Computer Assessment of Mild Cognitive Impairment
- 28 February 2009
- journal article
- research article
- Published by Informa UK Limited in Postgraduate Medicine
- Vol. 121 (2), 177-185
- https://doi.org/10.3810/pgm.2009.03.1990
Abstract
Many older individuals experience cognitive decline with aging. The causes of cognitive dysfunction range from the devastating effects of Alzheimer's disease (AD) to treatable causes of dysfunction and the normal mild forgetfulness described by many older individuals. Even mild cognitive dysfunction can impact medication adherence, impair decision making, and affect the ability to drive or work. However, primary care physicians do not routinely screen for cognitive difficulties and many older patients do not report cognitive problems, Identifying cognitive impairment at an office visit would permit earlier referral for diagnostic work-up and treatment. The Computer Assessment of Mild Cognitive Impairment (CAMCI) is a self-administered, user-friendly computer test that scores automatically and can be completed independently in a quiet space, such as a doctor's examination room. The goal of this study was to compare the sensitivity and specificity of the CAMCI and the Mini Mental State Examination (MMSE) to identify mild cognitive impairment (MCI) in 524 nondemented individuals > 60 years old who completed a comprehensive neuropsychological and clinical assessment together with the CAMCI and MMSE. We hypothesized that the CAMCI would exhibit good sensitivity and specificity and would be superior compared with the MMSE in these measures. The results indicated that the MMSE was relatively insensitive to MCI. In contrast, the CAMCI was highly sensitive (86%) and specific (94%) for the identification of MCI in a population of community-dwelling nondemented elderly individuals.Keywords
This publication has 39 references indexed in Scilit:
- Amyloid imaging in mild cognitive impairment subtypesAnnals of Neurology, 2009
- Frequent Amyloid Deposition Without Significant Cognitive Impairment Among the ElderlyArchives of Neurology, 2008
- Cognitive Status and Physical Function in Older African AmericansJournal of the American Geriatrics Society, 2008
- Reliability and validity of a computerized neurocognitive test battery, CNS Vital SignsArchives of Clinical Neuropsychology, 2006
- Neuropsychosocial Features of Very Mild Alzheimer’s Disease (CDR 0.5) and Progression to Dementia in a Community: The Tajiri ProjectJournal of Geriatric Psychiatry and Neurology, 2004
- Detection and Management of Cognitive Impairment in Primary Care: The Steel Valley Seniors SurveyJournal of the American Geriatrics Society, 2004
- Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive ImpairmentJournal of Internal Medicine, 2004
- Differences in prevalence of dementia based on community survey and general practitioner recognitionPsychological Medicine, 1996
- The ability of general practitioners to detect dementia and cognitive impairment in their elderly patients: A study in MannheimInternational Journal of Geriatric Psychiatry, 1992
- “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinicianJournal of Psychiatric Research, 1975