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Centre for Policy on Ageing | |
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Diagnostic performance of two mental status tests in the older Chinese
— influence of education and age on cut-off values | | Author(s) | Suresh Sahadevan, P'ing Ping Joy Lim, Noellyn Jong Li Tan |
| Journal title | International Journal of Geriatric Psychiatry, vol 15, no 3, March 2000 |
| Pages | pp 234-241 |
| Keywords | Dementia ; Assessment procedures for mental patients ; Chinese people ; Educational status [elderly] ; Age groups [elderly] ; Singapore. |
| Annotation | The clinical usefulness for detecting cognitive impairment associated with dementia in older Chinese in Singapore of the 10-item Abbreviated Mental Test (AMT) and the 18-item Chinese Mini-Mental Status Examination (CMMSE) was examined. The tests were administered to 151 cognitively health older Chinese people living in the community and 95 older Chinese outpatients with dementia. Both the AMT and CMMSE could identify cognitive impairment accurately, but higher cut-off values were necessary for the younger and more educated cohort, while lower values were adequate for the older and less educated sub-group. The AMT appeared to reach a ceiling effect in the more educated categories. The diagnostic accuracies of the two instruments were statistically equivalent. There was a trend, however, for the CMMSE to perform better in the more educated sub-groups. To maximise diagnostic efficiency of the two tests, it is important to adjust their cut-off scores for patients' education and age. While no clear superiority was established for either test, the authors recommend the AMT for those with 0-6 years of education, whereas the CMMSE would be better for those with greater levels of literacy. (RH). |
| Accession Number | CPA-000502017 A |
| Classmark | EA: DA:4C: TKL: F:V: BB: 7XD |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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