Psychometric properties of Clock Drawing Test and MMSE or Short Performance Test (SKT) in dementia screening in a memory clinic population

Schramm, Uta; Berger, Gabriele; Müller, Ruth; Kratzsch, Tilman; Peters, Juergen; Frölich, Lutz

doi:10.1002/gps.585

Cited by 91 publications

(97 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although, Schramm et al (2002) found that combining CDT with MMSE improved sensitivity, Heinik, Solomesh, Bleich, and Berkman (2003) showed that the CDT plus MMSE combined improved both sensitivity and specificity compared with the CDT alone (Agrell & Dehlin, 1998). In addition, Samton et al (2005) found that MMSE performance and CDT were correlated as anticipated, but CDT was a more sensitive and consistent predictor of disposition compared to the MMSE.…”

Section: Discussionmentioning

confidence: 95%

“…Although the correlation between MMSE and CDT in the elderly has been studied in other countries (Shulman, Pushkar Gold, Cohen, & Zucchero, 1993;Schramm et al, 2002), there was no study addressing the strength of the relationship between the two tests among Iranian population of older adults. However, there was only one study which assessed reliability and validity of CDT in Iranian older population (Sadeghipour Roodsari, Akbari Kamrani, Foroughan, Mohammadi, & Karimloo, 2013).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Testing Older Adults for Signs of Age-Related Cognitive Decline: Clock Drawing Test vs.Mini-Mental State Examination

Ghavidel

Fadardi

Sedaghat

et al. 2017

PCP

View full text Add to dashboard Cite

Objective: Mini-mental state examination, a nonspecific measure of global cognitive function, and the clock drawing test, a very concise and specific measure of cognitive function, are among the most widely used screening tests for cognitive dysfunction. The present research aimed to examine the correspondence between MMSE and CDT scores. Methods:A total of 70 older adults (mean(SD) age=69.70(6.41) y) were selected by convenience sampling method from two local health centers from the same civil servant area in Mashhad City, Iran. They completed MMSE and CDT tests. Mann-Whitney U test and Spearman correlation were used for analyzing the data. Results:Results showed a significant correlation between CDT and MMSE total score. Also the older adults' performance on MMSE and CDT were significantly related to their level of education and gender, but not age. Conclusion:The correlation between the MMSE and CDT test scores was high. Although one test cannot be replaced for the other, the CDT is a simple test that can be used for fast initial screening of cognitive performance among the elderly.

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Testing Older Adults for Signs of Age-Related Cognitive Decline: Clock Drawing Test vs.Mini-Mental State Examination

Ghavidel

Fadardi

Sedaghat

et al. 2017

PCP

View full text Add to dashboard Cite

show abstract

“…Thus, the maximum achievable score in this version of the CDT is 4 points, whereas the lowest score is 0 points. 25) Beck Depression Inventory (BDI): The BDI is a 21-item self-reporting scale developed to measure the severity of depression. The Turkish version is a reliable and valid tool that is extensively used.…”

Section: Making A-b (Tm-a-b)mentioning

confidence: 99%

“…In the BAI, the categories are normal (0-7), mild (8)(9)(10)(11)(12)(13)(14)(15), moderate (16)(17)(18)(19)(20)(21)(22)(23)(24)(25), and severe . 27) …”

Section: Beck Anxiety Inventory (Bai)mentioning

confidence: 99%

The Effect of Circadian Melatonin Levels on Inflammation and Neurocognitive Functions Following Coronary Bypass Surgery

Geyik

Yıgıter

Akcali

et al. 2015

ATCS

View full text Add to dashboard Cite

Purpose: In this study, the relationship between the plasma levels of melatonin and intercellular adhesion molecule-1 (ICAM-1), which plays role in several intercellular interactions including inflammatory and immune responses, and early neurocognitive functions associated with ischaemia-reperfusion injury during open heart surgery is examined. Methods: Forty patients who were to undergo elective coronary artery bypass grafting (CABG) were divided into two groups, those who underwent their operations at 8 AM (group I; n = 20) and those who underwent their operations at 1 PM (group II; n = 20). Blood samples were collected prior to surgery (S1), when the aortic cross clamp was removed (S2) and 4 (S3) and 24 h after the surgery (S4). Neuropsychiatric assessment was conducted one day before and seven days after surgery. Results: Melatonin levels measured during and after surgery were also significantly higher in Group 1. ICAM-1 levels were significantly lower in Group 1 at S2 and S3. Significant deterioration was observed in postoperative neurocognitive function compared with preoperative functions in Group 2 more than Group 1. Conclusion: We hypothesise that the greater preservation of neurocognitive functions in the morning patients is associated with elevated melatonin levels, which reduce the damage from ischaemia-reperfusion injury.

show abstract

“…El MMSE es el instrumento más utilizado y validado en el mundo, pero su aplicación requiere de 20 a 30 minutos y no permite detectar demencia en estadios iniciales (12) , debido a su baja sensibilidad para objetivar déficits ejecutivos y déficits leves de memoria y lenguaje (13) . Por otro lado, CAMCOG, DRS y la evaluación neuropsicológica estándar (14) , requieren de personal altamente entrenado y equipamiento especializado.…”

Section: Introductionunclassified

Validación de la prueba de dibujo del reloj - versión de Manos - como prueba de cribado para detectar demencia en una población adulta mayor de Lima, Perú

Custodio¹,

García²,

Montesinos³

et al. 2011

Rev Peru Med Exp Salud Publica

View full text Add to dashboard Cite

Introducción. La prueba de dibujo del reloj versión de Manos (PDR-M) es un instrumento de evaluación cognitiva breve para la detección de demencia. Objetivos. Evaluar la validez y confiabilidad de la PDR-M para discriminar entre pacientes con demencia y sujetos controles sanos. Materiales y métodos. Se evaluaron sujetos mayores de 65 años de edad, excluyendo los que presentaban enfermedades concomitantes graves y con dificultades auditivas o visuales. Se recogieron datos demográficos y se les realizó PDR-M y Mini Mental State Examination (MMSE). A los individuos del grupo de demencia se les realizó además evaluaciones clínicas, de laboratorio, neuropsicológicas y tomografía cerebral. Se calculó la sensibilidad y especificidad de la PDR-M así como el área bajo la curva ROC. Resultados. Se evaluó 210 individuos, 103 con diagnóstico confirmado de demencia y 107 controles sanos, con edad y sexo similares en ambos grupos; y mayor nivel educativo en el grupo control. Estableciendo un punto de corte de 7 se obtuvo una sensibilidad de 99,0% y una especificidad de 83,5%. Cuando se compararon las áreas bajo la curva ROC de la PDR-M y del MMSE no se encontraron diferencias significativas. Conclusiones. La PDR-M es un instrumento breve y confiable para la detección de demencia en la población urbana de Lima en el Perú. VALIDATION OF THE CLOCK DRAWING TEST -MANOS´ VERSION -AS A SCREENING TEST FOR DETECTION OF DEMENTIA IN OLDER PERSONS OF LIMA; PERU ABSTRACT Introduction. The clock drawing test (PDR-M) -Manos´ version -is a brief cognitive assessment tool for dementia detection.Objectives. To assess the validity and reliability of the PDR-M to discriminate between patients with dementia and healthy control subjects. Materials and methods. We evaluated subjects over 65 years of age, excluding those with severe concomitant diseases and those with hearing or visual impairment. We obtained demographic data and performed the PDR-M and Mini Mental State Examination (MMSE). Subjects of the dementia group were also submitted to clinical, laboratory and neuropsychological evaluations as well as computed tomography scanning. Sensitivity and specificity of the PDR-M were calculated as well as the area under the ROC curve. Results. We evaluated 210 individuals, 103 with confirmed diagnosis of dementia and 107 healthy controls with similar age and sex in both groups, but a higher educational level in the control group. Setting a cutoff point of 7, a sensitivity of 99.0% and a specificity of 83.5% were found. When comparing the areas under the ROC curves of the PDR-M and MMSE we found no statistically significant difference. Conclusions. The PDR-M is a brief and reliable instrument for the detection of dementia in the urban population of Lima, Peru.

show abstract

Psychometric properties of Clock Drawing Test and MMSE or Short Performance Test (SKT) in dementia screening in a memory clinic population

Abstract: The CDT in combination with the MMSE or SKT is an easily administered, non threatening and highly sensitive screening test for dementia in the setting of a memory clinic.

Cited by 91 publications

References 20 publications

Testing Older Adults for Signs of Age-Related Cognitive Decline: Clock Drawing Test vs.Mini-Mental State Examination

Testing Older Adults for Signs of Age-Related Cognitive Decline: Clock Drawing Test vs.Mini-Mental State Examination

The Effect of Circadian Melatonin Levels on Inflammation and Neurocognitive Functions Following Coronary Bypass Surgery

Validación de la prueba de dibujo del reloj - versión de Manos - como prueba de cribado para detectar demencia en una población adulta mayor de Lima, Perú

Contact Info

Product

Resources

About