Detection of cognitive impairment using self-rated AD8 and informant-reported AD8

Chio, Oi-I; Yip, Ping-Keung; Liu, Yi‐Chien; Chen, Lihua; Wang, Peng‐Chih; Tsai, Tsung-Hsueh; Tang, Sai-Hung

doi:10.1016/j.jfma.2017.02.015

Cited by 17 publications

(12 citation statements)

References 11 publications

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“…Participants diagnosed with any subtype of MCI were generally rated similarly in terms of memory impairment, such that their memory problems were less severe than those with a neurodegenerative dementia, but more severe than cognitively intact controls. These findings complement the literature pointing to the relative predictive validity of informant ratings as compared to self-ratings of cognitive functioning [35–37]. Furthermore, as found in previous studies [31], the item-by-item concordance between self-and informant-reported SMCs declined with diagnosis severity, with inter-rater agreement high in only the cognitively intact group.…”

Section: Discussionsupporting

confidence: 88%

Self- and Informant-Reported Memory Complaints: Frequency and Severity in Cognitively Intact Individuals and those with Mild Cognitive Impairment and Neurodegenerative Dementias

Rahman‐Filipiak

Giordani

Heidebrink

et al. 2018

JAD

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Section: Discussionsupporting

confidence: 88%

Self- and Informant-Reported Memory Complaints: Frequency and Severity in Cognitively Intact Individuals and those with Mild Cognitive Impairment and Neurodegenerative Dementias

Rahman‐Filipiak

Giordani

Heidebrink

et al. 2018

JAD

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“…Second, we did not separate the informant AD8 from participant AD8. Studies have suggested that the former could be more precise than the latter [48,49]. Third, the elderly patients recruited were from only one hospital, which is in a cultural and educational district of Northern Taiwan.…”

Section: Discussionmentioning

confidence: 99%

Assessing mental health of elderly outpatients, to screen only dementia or depression will have a strong bias

Lin

Lee

et al. 2022

Preprint

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Background: Dementia and depression have emerged as two of the major mental health concerns for elderly people, which are likely to substantially affect public health in the coming decades. Both dementia and geriatric depression are associated with increased morbidity, health care utilization, and mortality. Early detection and treatment initiation are some of the best strategies to minimize the ill effects of dementia and depression on the elderly people. To this end, large-scale screening may be the first step.Methods: Screening of individuals ≥65 years old was conducted in the outpatient department of a university hospital. Ascertainment of dementia 8 (AD8) and five-item Brief Symptom Rating Scale (BSRS-5) were used to screen for cognitive decline and depression, respectively.Findings: In total, 3079 elderly people completed both AD8 and BSRS-5. Patients tested positive for cognitive impairment and depression were 28.2% and 15%, respectively. However, 7% were tested positive by both AD8 and BSRS-5 and with statistical significance.Interpretation: The high ratio of suspected dementia and suspected depression suggested the needs and cost-effect of screening among the elderly outpatients. However, the statistically significant overlap implied potential bias when screening only one condition. Future screening program of geriatric mental health needs to consider this.

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“…[4,22]. This variable makes sense for inclusion in a brief screening program for MCI, especially when combined with other examinations [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Neuropsychiatric Score for Early Detection of Mild Cognitive Impairment of Elderly Populations in The Community

Pandhita

Lakhsmi

2021

Preprint

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Background: The increase in the elderly population in a developing country like Indonesia will increase people with cognitive impairment. Mild Cognitive Impairment (MCI) is the most common cognitive impairment among the elderly. However, some health workers are not satisfied with the current tools for detecting MCI in the community.Objective: This study intends to develop a novel, easy, and accurate method for early detection of MCI of the elderly population in the community in Indonesia.Methods: This study analyzed the database of 110 elderly population in East Jakarta, Indonesia. We explored several brief neuropsychiatric battery and developed a neuropsychiatric score to detect MCI.Results: The abnormal verbal semantic fluency test (p = 0.000), the existence of subjective memory complaints (p = 0.007), and low education level (p = 0.049) were found to be good predictors to detect MCI. The neuropsychiatric score, a combination of those variables, with a cut-off point of 2, has good accuracy to detect MCI (Sensitivity = 91.20%; Specificity = 78.9%).Conclusion: The neuropsychiatric score is a novel, easy, and accurate method for early detection of MCI of the elderly population in the community in Indonesia.

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Detection of cognitive impairment using self-rated AD8 and informant-reported AD8

Abstract: Informant-rated AD8 gave more accurate screening results than self-reported AD8 in an out-patient clinic setting.

Cited by 17 publications

References 11 publications

Self- and Informant-Reported Memory Complaints: Frequency and Severity in Cognitively Intact Individuals and those with Mild Cognitive Impairment and Neurodegenerative Dementias

Self- and Informant-Reported Memory Complaints: Frequency and Severity in Cognitively Intact Individuals and those with Mild Cognitive Impairment and Neurodegenerative Dementias

Assessing mental health of elderly outpatients, to screen only dementia or depression will have a strong bias

Neuropsychiatric Score for Early Detection of Mild Cognitive Impairment of Elderly Populations in The Community

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