A review of screening tests for cognitive impairment

Journal of Neurology, Neurosurgery and Psychiatry

Volumn 78, Issue 8, 2007, Pages 790-799

  Cullen, Breda ^a   O'Neill, Brian ^a   Evans, Jonathan J ^b   Coen, Robert F ^c   Lawlor, Brian A ^c  

^a SOUTHERN GENERAL HOSPITAL   (United Kingdom)

^b UNIVERSITY OF GLASGOW   (United Kingdom)

^c ST JAMES S HOSPITAL   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

ALZHEIMER DISEASE; COGNITIVE DEFECT; DEMENTIA; DIFFERENTIAL DIAGNOSIS; ELDERLY CARE; FUNCTIONAL STATUS; GENERAL PRACTICE; HEALTH PROGRAM; HUMAN; INTERMETHOD COMPARISON; PRACTICE GUIDELINE; PREDICTIVE VALIDITY; PRIORITY JOURNAL; REVIEW; SCORING SYSTEM; SCREENING TEST;

EID: 34547634721     PISSN: 00223050     EISSN: 1468330X     Source Type: Journal    
DOI: 10.1136/jnnp.2006.095414     Document Type: Review

References (110)

1. Hebert LE, Beckett LA, Scherr PA, et al. Annual incidence of Alzheimer disease in the United States projected to the years 2000 through 2050. Alzheimer Dis Assoc Disord 2001;15:169-73.
2. Henon H, Durieu I, Guerouaou D, et al. Poststroke dementia: incidence and relationship to prestroke cognitive decline. Neurology 2001;57:1216-22.
3. Pohjasvoara T, Erkinjuntti T, Ylikoski R, et al. Clinical determinants of poststroke dementia. Stroke 1998;29:75-81.
4. Iliffe S, Wilcock J, Austin T, et al. Dementia diagnosis and management in primary care: Developing and testing educational models. Dementia 2002;1:10-23.
5. Barrett JJ, Haley WE, Powers RE. Alzheimer's disease patients and their caregivers: medical care issues for the primary care physician. South Med J 1996;89:1-9.
6. Boustani M, Peterson B, Hanson L, et al. Screening for dementia in primary care: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 2003;138:927-37.
7. Solomon PR, Murphy CA. Should we screen for Alzheimer's disease? A review of the evidence for and against screening Alzheimer's disease in primary care practice. Geriatrics 2005;60:26-31.
8. Brodaty H, Clarke J, Ganguli M, et al. Screening for cognitive impairment in general practice: toward a consensus. Alzheimer Dis Assoc Disord 1998;12:1-13.
9. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98.
10. Shulman KI, Herrmann N, Brodaty H, et al. IPA survey of brief cognitive screening instruments. Int Psychogeriatr 2006;18:281-94.
11. De Koning I, Van Kooten F, Kouastaal PJ. Value of screening instruments in the diagnosis of post-stroke dementia. Haemostasis 1998;28:158-66.
12. Knopman DS, DeKosky ST, Cummings JL, et al. Practice parameter: diagnosis of dementia (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2001;56:1143-53.
13. Royall D. The "Alzheimerization" of dementia research. J Am Geriatr Soc 2003;51:277-8.
14. De Lepeleire J, Heyrman J. Diagnosis and management of dementia in primary care at an early stage: the need for a new concept and an adapted procedure. Theor Med Bioeth 1999;20:215-28.
15. Kipps CM, Hodges JR. Cognitive assessment for clinicians. J Neurol Neurosurg Psychiatry 2005;76(Suppl 1):i22-i30.
16. Zec RF. Neuropsychological functioning in Alzheimer's disease. In: Parks RW, Zec RF, Wilson RS, eds. Neuropsychology of Alzheimer's disease and other dementias. Oxford: Oxford University Press, 1993:3-80.
17. Padovani A, Di Piero V, Bragoni M, et al. Patterns of neuropsychological impairment in mild dementia: a comparison between Alzheimer's disease and multi-infarct dementia. Acta Neurol Scand 1995;92:433-42.
18. Pachana NA, Boone KB, Miller BL, et al. Comparison of neuropsychological functioning in Alzheimer's disease and frontotemporal dementia. J Int Neuropsychol Soc 1996;2:505-10.
19. Hansen L, Salmon D, Galasko D, et al. The Lewy body variant of Alzheimer's disease: a clinical and pathologic entity. Neurology 1990;40:1-8.
20. Hall KS, Gao S, Emsley C, et al. Community Screening Interview for Dementia (CSI 'D'): Performance in five disparate study sites. Int J Geriatr Psychiatry 2000;15:521-31.
21. Roth M, Huppert FA, Tym E, et al. CAMDEX. Cambridge: Cambridge University Press, 1988.
22. Jones BN, Teng EL, Folstein MF, et al. A new bedside test of cognition for patients with HIV infection. Ann Intern Med 1993;119:1001-4.
23. Teng EL, Chui HC. The Modified Mini-Mental State (3MS) examination. J Clin Psychiatry 1987;48:314-18.
24. McDowell I, Kristjansson B, Hill GB, et al. Community screening for dementia: the Mini Mental State Exam (MMSE) and Modified Mini-Mental State Exam (3MS) compared. J Clin Epidemiol 1997;50:377-83.
25. Correa JA, Perrault A, Wolfson C. Reliable individual change scores on the 3MS in older persons with dementia: results from the Canadian Study of Health and Aging. Int Psychogeriatr 2001;13(Suppl 1):71-8.
26. Kuslansky G, Buschke H, Katz M, et al. Screening for Alzheimer's disease: the memory impairment screen versus the conventional three-word memory test. J Am Geriatr Soc 2002;50:1086-91.
27. Solomon PR, Hirschoff A, Kelly B, et al. A 7 minute neurocognitive screening battery highly sensitive to Alzheimer's disease. Arch Neurol 1998;55:349-55.
28. Molloy DW, Standish TI, Lewis DL. Screening for mild cognitive impairment: comparing the SMMSE and the ABCS. Can J Psychiatry 2005;50:52-8.
29. Mioshi E, Dawson K, Mitchell J, et al. The Addenbrooke's Cognitive Examination Revised : a brief cognitive test battery for dementia screening. Int J Geriatr Psychiatry 2006;21:1078-85.
30. Hodkinson HM. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing 1972;1:233-8.
31. Mendiondo MS, Ashford JW, Kryscio RJ, et al. Designing a Brief Alzheimer Screen (BAS). J Alzheimer Dis 2003;5:391-8.
32. Krishnan LR, Levy RM, Wagner HR, et al. Informant-rated cognitive symptoms in normal aging, mild cognitive impairment and dementia. Initial development of an informant-rated screen (Brief Cognitive Scale) for mild cognitive impairment and dementia. Psychopharmacol Bull 2001;35:79-88.
33. Teng EL, Hasegawa K, Homma A, et al. The Cognitive Abilities Screening Instrument (CASI): a practical test for cross-cultural epidemiological studies of dementia. Int Psychogeriatr 1994;6:45-58.
34. Drachman DA, Swearer JM, Kane K, et al. The cognitive assessment screening test (CAST) for dementia. J Geriatr Psychiatry Neurol 1996;9:200-8.
35. Swearer JM, Drachman DA, Li L, et al. Screening for dementia in "real world" settings: the cognitive assessment screening test: CAST. Clin Neuropsychol 2002;16:128-35.
36. Kaufman DM, Weinberger M, Strain JJ, et al. Detection of cognitive deficits by a brief mental status examination: the Cognitive Capacity Screening Examination, a reappraisal and a review. Gen Hosp Psychiatry 1979;1:247-55.
37. Sunderland T, Hill JL, Mellow AM, et al. Clock drawing in Alzheimer's disease. A novel measure of dementia severity. J Am Geriatr Soc 1989;37:725-9.
38. Lin KN, Wang PN, Chen C, et al. The three-item clock-drawing test: a simplified screening test for Alzheimer's disease. Eur Neurol 2003;49:53-8.
39. Ritchie K, Fuhrer R. The validation of an informant screening test for irreversible cognitive decline in the elderly: performance characteristics within a general population sample. Int J Geriatr Psychiatry 1996;11:149-56.
40. Kalbe E, Kessler J, Calabrese P, et al. DemTect: a new, sensitive cognitive screening test to support the diagnosis of mild cognitive impairment and early dementia. Int J Geriatr Psychiatry 2004;19:136-43.
41. Silverman JM, Breitner JC, Mohs RC, et al. Reliability of the family history method in genetic studies of Alzheimer's disease and related dementias. Am J Psychiatry 1986;143:1279-82.
42. Ellis RJ, Jan K, Kawas C, et al. Diagnostic validity of the dementia questionnaire for Alzheimer disease. Arch Neurol 1998;55:360-5.
43. Kawas C, Segal J, Stewart WF, et al. A validation study of the Dementia Questionnaire. Arch Neurol 1994;51:901-6.
44. Brodaty H, Pond D, Kemp NM, et al. The GPCOG: a new screening test for dementia designed for general practice. J Am Geriatr Soc 2002;50:530-4.
45. Brandt J. The Hopkins Verbal Learning Test: Development of a new memory test with six equivalent forms. Clin Neuropsychol 1991;5:125-42.
46. Jorm AF, Jacomb PA. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): socio-demographic correlates, reliability, validity and some norms. Psychol Med 1989;19:1015-22.
47. Jorm AF, Scott R, Cullen JS, et al. Performance of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) as a screening test for dementia. Psychol Med 1991;21:785-90.
48. Jorm AF. A short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): development and cross-validation. Psychol Med 1994;24:145-53.
49. Knopman DS, Knudson D, Yoes ME, et al. Development and standardization of a new telephonic cognitive screening test: the Minnesota Cognitive Acuity Screen (MCAS). Neuropsychiatry Neuropsychol Behav Neurol 2000;13:286-96.
50. Borson S, Scanlan J, Brush M, et al. The mini-coq: a cognitive 'vital signs' measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry 2000;15:1021-7.
51. Buschke H, Kuslansky G, Katz M, et al. Screening for dementia with the memory impairment screen. Neurology 1999;52:231-8.
52. Artero S, Ritchie K. The detection of mild cognitive impairment in the general practice setting. Aging Ment Health 2003;7:251-8.
53. Kiernan RJ, Mueller J, Langston JW, et al. The Neurobehavioral Cognitive Status Examination: a brier but quantitative approach to cognitive assessment. Ann Intern Med 1987;107:481-5.
54. De Koning I, Dippel DW, van Kooten F, et al. A short screening instrument for poststroke dementia: the R-CAMCOG. Stroke 2000;31:1502-8.
55. Kalbe E, Kessler J, Calabrese P. Validity of the DemTect and the RDST for the earlier detection of dementia. Abstract presented at the 2 Annual Meeting of the International College of Geriatric Psychoneuropharmacology, Barcelona, Spain, October 10-12, 2002.
56. Kalbe E, Calabrese P, Schwalen S, et al. The Rapid Dementia Screening Test (RDST): a new economical tool for detecting possible patients with dementia. Dement Geriatr Cogn Disord 2003;16:193-9.
57. Belle SH, Mendelsohn AB, Seaberg EC, et al. A brief cognitive screening battery for dementia in the community. Neuroepidemiology 2000;19:43-50.
58. Mundt JC, Freed DM, Greist JH. Lay person-based screening for early detection of Alzheimer's disease: development and validation of an instrument. J Gerontol B Psychol Sci Soc Sci 2000;55:163-70.
59. Callahan CM, Unverzagt FW, Hui SL, et al. Six-item screener to identify cognitive impairment among potential subjects for clinical research. Med Care 2002;40:771-81.
60. Koss E, Patterson MB, Ownby R, et al. Memory evaluation in Alzheimer's disease. Caregivers' appraisals and objective testing. Arch Neurol 1993;50:92-7.
61. Maki N, Ikeda M, Hokoishi K, et al. Interrater reliability of the short-memory questionnaire in a variety of health professional representatives. Int J Geriatr Psychiatry 2000;15:373-5.
62. Katzman R, Brown T, Fuld P, et al. Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. Am J Psychiatry 1983;140:734-9.
63. Fillenbaum GG, Heyman A, Wilkinson WE, et al. Comparison of two screening tests in Alzheimer's disease. The correlation and reliability of the Mini-Mental State Examination and the modified Blessed test. Arch Neurol 1987;44:924-7.
64. Shiss DT, Meiran N, Guzman DA, et al. Do long tests yield a more accurate diagnosis of dementia than short tests? A comparison of 5 neuropsychological tests. Arch Neurol 1996;53:1033-9.
65. Dovous P, Lamour Y, Debrand E, et al. A comparative evaluation of the short orientation memory concentration test of cognitive impairment. J Neurol Neurosurg Psychiatry 1987;50:1312-17.
66. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975;23:433-41.
67. Kokmen E, Naessens JM, Offord KP. A short test of mental status: description and preliminary results. Mayo Clin Proc 1987;62:281-8.
68. Froehlich TE, Robison JT, Inouye SK. Screening for dementia in the outpatient setting: the time and change test. J Am Geriatr Soc 1998;46:1506-11.
69. Breitner JC, Welsh KA, Brandt J, et al. Telephone screening for dementia - a practical method for population-based twin studies of Alzheimer's disease and related disorders. Gerontologist 1991;31:333.
70. Brandt J, Welsh KA, Breitner JC, et al. Hereditary influences on cognitive functioning in older men. A study of 4000 twin pairs. Arch Neurol 1993;50:599-603.
71. Reitan RM. Validity of the trail-making test as an indicator of organic brain damage. Percept Mot Skills 1958;8:271-6.
72. Isaacs B, Kennie AT. The Set test as an aid to the detection of dementia in old people. Br J Psychiatry 1973;123:467-70.
73. Oeksengaard AR, Braekhus A, Laake K, et al. The set test as a diagnostic tool in elderly outpatients with suspected dementia. Aging (Milano) 1995;7:398-401.
74. Leopold NA, Borson AJ. An alphabetical 'WORLD'. A new version of an old test. Neurology 1997;49:1521-4.
75. Brodaty H, Kemp NM, Low L-F. Characteristics of the GPCOG, a screening tool for cognitive impairment. Int J Geriatr Psychiatry 2004;19:870-4.
76. Fujii D, Hishinuma E, Masaki K, et al. Dementia screening: can a second administration reduce the number of false positives? Am J Geriatr Psychiatry 2003;11:462-5.
77. Antonelli Incalzi R, Cesari M, Pedone C, et al. Construct validity of the abbreviated mental test in older medical inpatients. Dement Geriatr Cogn Disord 2003;15:199-206.
78. Bland RC, Newman SC. Mild dementia or cognitive impairment: the Modified Mini-Mental State examination (3MS) as a screen for dementia. Can J Psychiatry 2001;46:506-10.
79. Hayden KM, Khachaturian AS, Tschanz JT, et al. Characteristics of a two-stage screen for incident dementia. J Clin Epidemiol 2003;56:1038-45.
80. O'Connell ME, Tuokko H, Graves RE, et al. Correcting the 3MS for bias does not improve accuracy when screening for cognitive impairment or dementia. J Clin Exp Neuropsychol 2004;26:970-80.
81. Borson S, Brush M, Gil E, et al. The Clock Drawing Test: utility for dementia detection in multiethnic elders. J Gerontol A Biol Sci Med Sci 1999;54:M534-40.
82. Cullen B, Fahy S, Cunningham CJ, et al. Screening for dementia in an Irish community sample using MMSE: a comparison of norm-adjusted versus fixed cut-points. Int J Geriatr Psychiatry 2005;20:371-6.
83. Huppert FA, Cabelli ST, Matthews FE. Brief cognitive assessment in a UK population sample - distributional properties and the relationship between the MMSE and an extended mental state examination. BMC Geriatr 2005;5:7.
84. Tangalos EG, Smith GE, Ivnik RJ, et al. The Mini-Mental State Examination in general medical practice: clinical utility and acceptance. Mayo Clin Proc 1996;71:829-37.
85. Agrell B, Dehlin O. Mini Mental State Examination in geriatric stroke patients. Validity, differences between subgroups of patients, and relationships to somatic and mental variables. Aging (Milano) 2000;12:439-44.
86. Nys GM, Van Zandvoort MJ, De Kort PL, et al. Restrictions of the Mini-Mental State Examination in acute stroke. Arch Clin Neuropsychol 2005;20:623-9.
87. Tang WK, Mok V, Chan SS, et al. Screening of dementia in stroke patients with lacunar infarcts: comparison of the mattis dementia rating scale and the Mini-Mental State Examination. J Geriatr Psychiatry Neurol 2005;18:3-7.
88. Kokmen E, Smith GE, Petersen RC, et al. The Short Test of Mental Status. Correlations with standardized psychometric testing. Arch Neurol 1991;48:725-8.
89. Tang-Wai DF, Knopman DS, Geda YE, et al. Comparison of the Short Test of Mental Status and the Mini-Mental State Examination in mild cognitive impairment. Arch Neurol 2003;60:1777-81.
90. Solomon PR, Brush M, Calvo V, et al. Identifying dementia in the primary care practice. Int Psychogeriatr 2000;12:483-93.
91. Meulen EF, Schmand B, van Campen JP, et al. The seven minute screen: a neurocognitive screening test highly sensitive to various types of dementia. J Neurol Neurosurg Psychiatry 2004;75:700-5.
92. Sarasqueta C, Bergareche A, Arce A, et al. The validity of Hodkinson's Abbreviated Mental Test for dementia screening in Guipuzcoa, Spain. Eur J Neurol 2001;8:435-40.
93. Flicker L, Logiudice D, Carlin JB, et al. The predictive value of dementia screening instruments in clinical populations. Int J Geriatr Psychiatry 1997;12:203-9.
94. Sahadevan S, Lim PP, Tan NJ, et al. Diagnostic performance of two mental status tests in the older chinese: influence of education and age on cut-off values. Int J Geriatr Psychiatry 2000;15:234-41.
95. Harwood DM, Hope T, Jacoby R. Cognitive impairment in medical inpatients. I: Screening for dementia - is history better than mental state. Age Ageing 1997;26:31-5.
96. Borson S, Scanlan JM, Chen P, et al. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc 2003;51:1451-4.
97. Borson S, Scanlan JM, Watanabe J, et al. Simplifying detection of cognitive impairment: comparison of the Mini-Cog and Mini-Mental State Examination in a multiethnic sample. J Am Geriatr Soc 2005;53:871-4.
98. Rhee JA, Chung EK, Shin MH. Validating the Time and Change test to screen for dementia in elderly Koreans. BMC Public Health 2004;4:52.
99. Mussi C, Foroni M, Valli A, et al. The "time and change" test: an appropriate method to detect cognitive decline in the elderly. J Geriatr Psychiatry Neurol 2002;15:12-15.
100. Inouye SK, Robison JT, Froehlich TE, et al. The Time and Change Test: A simple screening test for dementia. J Gerontol A Biol Sci Med Sci 1998;53:m281-6.
101. Morales JM, Bermejo F, Romero M, et al. Screening of dementia in community-dwelling elderly through informant report. Int J Geriatr Psychiatry 1997;12:808-16.
102. Law S, Wolfson C. Validation of a French version of an informant-based questionnaire as a screening test for Alzheimer's disease. Br J Psychiatry 1995;167:541-4.
103. Tang WK, Chan SS, Chiu HF, et al. Can IQCODE detect poststroke dementia? Int J Geriatr Psychiatry 2003;18:706-10.
104. Mackinnon A, Khalilian A, Jorm AF, et al. Improving screening accuracy for dementia in a community sample by augmenting cognitive testing with informant report. J Clin Epidemiol 2003;56:358-66.
105. Louis B, Harwood D, Hope T, et al. Can an informant questionnaire be used to predict the development of dementia in medical inpatients? Int J Geriatr Psychiatry 1999;14:941-5.
106. Lenger V, De Viliers C, Louw SJ. Informant questionnaires as screening measures to detect dementia. A pilot study in the South African context. S Afr Med J 1996;86:737-41.
107. Maki N, Ikeda M, Hokoishi K, et al. The validity of the MMSE and SMQ as screening tests for dementia in the elderly general population - a study of one rural community in Japan. Dement Geriatr Cogn Disord 2000;11:193-6.
108. Maki N, Ikeda M, Hokoishi K, et al. Validity of the Short-Memory Questionnaire in vascular dementia. Int J Geriatr Psychiatry 2000;15:1143-6.
109. Baddeley A, Wilson BA. Prose recall and amnesia: implications for the structure of working memory. Neuropsychologic 2002;40:1737-43.
110. Donald A, Van Til L. Evaluating screening tests for dementia and cognitive impairment in a heterogeneous population in the presence of verification bias. Int Psychogeriatr 2001;13:203-14.