Are the clock-drawing test and the MMSE combined interchangeable with CAMCOG as a dementia evaluation instrument in a specialized outpatient setting?

Full Abstract

This study examines whether the Clock-Drawing Test (CDT) combined with the Mini-Mental State Examination (MMSE) is interchangeable with the more detailed and lengthy Cambridge Cognitive Examination (CAMCOG) as a dementia evaluation instrument in a specialized psychogeriatric outpatient setting:
114 outpatients (88 with dementia, 26 with depressive and anxiety disorders) were included. Each subject underwent a comprehensive evaluation in which the CAMCOG (MMSE included) was administered. DSM-IV diagnoses were independently established. CAMCOG-derived clock drawings were blindly scored according to Freedman's method. The authors found that a combination of CDT and MMSE enhanced the psychometric properties of the above scales approximating them to CAMCOG's. They conclude that CDT in combination with the MMSE is valid for differentiation of dementia sufferers from nondemented psychiatric controls in a specialistic setting and might replace CAMCOG. However, the generalizability of these findings (a wider range of diagnoses, primary care settings) still needs to be verified.

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Author information

Author/s: Heinik, Jeremia (J); Solomesh, Isaac (I); Bleich, Avi (A); Berkman, Pinhas (P);

Affiliation: Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. heinik(-atsign-)post.tau.ac.il

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Journal of geriatric psychiatry and neurology (J Geriatr Psychiatry Neurol), published in Canada. (Language: eng)

Reference: 2003-Jun; vol 16 (issue 2) : pp 74-9

Dates: Created 2003/06/12; Completed 2003/08/04; Revised 2006/11/15;

PMID: 12801155, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Aged
Anxiety Disorders - epidemiology
Cognition Disorders - diagnosis; epidemiology
Dementia - diagnosis; epidemiology
Depressive Disorder, Major - epidemiology
Diagnostic and Statistical Manual of Mental Disorders
Female

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