Screening devices for diminished cognitive capacity
1988; Elsevier BV; Volume: 10; Issue: 1 Linguagem: Inglês
10.1016/0163-8343(88)90079-5
ISSN1873-7714
AutoresJames J. Strain, George Fulop, Allen Lebovits, Barry H. Ginsberg, Michael Robinson, Anthony I. Stern, Peter Charap, Francesca Gany,
Tópico(s)Dementia and Cognitive Impairment Research
ResumoThis study compares three commonly used tests to detect organic mental disorders: the Mini-Mental State (MMS), Cognitive Capacity Screening Examination (CCSE), and Tachistoscope (T-Scope). Ninety-seven medical-surgical inpatients at the Mount Sinai Hospital referred for psychiatric consultation had a Missouri Mental Status Examination performed by a psychiatrist who also rated the patients' organic mental disorder as “none”, “mild”, “moderate”, or “severe”. The CCSE, MMS, and T-Scope, respectively, showed: sensitivity — 0.54, 0.52, 0.68; specificity — 0.85, 0.76, 0.79; and positive predictive value — 0.83, 0.74, 0.79. False negatives occurred more often among those patients with mild organic mental disorders with all instruments (p = 0.05), while the T-Scope could not be administered in 27% of the patients. Screening instruments with increased acceptability, sensitivity, and specificity need to be developed to identify a potentially life-threatening disorder.
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