Mahshid Foroughan1,2, Lars-Olof Wahlund2, Zahra Jafari3, Mehdi Rahgozar4, Ida G Farahani5, Vahid Rashedi1. 1. Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. 2. Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden. 3. Department of Basic Sciences in Rehabilitation, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. 4. Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. 5. Islamic Azad University South Tehran Branch, Tehran, Iran.
Abstract
BACKGROUND: Cognitive impairment is common among older people and is associated with increased morbidity and mortality. The main aim of this study was to evaluate the validity of the Persian version of the Abbreviated Mental Test Score (AMTS) as a screening tool for dementia. METHODS: Data were obtained from a cross-sectional study. One hundred and one older adults who were members of Iranian Alzheimer Association and 101 of their siblings were entered into this study by convenient sampling. The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for diagnosing dementia and the Mini-Mental State Examination were used as the study tools. The gathered data were analyzed by the Mann-Whitney U-test, the Kruskal-Wallis test, Spearman's rank correlation coefficient, and the receiver-operating characteristic. RESULTS: The AMTS could successfully differentiate the dementia group from the non-dementia group. Scores were significantly correlated with Diagnostic and Statistical Manual of Mental Disorders diagnosis for dementia and Mini-Mental State Examination scores (P < 0.001). Educational level (P < 0.001) and male sex (P = 0.015) were positively associated with AMTS, whereas (P < 0.001) was negatively associated with AMTS. Total Cronbach's α coefficient was 0.90. The scores 6 and 7 showed the optimum balance between sensitivity (99% and 94%, respectively) and specificity (85% and 86%, respectively). CONCLUSIONS: The Persian version of the AMTS is a valid cognitive assessment tool for older Iranian adults and can be used for dementia screening in Iran.
BACKGROUND:Cognitive impairment is common among older people and is associated with increased morbidity and mortality. The main aim of this study was to evaluate the validity of the Persian version of the Abbreviated Mental Test Score (AMTS) as a screening tool for dementia. METHODS: Data were obtained from a cross-sectional study. One hundred and one older adults who were members of Iranian Alzheimer Association and 101 of their siblings were entered into this study by convenient sampling. The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for diagnosing dementia and the Mini-Mental State Examination were used as the study tools. The gathered data were analyzed by the Mann-Whitney U-test, the Kruskal-Wallis test, Spearman's rank correlation coefficient, and the receiver-operating characteristic. RESULTS: The AMTS could successfully differentiate the dementia group from the non-dementia group. Scores were significantly correlated with Diagnostic and Statistical Manual of Mental Disorders diagnosis for dementia and Mini-Mental State Examination scores (P < 0.001). Educational level (P < 0.001) and male sex (P = 0.015) were positively associated with AMTS, whereas (P < 0.001) was negatively associated with AMTS. Total Cronbach's α coefficient was 0.90. The scores 6 and 7 showed the optimum balance between sensitivity (99% and 94%, respectively) and specificity (85% and 86%, respectively). CONCLUSIONS: The Persian version of the AMTS is a valid cognitive assessment tool for older Iranian adults and can be used for dementia screening in Iran.
Authors: Kamonthip Tanglakmankhong; Benjamin M Hampstead; Robert J Ploutz-Snyder; Kathleen Potempa Journal: Pac Rim Int J Nurs Res Thail Date: 2020-12-08
Authors: Esther Williamson; Lesley Ward; Karan Vadher; Susan J Dutton; Ben Parker; Stavros Petrou; Charles E Hutchinson; Richard Gagen; Nigel K Arden; Karen Barker; Graham Boniface; Julie Bruce; Gary Collins; Jeremy Fairbank; Judith Fitch; David P French; Angela Garrett; Varsha Gandhi; Frances Griffiths; Zara Hansen; Christian Mallen; Alana Morris; Sarah E Lamb Journal: BMJ Open Date: 2018-10-18 Impact factor: 2.692