Screening for dementia in populations with little education

Zunzunegui, Marı́a Victoria; Otero, Ángel

doi:10.1002/gps.2523

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…8. Avoid administering the MMSE to individuals with no schooling or less than 5 years of schooling (Carnero-Pardo, 2014;Cruz-Orduna et al, 2012;Evans et al, 2008;Ostrosky-Solis et al, 2000;Rosselli et al, 2000;Scazufca et al, 2009;Zunzunegui & Otero, 2010). 9.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to reformative methods and recommendations, an increasing number of researchers have critiqued and rejected the MMSE as an inappropriate screening tool for the detection of cognitive decline in individuals with low educational or literacy level, suggesting that no modifications can improve its diagnostic accuracy. Specifically, some have suggested that it should not be used with individuals with less than 5 years of schooling (Cruz-Orduna et al, 2012;Evans et al, 2008;Ostrosky-Solis et al, 2000;Scazufca et al, 2009;Zunzunegui & Otero, 2010). Given that uneducated/(functional) illiterate individuals may perform as well as educated/literate individuals in coping with tasks representing activities encountered in daily life (Kempler et al, 2010;Reis et al, 2001), the need for replacing traditional neuropsychological tests with new tests with construct validity becomes apparent.…”

Section: Limits and Recommendationsmentioning

confidence: 99%

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Limitations and recommendations regarding the Mini-Mental State Examination (MMSE) in illiterate and low educated older adults

Mandyla,

Kosmidis

2023

Psychology

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Increasing life expectancy has been associated with higher rates of dementia. As illiterate/uneducated individuals are typically over-represented among older cohorts, it is imperative that we identify and/or develop appropriate, non-biased scales and psychometric tests for early detection of, and screening for, cognitive impairment in this group. Given that many traditional neuropsychological tests may underestimate cognitive abilities in illiterate/uneducated and low educated individuals, their use in these groups needs to be reappraised or their format adapted. One of the most commonly used screening tests worldwide is the Mini-Mental State Examination (MMSE). Level of education has been shown to be a significant predictor of performance on the MMSE, hence, there is dispute among researchers related to its applicability in populations with low or no schooling. A wide range of recommendations have been made by scholars for overcoming the education effect on the MMSE, as well as other sources of bias, but some methodological limitations remain, and new ones have emerged concerning its administration to illiterate/uneducated and low educated older individuals. In the present study, we present a theoretical discussion of the challenges inherent in the administration and interpretation of MMSE performance in illiterate/uneducated and low educated individuals, consider previous recommendations and address their limitations, and highlight the optimal methods for clinical assessment of these groups when the MMSE is used.

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Section: Discussionmentioning

confidence: 99%

Section: Limits and Recommendationsmentioning

confidence: 99%

Limitations and recommendations regarding the Mini-Mental State Examination (MMSE) in illiterate and low educated older adults

Mandyla,

Kosmidis

2023

Psychology

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“…The MMSE scores may have better defined the cognitive status of the sample and would have allowed comparisons with other studies. However, MMSE may be not reliable for participants with low educational level 33,34 and was deliberately avoided in this study. The Phototest, 18,19 a picture screening test with normative data collected in Spain, 35 was used instead.…”

Section: Discussionmentioning

confidence: 99%

TMA-93 for Diagnosing Amnestic Mild Cognitive Impairment: A Comparison With the Free and Cued Selective Reminding Test

Rodrigo‐Herrero

Carnero-Pardo

Méndez-Barrio

et al. 2019

Am J Alzheimers Dis Other Demen

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Background: TMA-93 examines binding by images, an advantage for the less educated individuals. Aim: To compare the discriminative validity of TMA-93 against the picture version of Free and Cued Selective Reminding Test (FCSRT) to distinguish patients with amnestic mild cognitive impairment (aMCI) from normal controls (NCs) without excluding less educated individuals. Methods: Design: Phase I diagnostic evaluation study. Participants: A total of 30 patients with aMCI and 30 NCs matched for sociodemographics variables. Statistical Analysis: The diagnostic accuracy for each test was calculated by conducting receiver operating characteristic curve analysis. Hanley and McNeil method was used to compare diagnostic accuracy of different tests on the same sample. Results: Up to 41.7% of the sample had less than a first grade of education. Both tests showed excellent diagnostic accuracy. The comparisons did not show significant differences. Conclusions: TMA-93 is so accurate as FCSRT to differentiate aMCI from controls including less educated individuals. The test could be considered as a choice in this sociodemographic context.

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“…Finalmente, otros consideran que ninguna medida mejora la utilidad diagnóstica global de las puntuaciones directas o brutas 259,263 y que el verdadero problema es el instrumento en sí. En este sentido, cada vez son más os que consideran que el Mini-Mental no es un instrumento que deba utilizarse en entornos con bajo nivel educativo, en especial para la detección de demencia o deterioro cognitivo leves 259,263,[266][267][268] .…”

Section: Diagnóstico De Demencia En Las Consultas Generales De Neurolunclassified

Evaluación nutricional de la enfermedad de Alzeheimer en el momento del diagnóstico: valor pronóstico y estudio de factores asociados a desnutrición

Calvo¹

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1-25-D3 1,25 vitamina D 25(OH) D 25 hidroxivitamina D ADNI Alzheimer´s Disease Neuroimaging Initiative study ADRDA Alzheimer´s Disease and Related Disorders Association AGE Advanced Glycation End products AIT Accidente isquémico transitorio ApoE Apolipoproteína E APP Proteína precursora del péptido Beta-amiloide ARA II Antagonistas de los receptores de angiotensina II Arc Activity-regulated cytoskeletal gene Aβ42 Amiloideβ42 Ca Calcio CAMCOG Cambridge Cognitive Examination CAMDEX Prueba de exploración Cambridge para la valoración de los trastornos mentales en la vejez CDR The Washington University Clinical Dementia Rating CDR-SOB CDR sum of boxes cGMP Guanosínmonofosfato cíclico CIR Clinical Insight Rating scale Cont Continua DCL Deterioro cognitivo leve DE Desviación estándar DHA Ácido decosahexaenoico DC Dicotómica DM Diabetes mellitus E Especificidad EA Enfermedad de Alzheimer EAd Demencia por EA EAp Enfermedad de Alzheimer prodrómica

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Screening for dementia in populations with little education

Cited by 5 publications

References 3 publications

Limitations and recommendations regarding the Mini-Mental State Examination (MMSE) in illiterate and low educated older adults

Limitations and recommendations regarding the Mini-Mental State Examination (MMSE) in illiterate and low educated older adults

TMA-93 for Diagnosing Amnestic Mild Cognitive Impairment: A Comparison With the Free and Cued Selective Reminding Test

Evaluación nutricional de la enfermedad de Alzeheimer en el momento del diagnóstico: valor pronóstico y estudio de factores asociados a desnutrición

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