A Combination of the Korean Version of the Mini-Mental State Examination and Korean Dementia Screening Questionnaire Is a Good Screening Tool for Dementia in the Elderly
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Objective The aim of this study is to investigate whether a combination of the Korean version of the mini-mental state examination (K-MMSE) and the Korean dementia screening questionnaire (KDSQ) is better than the use of test alone when differentiating patients with dementia from those without dementia in Korea. Methods The subjects (patients without dementia, 1120; patients with dementia, 908) were recruited from the Clinical Research Center for Dementia of South Korea. K-MMSE and KDSQ were used. Diagnosis of dementia was made according to the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. The weighted sum rule derived from logistic regression analysis was used for the combination of K-MMSE and KDSQ Results On comparing the Area Under the Curve for each test using the method of Hanley and McNeil, the weighted sum was significantly greater than KDSQ or K-MMSE, and K-MMSE was significantly greater than KDSQ. Conclusion This study shows that when differentiating patients with dementia from those without dementia in Korea, a combination of K-MMSE and KDSQ achieved using the weighted sum method is better than either test performed alone. Further epidemiological studies in community-based settings are required before our results can be generalized to nonclinical samples.
Abstract
Objective The aim of this study is to investigate whether a combination of the Korean version of the mini-mental state examination (K-MMSE) and the Korean dementia screening questionnaire (KDSQ) is better than the use of test alone when differentiating patients with dementia from those without dementia in Korea. Methods The subjects (patients without dementia, 1120; patients with dementia, 908) were recruited from the Clinical Research Center for Dementia of South Korea. K-MMSE and KDSQ were used. Diagnosis of dementia was made according to the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. The weighted sum rule derived from logistic regression analysis was used for the combination of K-MMSE and KDSQ Results On comparing the Area Under the Curve for each test using the method of Hanley and McNeil, the weighted sum was significantly greater than KDSQ or K-MMSE, and K-MMSE was significantly greater than KDSQ. Conclusion This study shows that when differentiating patients with dementia from those without dementia in Korea, a combination of K-MMSE and KDSQ achieved using the weighted sum method is better than either test performed alone. Further epidemiological studies in community-based settings are required before our results can be generalized to nonclinical samples.
참고문헌 (25)
- Ferri CP, "Global prevalence of dementia: a Delphi consensus study", Lancet, 366, pp.2112~2117 (2005)
- Kim KW, "A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea", J Alzheimers Dis, 23, pp.281~291 (2011)
- "Overcoming barriers to early dementia diagnosis", Lancet, 371, pp.1888~ (2008)
- Mackinnon A, "Combining cognitive testing and informant report to increase accuracy in screening for dementia", Am J Psychiatry, 155, pp.1529~1535 (1998)
- Folstein MF, "“Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12, pp.189~198 (1975)
- Han C, "An adaptation of the Korean mini-mental state examination (K-MMSE) in elderly Koreans: Demographic influence and population-based norms (the AGE study)", ARCH GERONTOL GERIATR, 47, pp.302~310
- 양동원, "Korean Dementia Screeing Questionnaire (KDSQ)의 개발과 타당도 및 신뢰도의 평가", 대한신경과학회지, 20(2), pp.135~141 (2002), 대한신경과학회
- O’Connor DW, "The reliability and validity of the Mini-Mental State in a British community survey", J Psychiatr Res, 23, pp.87~96 (1989)
- . Tombaugh TN, "The mini-mental state examination: a comprehensive review", J Am Geriatr Soc, 40, pp.922~935 (1992)
- Jorm AF, "The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): socio-demographic correlates, reliability, validity and some norms", Psychol Med, 19, pp.1015~1022 (1989)
- Jorm AF, "The Informant Questionnaire on cognitive decline in the elderly (IQCODE): a review", Int Psychogeriatr, 16, pp.275~293 (2004)
- Jorm AF, "The value of informant reports for assessment and prediction of dementia", J Am Geriatr Soc, 51, pp.881~882 (2003)
- Knafelc R, "The combination of cognitive testing and an informant questionnaire in screening for dementia", Age Ageing, 32, pp.541~547 (2003)
- Mackinnon A, "Improving screening accuracy for dementia in a community sample by augmenting cognitive testing with informant report", J Clin Epidemiol, 56, pp.358~366 (2003)
- Senanarong V, "The IQCODE: an alternative screening test for dementia for low educated Thai elderly", J Med Assoc Thai, 84, pp.648~655 (2001)
- Narasimhalu K, "Improving detection of dementia in Asian patients with low education: combining the Mini-Mental State Examination and the Informant Questionnaire on Cognitive Decline in the Elderly", Dement Geriatr Cogn Disord, 25, pp.17~22 (2008)
- Yesavage JA, "Development and validation of a geriatric depression screening scale: a preliminary report", J Psychiatr Res, 17, pp.37~49 (1982)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (1994), American Psychiatric Press
- Petersen RC, "Mild cognitive impairment: clinical characterization and outcome", Arch Neurol, 56, pp.303~308 (1999)
- Graham JE, "Prevalence and severity of cognitive impairment with and without dementia in an elderly population", Lancet, 349, pp.1793~1796 (1997)
- Abdulrab K, "Subjective Memory Impairment. A review of its definitions indicates the need for a comprehensive set of standardised and validated criteria", Eur Psychiatry, 23, pp.321~330 (2008)
- Hanley JA, "The meaning and use of the area under a receiver operating characteristic (ROC) curve", Radiology, 143, pp.29~36 (1982)
- Jorm AF, "The Psychogeriatric Assessment Scales: a multi-dimensional alternative to categorical diagnoses of dementia and depression in the elderly", Psychol Med, 25, pp.447~460 (1995)
- McKhann G, "Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease", Neurology, 34, pp.939~944 (1984)
- Roman GC, "Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop", Neurology, 43, pp.250~260 (1993)