Whitehall II prospective cohort study.
BMJ 2012;344:d7622.
Gifford DR, Cummings JL. Evaluating dementia screening tests: methodologic standards to rate their performance. Neurology 1999;52:
224-227.
Montejo P, Montenegro M, Fernndez MA, Maest F. Memory complaints in the elderly: Quality of life and daily living activities. A population
based study. Arch Gerontol Geriatr 2012;54:298-304.
Waldorff F, Siersma V, Waldemar G. Association between subjective
memory complaints and health care utilisation: a three-year follow up.
BMC Geriatrics 2009;9:43.
Gallassi R, Oppi F, Poda R, et al. Are subjective cognitive complaints a
risk factor for dementia? Neurol Sci 2010;31:327-336.
Vale FAC, Balieiro-Jnior AP, Silva-Filho JH. Manual de Procedimentos de Rotina - Revisado (MPR-Rev) do Ambulatrio de Neurologia
Comportamental do Hospital das Clnicas da Faculdade de Medicina
de Ribeiro Preto da Universidade de So Paulo. In. Ribeiro Preto:
Ambulatrio de Neurologia Comportamental do Hospital das Clnicas
da Faculdade de Medicina de Ribeiro Preto (ANCC-HCFMRP); 2006.
Vale FAC. Manual de Procedimentos de Rotina do Ambulatrio Interdisciplinar de Neurologia da Universidade Federal de So Carlos (ANEUUFSCar). In. So Carlos: Ambulatrio Interdisciplinar de Neurologia da
Universidade Federal de So Carlos (ANEU-UFSCar) 2011.
Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical
method for grading the cognitive state of patients for the clinician. J
Psychiatr Res 1975;12:189-198.
32. Brucki SM, Nitrini R, Caramelli P, Bertolucci PH, Okamoto IH. [Suggestions for utilization of the mini-mental state examination in Brazil]. Arq
Neuropsiquiatr 2003;61:777-781.
33. Hughes CP, Berg L, Danziger WL, Coben LA, Martin RL. A new clinical
scale for the staging of dementia. Br J Psychiatry 1982;140:566-572.
34. Chaves ML, Camozzato AL, Godinho C, et al. Validity of the clinical dementia rating scale for the detection and staging of dementia in Brazilian
patients. Alzheimer Dis Assoc Disord 2007;21:210-217.
35. Bertolucci P, Okamoto I, Brucki S, Siviero M, Toniolo-Neto J, Ramos
L. Applicability of the CERAD neuropsychological battery to Brazilian
elderly. Arq Neuropsiquiatr 2001;59:532-536.
36. Sunderland T, Hill JL, Mellow AM, et al. Clock drawing in Alzheimers
disease. A novel measure of dementia severity. J Am Geriatr Soc 1989;
37:725-729.
37. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of
a geriatric depression screening scale: a preliminary report. J Psychiatr
Res 1983;17:37-49.
38. Almeida OP, Almeida SA. Short versions of the geriatric depression scale:
a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM-IV. Int J Geriatr Psychiatry 1999;14:858-865.
39. Pfeffer RI, Kurosaki TT, Harrah CH, Jr., Chance JM, Filos S. Measurement of functional activities in older adults in the community. J Gerontol
1982;37:323-329.
40. Beato RG, Nitrini R, Formigoni AP, Caramelli P. Brazilian version of the
Frontal Assessment Battery (FAB). Preliminary data on administration to
healthy elderly. Dement Neuropsychol 2007;1:59-65.
41. Dubois B, Slachevsky A, Litvan I, Pillon B. The FAB. A frontal assessment battery at bedside. Neurology 2000;55:1621-1626.
42. Hurt CS, Burns A, Brown RG, Barrowclough C. Perceptions of subjective memory complaint in older adults: the Illness Perception Questionnaire-Memory (IPQ-M). Int Psychogeriatr 2010;22:750-60.
43. Smith G, Della Sala S, Logie RH, Maylor EA. Prospective and retrospective memory in normal ageing and dementia: a questionnaire study.
Memory 2000;8:311-321.
44. Crook TH, 3rd, Feher EP, Larrabee GJ. Assessment of memory complaint in age-associated memory impairment: the MAC-Q. Int Psychogeriatr 1992;4:165-176.
45. Rami L, Bosch B, Sanchez-Valle R, Molinuevo JL. The memory alteration test (M@T) discriminates between subjective memory complaints,
mild cognitive impairment and Alzheimers disease. Arch Gerontol Geriatr 2010;50:171-174.
46. Vale FAC, Balieiro-Jnior AP, Silva-Filho JH. P3-186: Subjective memory complaint in Alzheimers disease. Alzheimers Dement 2008;4:
T574-T575.
47. Silva-Filho JH, Balieiro-Jnior AP, Vale FAC. The Questionnaire of Subjective Memory Complaints in Manaus - preliminary results. Dement
Neuropsychol 2007;1:39.
48. Balieiro-Jnior AP, Vale FAC, Silva-Filho JH. MCQ - An Instrument to
Assess Memory Complaints. Dement Neuropsychol 2011;5:43.
49. Kashiwa Y, Kitabayashi Y, Narumoto J, Nakamura K, Ueda H, Fukui K.
Anosognosia in Alzheimers disease: Association with patient characteristics, psychiatric symptoms and cognitive deficits. Psychiatry Clin
Neurosci 2005;59:697-704.
50. Hurt CS, Burns A, Brown RG, Barrowclough C. Perceptions of subjective memory complaint in older adults: the Illness Perception Questionnaire Memory (IPQ-M). Int Psychogeriatr 2010;22:750-760.
APPENDIX
MCS - MEMORY COMPLAINT SCALE
VERSION A - PATIENT ANSWERS
Objective: To assess patients memory complaint directly with him/her
Instructions:
Apply this directly to patient with no intervention from companion

Read aloud in a clear voice
Q1. Do you have any memory problems? (or forgetfulness? or memory difficulties)
()No = 0
( ) Unable to answer/unsure/doubt = 1
( ) Yes = 2
If answers No, mark 0 and likewise for Q2 and Q3 and skip ahead to Q4
Q2. How often does this happen?
()Rarely = 0
()Occasionally/sometimes =1
( ) A lot/frequently = 2
Q3. Does this memory problem hamper (or impair) your daily activities?
()No = 0
()Occasionally/sometimes = 1
( ) A lot /frequently = 2
Q4. How is your memory compared to others your age?

( ) The same or better = 0
( ) Somewhat worse = 1
( ) Much worse = 2
Q5. How is your memory compared with when you were younger?
( ) Same or better = 0
( ) Much worse = 2
Q6. Do you forget what youve just read or heard (e.g., in a conversation)?
()Rarely/never = 0
()Occasionally = 1
()Often = 2
Q7. Rate your memory on a scale of 1 to 10, with 1 worst and 10 best
( ) 9 or 10 = 0
( ) 5 to 8 = 1
( ) 1 to 4 = 2
Scoring
Interpretation
[]No MCs (0-2) []Mild MCs (3-6) []Moderate MCs (7-10) []Severe MCs (11-14)
MCS - MEMORY COMPLAINT SCALE
VERSION B - COMPANION ANSWERS ABOUT PATIENT
Objective: To assess memory complaint of patient by companion report
Instructions:
Apply with the companion referring to patient

Read aloud in clear voice
Q1. Does he/she have a memory problem ? (or forgetfulness?)

()No = 0
( ) Unable to answer/unsure/doubt = 1
( ) Yes = 2
If answers No, mark 0 and likewise for Q2 and Q3 and skip ahead to Q4
Q2. How often does this happen?
()Rarely = 0
()Occasionally/sometimes =1
( ) A lot /frequently= 2
Q3. Does this memory problem hamper (or impair) his/her daily activities?
()No = 0
()Occasionally/sometimes = 1
( ) A lot /frequently = 2
Q4. How is his/her memory compared to others their age?

( ) Much worse = 2
Q5. How is his/her memory compared with when they were younger?
( ) Much worse = 2
Q6. Does he/she forget what theyve just read or heard (e.g., in a conversation)?
()Rarely/never = 0
()Occasionally = 1
()Often = 2
Q7. Rate his/her memory on a scale of 1 to 10, with 1 worst and 10 best
( ) 9 or 10 = 0
( ) 5 to 8 = 1
( ) 1 to 4 = 2
Scoring
Interpretation
[]No MCs (0-2) []Mild MCs (3-6) []Moderate MCs (7-10) []Severe MCs (11-14)
The Portuguese version of the Memory Complaint Scale is available at: www. demneuropsy.com.br
EQM - ESCALA DE QUEIXA DE MEMRIA

FORMA A PACIENTE RESPONDE
Objetivo: Avaliar a queixa de memria do(a) paciente, diretamente com ele(a)
Instrues
Aplique diretamente com o(a) paciente, sem a interveno do(a) acompanhante
Leia em voz alta e clara
P1. Voc tem problema de memria? (ou de esquecimento?" ou dificuldade de memria)

( ) No = 0
( ) No sabe responder/indeciso/dvida = 1
( ) Sim = 2
Se responder No, marque 0 tambm na P2 e na P3 e pule para a P4
P2. Com que frequncia esse problema acontece?

( ) Raramente = 0
( ) Pouco/mais ou menos =1
( ) Muito/frequente = 2
P3. Esse problema de memria tem atrapalhado (ou prejudicado) suas atividades no dia-a-dia?
( ) No = 0
( ) Pouco/mais ou menos = 1
P4. Como est sua memria em comparao com a de outras pessoas de sua idade?
( ) Igual ou melhor = 0
( ) Um pouco pior = 1
( ) Muito pior = 2
P5. Como est sua memria em comparao a quando voc era mais jovem?
( ) Bem pior = 2
P6. Acontece de voc esquecer o que acabou de ler ou de ouvir (p. ex., numa conversa)?
( ) Raramente/nunca = 0
( ) De vez em quando = 1
( ) Frequentemente = 2
P7. D uma nota de 1 a 10 para sua memria, sendo 1 a pior e 10 a melhor.

( ) 9 ou 10 = 0
( )5a8=1
( )1a4=2
Pontuao ______
Interpretao:
[ ] Sem QM (0-2)
[ ] QM leve (3-6)
[ ] QM moderada (7-10)
[ ] QM acentuada (11-14)
Vale, Balieiro-Jr & Silva-Filho. Memory complaint scale (MCS): Proposed tool for active systematic search. Dement.
Neuropsychol. 2012;6:212-218
EQM - ESCALA DE QUEIXA DE MEMRIA

FORMA B
ACOMPANHANTE RESPONDE SOBRE PACIENTE
Objetivo: Avaliar a queixa de memria do(a) paciente por intermdio do(a) acompanhante
Instrues
Aplique com o acompanhante referindo-se (o) paciente.
Leia em voz alta e clara
P1. Ele(a) tem problema de memria? (ou "de esquecimento?")

( ) No = 0
( ) No sabe responder/indeciso/dvida = 1
( ) Sim = 2
Se responder No, marque 0 tambm na P2 e na P3 e pule para a P4
P2. Com que frequncia esse problema acontece?

( ) Raramente = 0
( ) Pouco/mais ou menos =1
P3. Esse problema de memria tem atrapalhado (ou prejudicado) atividades dele(a) no dia-a-dia?
( ) No = 0
( ) Pouco/mais ou menos = 1
P4. Como est a memria dele(a) em comparao com a de outras pessoas de sua idade?
( ) Muito pior = 2
P5. Como est a memria dele(a) em comparao a quando era mais jovem?
( ) Bem pior = 2
P6. Acontece de ele(a) esquecer o que acabou de ler ou de ouvir (p. ex., numa conversa)?
( ) Raramente/nunca = 0
( ) De vez em quando = 1
( ) Frequentemente = 2
P7. D uma nota de 1 a 10 para a memria dele(a), sendo 1 a pior e 10 a melhor.

( ) 9 ou 10 = 0
( )5a8=1
( )1a4=2
Pontuao ______
Interpretao:
[ ] Sem QM (0-2)
[ ] QM leve (3-6)
[ ] QM moderada (7-10)
[ ] QM acentuada (11-14)
Vale, Balieiro-Jr & Silva-Filho. Memory complaint scale (MCS): Proposed tool for active systematic search. Dement.
Neuropsychol. 2012;6:212-218

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Dement Neuropsychol 2012 December;6(4):212-218