Adaptação para o português do Cambridge Cognitive Examination-Revised aplicado em um ambulatório público de geriatria

Paradela, Emylucy Martins Paiva; Lopes, Cláudia de Souza; Lourenço, Roberto Alves

doi:10.1590/s0102-311x2009001200004

Cited by 13 publications

(2 citation statements)

References 19 publications

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“…MoCA 31 may be not an suitable instrument for identifying CIND among individuals with lower levels of education, according to a study by César et al 32 However, Cecato et al 33 found that MoCA was the test with the highest predictive value for differentiating Alzheimer's dementia (AD) from MCI and also for differentiating cases of MCI from normal individuals. Furthermore, MoCA has been shown to have significant correlations with the age variable in the mini-mental state examination (MMSE), 34 Cambridge Cognitive Examination (CAMCOG), 35 CDT, 19 verbal fluency test (VFT) 36 and Pfeffer Functional Activities Questionnaire (PFAQ), 37 which are instruments that have already been validated and are widely used in the Brazilian population. 33 Although MoCA 31 has the disadvantage of taking longer to apply than MMSE 34 and presents limitations with regard to the capacity for illiterate individuals to perform the proposed tasks, it is a tool that provides a superior overall assessment in the early stages of cognitive decline.…”

Section: Discussionmentioning

confidence: 99%

Screening for cognitive impairment among individuals aged 60 years or over: scoping review

Feichtenberger

Rocha²,

Puga

et al. 2021

Sao Paulo Med. J.

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Although substantial increases in the numbers of elderly people are now foreseen in all countries, greater growth is expected in developing regions such as Brazil, where the proportions are expected to become 18.8% in 2020 and 29.3% in 2050. 1,2 Primary care is considered to be the front line for healthcare for the elderly and can provide regular contacts focused on preventing disabilities resulting from chronic health conditions, such as classification of cognitive impairment in this age group. 3 Healthcare professionals are faced with the challenge of evaluating the limit of normality among elderly people's cognitive alterations. Within the concept of senescence, they need to differentiate the expected changes for this age group from the pathological conditions of aging that constitute senility. If such conditions are seen at the prodromal stage, reversal or mitigation may still be possible. 4,5 Development of dementia in elderly people is a measurable risk. Thus, the pathological transition to this, from a mild stage of cognitive impairment, forms a "gray zone" between normality and initial dementia. 4 Screening for cognitive impairment among elderly people can be achieved through instruments that have already been translated and validated for application in Brazil. 6 Bustamante et al. 7 suggested that cognitive tests and functional scales should be used in combination, in populations with educational heterogeneity. This would improve the accuracy of cognitive screening among mild to moderate cases of dementia because, when used together, they

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Section: Discussionmentioning

confidence: 99%

Screening for cognitive impairment among individuals aged 60 years or over: scoping review

Feichtenberger

Rocha²,

Puga

et al. 2021

Sao Paulo Med. J.

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“…Nesta direção, Razani et al (2007) (Paradela et al, 2009) 4.3.1.3 Mini Exame do Estado Mental (MEEM) Adaptado e validado para a população brasileira por Bertolucci et al (1994), sendo um dos instrumentos de rastreio cognitivo mais utilizado no Brasil e pela literatura internacional (Brucki et al, 2003; 4.3.1.7 Avaliação Cognitiva de Montreal (MoCA) (Nasreddine et al, 2005) A Avaliação Cognitiva de Montreal (MoCA) foi desenvolvida por Nasreddine et al (2005) no Canadá e foi traduzida para a população brasileira em 2009 4.4.1.2 Questionário de Atividades funcionais de Pfeffer (FAQ) (Pfeffer et al, 1982) A FAQ foi traduzida e adaptada para a população brasileira em 2011 por Sanchez et al (2011). Tem como objetivo avaliar as AIVD em dez habilidades cognitivas: controlar as próprias finanças, fazer compras, esquentar água e apagar o fogo, preparar refeições, manter-se atualizado, prestar atenção em uma notícia e discuti-la, lembrar-se de compromissos, cuidar da própria medicação, manter-se orientado ao andar pela vizinhança e ficar sozinho em casa.…”

Section: Percepção Da Funcionalidade Pelo Cuidador /Informanteunclassified

A percepção do informante frente à funcionalidade do idoso com doença de Alzheimer

Harder¹

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Functional impairment is an important aspect for early diagnosis of dementia, but it might be compromised by emotional factors of the informant. Objective: We aimed to compare the direct functional assessment with the indirect evaluation and to investigate whether caregiver/informant burden, anxiety and depression might interfere in this process. Method: This is a crosssectional study of activities of daily living of 40 Alzheimer´s disease (AD) patients compared to a matched 41 elderly controls. We assessed functionality by both, direct evaluations by a health professional and indirect instruments that were answered by the informant. We investigated the presence of depressive, anxiety and burden symptoms in the informant. Statistical analysis was performed based on single-factor analysis of variance (ANOVA) with multiple comparisons (Bonferroni test). For correlational analysis we used Pearson's correlation coefficient. Results: we observed between-groups significant differences in relation to the caregiver's burden (p < 0.001), however no other finding was observed related to depression, anxiety and cognition. In the analysis of correlations between emotional aspects and functionality evaluations we observed that in both controls and mild AD groups, IQCODE was the indirect assessment that most closely approximated to the direct evaluation and was less influenced by emotional symptoms. Conclusion: The presence of emotional symptoms influences the indirect evaluation of mild conditions of cognitive decline, in which case direct evaluation is preferable. In moderate cases, indirect evaluation is less influenced by caregiver burden because the impairment is more evident.

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Sensitivity and specificity of a briefer version of the Cambridge Cognitive Examination (CAMCog‐Short) in the detection of cognitive decline in the elderly: An exploratory study

Radanovic

Facco

Forlenza

2018

Int J Geriat Psychiatry

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Adaptação para o português do Cambridge Cognitive Examination-Revised aplicado em um ambulatório público de geriatria

Cited by 13 publications

References 19 publications

Screening for cognitive impairment among individuals aged 60 years or over: scoping review

Screening for cognitive impairment among individuals aged 60 years or over: scoping review

A percepção do informante frente à funcionalidade do idoso com doença de Alzheimer

Sensitivity and specificity of a briefer version of the Cambridge Cognitive Examination (CAMCog‐Short) in the detection of cognitive decline in the elderly: An exploratory study

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