Executive cognitive impairment: A novel perspective on dementia

Research output: Contribution to journalReview articlepeer-review

92 Scopus citations


In 1994 the American Psychiatric Association added impairment of executive control functions (ECF) to its list of cognitive domains that should be considered in the assessment of dementia. This recommendation has not been widely implemented. None the less, there is growing evidence that ECF impairment is common, strongly associated with disability and functional decline, and not well detected by traditional dementia screening tests. This article reviews the implications of ECF for the epidemiology of dementia. The total number of dementia cases may be much greater than previously thought and we are likely to be selectively missing cases with reversible causes of ECF impairment. Copyright (C) 2000 S. Karger AG, Basel.

Original languageEnglish (US)
Pages (from-to)293-299
Number of pages7
Issue number6
StatePublished - Jan 1 2000


  • Aging
  • Cognitive impairment, executive
  • Dementia, diagnosis
  • Executive function
  • Frontal lobe

ASJC Scopus subject areas

  • Epidemiology
  • Clinical Neurology


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