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Self-reported severe memory problems as a screen for cognitive impairment and dementia
Author(s)Valerie C Crooks, J Galen Buckwalter, Diana B Petitti
Journal titleDementia: the international journal of social research and practice, vol 4, no 4, November 2005
Pagespp 539-552
Sourcehttp://www.dem.sagepub.com
KeywordsMemory disorders ; Screening ; Dementia ; Cognitive impairment ; Older women ; Evaluation ; United States of America.
AnnotationUndetected cognitive impairment (CI) and dementia are important clinical and epidemiological problems. This study examines the effectiveness of using a single self-reported measure of severe memory problems (SMP) as a screen for CI and dementia. 3,220 older women Medicare recipients participated in a postal Health Status Questionnaire (HSQ) and telephone interviews. Cognitive scores derived from the Telephone Interview for Cognitive Status - modified (TICSm) were calculated. Based on a multi-stage assessment strategy, subjects were classified as either dementia, CI, or unimpaired. The SMP question was suggestive of cognitive problems in most of the responders, while t-tests found affirmative responders scored much lower on the cognitive test than negative responders. The SMP question had a sensitivity of .24 and specificity of .99 for screening and CI. While other assessment measures are needed, the SMP question is highly suggestive of CI, and may serve as a first-stage screen in clinical and research settings. (RH).
Accession NumberCPA-051219215 A
ClassmarkEH: 3V: EA: E4: BD: 4C: 7T

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