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The role of tests of frontal executive function in the detection of mild dementia
Author(s)Joanna Nathan, David Wilkinson, Sue Stammers
Journal titleInternational Journal of Geriatric Psychiatry, vol 16, no 1, January 2001
Pagespp 18-26
KeywordsDementia ; Depression ; Assessment procedures for mental patients ; Comparison ; Southampton.
AnnotationThe performance of 16 patients with mild dementia and 16 with depression at an old age psychiatry unit at Moorgreen Hospital, Southampton, were compared with 19 healthy control subjects in tests of frontal executive function (FEF). Those with mild dementia scored significantly worse than controls on all FEF tests used other than verbal fluency. Those mild dementia were only found to score worse than depressed subjects on the cognitive estimates test and Stroop test, with the Stroop test providing better discrimination between these groups. At follow-up, Mini-Mental State Examination (MMSE) scores of both depression and dementia groups were worse. Many simple tests of FEF can distinguish those with mild dementia from controls, although caution must be taken in the presence of depression. Of these tests, the cognitive estimates test may provide a simple test which can be used in conjunction with screening tests for dementia, such as the MMSE. The Stroop colour test was the most successful at distinguishing those with mild dementia from those with depression, but was more difficult to use. The depression group remained cognitively impaired at follow-up, despite improvements in depressive symptoms. (RH).
Accession NumberCPA-010227209 A
ClassmarkEA: ENR: DA:4C: 48: 8HH

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