FP4 Screening for Cognitive Deficits Using the Montreal Cognitive Assessment tool in Older Patients Attending a Heart Function Clinic

2009 ◽  
Vol 8 (1_suppl) ◽  
pp. S13-S13
Author(s):  
K. Harkness ◽  
C. Demers ◽  
G. Heckman ◽  
R.S. McKelvie
Keyword(s):  
Cognitive Deficits ◽  
Cognitive Assessment ◽  
Older Patients ◽  
Assessment Tool ◽  
Heart Function ◽  
Montreal Cognitive Assessment

scholarly journals Detecting Subtle Cognitive Impairment in Multiple Sclerosis with the Montreal Cognitive Assessment

2020 ◽  
Vol 47 (5) ◽  
pp. 620-626 ◽  
Author(s):  
Kim Charest ◽  
Alexandra Tremblay ◽  
Roxane Langlois ◽  
Élaine Roger ◽  
Pierre Duquette ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Impairment ◽  
Cognitive Deficits ◽  
Cognitive Assessment ◽  
Cognitive Status ◽  
Montreal Cognitive Assessment ◽  
Rapid Screening ◽  
Cognitive Complaints ◽  
Subjective Complaints ◽  
Subjective Cognitive Complaints

ABSTRACT:Background:Although cognitive deficits are frequent in multiple sclerosis (MS), screening for them with tools such as the Montreal Cognitive Assessment (MoCA) test is usually not performed unless there is a subjective complaint. The Multiple Sclerosis Neuropsychological Questionnaire (MSNQ) is among the instruments most commonly used to assess self-reported subjective complaints in MS. Nonetheless, it does not always accurately reflect cognitive status; many patients with cognitive deficits thus fail to receive appropriate referral for detailed neuropsychological evaluation. The objective of this study was to examine the validity of the MoCA test to detect the presence of objective cognitive deficits among patients with MS without subjective complaints using the Minimal Assessment of Cognitive Function in MS (MACFIMS) as the gold standard.Methods:The sample included 98 patients who were recruited from a university hospital MS clinic. The MSNQ was used to select patients without subjective cognitive complaints who also completed the MACFIMS, MoCA test and MSQOL-54.Results:23.5% of patients without subjective cognitive complaints had evidence of objective cognitive impairment on the MACFIMS (z score < -1.5 on two or more tests). The MoCA had a sensitivity of 87% and a specificity of 68% for detecting objective cognitive impairment in this patient population using a cut-off score of 27.Conclusion:A significant proportion of patients without self-reported cognitive impairment do have evidence of cognitive deficits on more exhaustive cognitive assessment. The MoCA is a rapid screening test that could be used to target patients for whom a more detailed neuropsychological assessment would be recommended.

The Montreal Cognitive Assessment as a preliminary assessment tool in general psychiatry

2015 ◽  
Vol 37 (5) ◽  
pp. 476-480 ◽  
Author(s):  
J. Gierus ◽  
A. Mosiołek ◽  
T. Koweszko ◽  
P. Wnukiewicz ◽  
O. Kozyra ◽  
...  
Keyword(s):  
Cognitive Assessment ◽  
Assessment Tool ◽  
Montreal Cognitive Assessment ◽  
Preliminary Assessment ◽  
General Psychiatry

scholarly journals Chronic migraine patients show cognitive impairment in an extended neuropsychological assessment

2018 ◽  
Vol 76 (9) ◽  
pp. 582-587 ◽  
Author(s):  
Karen S. Ferreira ◽  
Caroliny T. Teixeira ◽  
Carolina Cáfaro ◽  
Gabriela Z. Oliver ◽  
Gabriela L. P. Carvalho ◽  
...  
Keyword(s):  
Chronic Migraine ◽  
Neuropsychological Assessment ◽  
Cognitive Deficits ◽  
Cognitive Assessment ◽  
Verbal Fluency ◽  
Digit Span ◽  
Cognitive Disorders ◽  
Montreal Cognitive Assessment ◽  
Clock Drawing ◽  
Statistical Adjustment

ABSTRACT The objective of the present study was to assess the presence of cognitive deficits in patients with chronic migraine, and to assess the main factors that trigger cognitive disorders, such as comorbidities or the use of medications. Methods: Chronic migraine and control groups were interviewed in a case-control study. The frequency and intensity of the headache, medication used and associated comorbidities were determined. All patients were submitted to an extended neuropsychological assessment. Results: The chronic migraine group (n = 30) had a worse performance in the Montreal Cognitive Assessment Test (p = 0.00), Verbal Fluency (p = 0.00), Stroop (p = 0.00), Clock Drawing Test (p = 0.00), Digit Span (p = 0.00) and Matrix Reasoning (p = 0.01). After statistical adjustment by linear regression, migraine continued to be the only relevant factor in the poorer performance in the Montreal Cognitive Assessment, Verbal Fluency, Clock Drawing and Stroop tests. Conclusion: Patients with chronic migraine have cognitive deficits in multiple tasks, regardless of the presence of comorbidities or the use of medications.

Sign in / Sign up

Export Citation Format

Share Document