The Diagnosis of Dementia in the Elderly a Comparison of CAMCOG (the Cognitive Section of CAMDEX), the AGECAT Program, DSM–III, the Mini-Mental State Examination and Some Short Rating Scales

1991 ◽  
Vol 159 (2) ◽  
pp. 193-198 ◽  
Author(s):  
G. Blessed ◽  
S. E. Black ◽  
T. Butler ◽  
D. W. K. Kay

The performance of CAMCOG, the cognitive section of the CAMDEX, is compared in a non-random sample of 222 elderly people with diagnoses based on agecat and on DSM–III criteria, and with the MMSE and some short rating scales. With a cut-off point of 69/70 and agecat organic syndrome as the criterion, the sensitivity of CAMCOG was 97% and the specificity 91%. However, 21% of DSM–III diagnoses of dementia scored above this cut-off; these were mostly mild cases. The correlation between CAMCOG and MMSE scores was 0.87, and the advantage of CAMCOG may be more apparent in longitudinal studies. Multivariate analyses showed that CAMCOG scores are affected by age, sociocultural factors and hearing and visual deficits in addition to dementia, but not by depression. There was a suggestion that individual subsections are differentially affected.

2013 ◽  
Vol 7 (4) ◽  
pp. 410-415 ◽  
Author(s):  
Gabriela Pravatta Rezende ◽  
Juliana Cecato ◽  
José Eduardo Martinelli

ABSTRACT Dementia prevalence is increasing in developing countries due to population aging. Brief tests for assessing cognition and activities of daily living are very useful for the diagnosis of dementia by the clinician. Low education, particularly illiteracy, is a hindrance to the diagnosis of dementia in several regions of the world. Objectives: To compare the Brazilian version of the Cognitive Abilities Screening Instrument-Short Form (CASI-S) with the Mini-Mental State Examination (MMSE) and Pfeffer Functional Activities Questionnaire (PFAQ) for the diagnosis of dementia in illiterate elderly. Methods: A cross-sectional study with illiterate elderly of both genders seen at the outpatient clinics of the Institute of Gerontology and Geriatrics Jundiaí, São Paulo state was performed. Spearman's correlation coefficient was used to correlate CASI-S, MMSE and PFAQ scores. Results: The sample comprised 29 elderly over 57 years old whose mean scores on the CASI-S (scores ranging from 3 to 23) and the MMSE (scores ranging from 2 to 23) were 11.69 and 12.83, respectively. There was a strong significant correlation between the CASI-S and MMSE (r=0.75, p<0.001) and a moderate correlation coefficient that was significant and negative between the PFAQ and CASI-S (r= -0.53 p=0.003),similar to that between the MMSE and PFAQ (r= -0.41 p=0.025). Conclusion: The Brazilian version of the CASI-S demonstrates ease of application and correction in the illiterate elderly, and warrants further studies regarding its applicability for the diagnosis of dementia in populations with a heterogeneous educational background.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Sharon Gondodiputro ◽  
Dahlia Santika Hutasoit ◽  
Lina Rahmiati

Prevalence of chronic diseases and disability will increase at the advancing age. In the future, the need for the caregiver will increase. Only few studies about the expectations of the elderly towards the sociodemographics status of the caregiver found. Unfulfilled expectations of the elderly towards their caregivers may cause both health and non-health issues. The purpose of this study was to explore the elderly expectations of the caregiver’s sociodemographic preferences. A qualitative study was carried out to 7 elderly aged 64–77 years old from July to August 2018 in Bandung city. These elderly selected from 7 integrated care posts (pos pembinaan terpadu/posbindu) that met the inclusion criteria: aged 60 years old and above; male or female; capable of communicating adeptly, and no dementia by undergoing the mini-mental state examination (MMSE). A one-on-one interview was conducted at the residence of the elderly using an interview guide consisted of several opened questions related to the caregiver’s sociodemographic preferences. A content analysis was carried out. This study discovered that the elderly preferred their family members or relatives whom they can trust to become their caregivers (their children and grandchildren). Most of these elderly also preferred daughters who live with them and has a decent income. If the family members could not become their caregiver then their neighbor or a community volunteer/cadre, they knew well, and trust to be their caregiver. It concluded that the elderly prefer their daughters who live with them and has a decent income to be their caregivers. EKSPEKTASI USIA LANJUT TERHADAP STATUS SOSIODEMOGRAFI CAREGIVER: SUATU PENDEKATAN KUALITATIFPrevalensi penyakit kronis dan disablilitas akan meningkat dengan pertambahan usia. Hal ini berdampak pada kebutuhan terhadap caregiver akan meningkat pula. Penelitian tentang ekspektasi usia lanjut terhadap status sosiodemografi caregiver belum banyak dilakukan. Ekspektasi usia lanjut merupakan faktor penting karena bila ekspektasi tersebut tidak terpenuhi maka akan berisiko timbul masalah kesehatan dan nonkesehatan. Tujuan penelitian ini mengeksplorasi ekspektasi usia lanjut terhadap status sosiodemografi caregiver. Studi kualitatif dilakukan terhadap 7 orang usia lanjut berusia 64–77 tahun pada Juli hingga Agustus 2018 di Kota Bandung. Para usia lanjut berasal dari 7 pos pembinaan terpadu (posbindu) yang memenuhi kriteria inklusi, yaitu usia ≥60 tahun, laki-laki atau perempuan, dapat berkomunikasi dengan baik, dan tidak demensia dengan dilakukan mini-mental state examination (MMSE). Wawancara dilakukan di kediaman informan masing-masing menggunakan panduan wawancara terkait pertanyaan dengan preferensi sosiodemografi caregiver. Analisis konten dilakukan. Studi ini menemukan bahwa usia lanjut lebih memilih anggota keluarga mereka yang dapat dipercaya untuk menjadi caregiver terutama anak dan cucu. Anak perempuan yang tinggal bersama usia lanjut dan memiliki penghasilan layak menjadi pilihan utama. Jika anggota keluarga tidak dapat menjadi caregiver maka tetangga atau kader yang mereka kenal baik dan dipercaya menjadi pilihan. Simpulan, pilihan utama caregiver bagi usia lanjut, yaitu anak perempuan mereka yang tinggal bersama dan memiliki penghasilan layak.


2008 ◽  
Vol 4 ◽  
pp. T335-T336
Author(s):  
Clara I. Ramirez ◽  
Trino J. Bapista ◽  
Edgardo Carrizo ◽  
Serrano Ana ◽  
Yine Arape

1994 ◽  
Vol 47 (9) ◽  
pp. 1061-1067 ◽  
Author(s):  
W.A. Kukull ◽  
E.B. Larson ◽  
L. Teri ◽  
J. Bowen ◽  
W. McCormick ◽  
...  

2020 ◽  
Vol 7 (2) ◽  
pp. 60
Author(s):  
Murdiyanti Prihatin Putri Dewi MPP

<p><em>The aging process continues as time goes by and there will be an impairment of the organ. Decreased body functions that often appear one of them is a decrease in cognitive function. Most of the elderly experienced dementia by showing changes in behavior. This study was to identify the effect of  art therapy on cognitive function of the elderly with dementia with the design of this study was Quasy Experimental Pre-Post Control Goup Design. There were 82 respondents divided into control groups and intervention groups. Measurement of cognitive function of the elderly with dementia using the Mini-Mental State Examination (MMSE). The result of the research showed that </em><em>there </em><em>wa</em><em>s a significant improvement of </em><em>the </em><em>cognitive function in </em><em>elderly</em><em> with dementi</em><em>a after a</em><em>rt therapy for 4 (four) weeks.</em><em> It can be concluded thatbrain exercise and art therapy exercise can be applied to increase cognitive function towards the elderly.</em></p>


Author(s):  
Élcio Alves Guimarães ◽  
Kennedy Rodrigues Lima ◽  
Flávia Fernandes Oliveira ◽  
Renato Mota da Silva ◽  
Lucas Resende Sousa ◽  
...  

Background: Aging is a dynamic, progressive and physiological process, accompanied by morphological and functional changes, as well as biochemical and psychological changes, resulting in a decrease in the functional reserve of organs and system. With aging, functional losses occur, so the elderly have a greater predisposition to falls. Objective: To compare the propensity to falls between elderly men and women correlating with the level of cognition and balance. Methods: The sample consisted of 60 elderly people, of which 30 were male and 30 were female both aged 65 to 80 years. The propensity to falls was assessed using the “Timed Up and Go” and “Functional Reach” tests, and the state of cognition was assessed by the test “Mini-Mental State Examination”. Results: The results obtained with Time Up and Go, Functional Reach and the Mini-Mental State Examination, indicated that, as the values of one of the variables increase, the values of the other variable increase too; as the values of one of the variables decrease, the values of the other variable increase too. Conclusions: It can be concluded that there was no increased risk of fall when compared the genders; but the female presented altered cognitive deficit.


2020 ◽  
Vol 11 (2) ◽  
pp. 117-126
Author(s):  
Harna Harna ◽  
Jesi Arianti ◽  
Rachmanida Nuzrina

Latar Belakang. Seiring bertambahnya usia, tubuh akan mengalami proses penuaan, termasuk otak. Otak akan mengalami perubahan fungsi, termasuk fungsi kognitif berupa sulit mengingat kembali, berkurangnya kemampuan dalam mengambil keputusan dan lebih lamban bertindak. Fungsi memori merupakan salah satu komponen intelektual yang paling utama, karena sangat berkaitan dengan kualitas hidup. Banyak lansia mengeluh kemunduran daya ingat yang disebut sebagai mudah lupa. Tujuan. Untuk mengetahui hubungan asupan zat gizi mikro dan aktivitas fisik dengan fungsi kognitif lansia. Metode. Penelitian ini menggunakan desain cross-sectional dengan sampel sebanyak 45 responden anggota Kelompok Lansia Bahagia di Puskesmas Kebon Jeruk, Jakarta Barat. Penelitian ini dilakukan pada bulan Desember 2018. Data fungsi kognitif diperoleh dengan menggunakan kuesioner Mini Mental State Examination (MMSE), data asupan menggunakan food record dan data aktivitas fisik diperoleh menggunakan metode Physical Activities Scale for the Elderly (PASE). Hasil. Responden berusia 61-65 tahun dengan jenis kelamin perempuan sebanyak 55,6 persen. Rata-rata asupan vitamin B6 yaitu 1,547±0,315 mg, asupan asam folat yaitu 200,99±10,26 mcg, asupan vitamin B12 yaitu 1,796±0,193 mcg, rata-rata aktivitas fisik yaitu 17,64±3,588 poin, riwayat penyakit yaitu 0,73±0,447 poin dan fungsi kognitif 25,01±3,103 poin. Terdapat hubungan signifikan antara asupan asam folat, asupan vitamin B12, dengan fungsi kognitif (p<0,05). Tidak terdapat hubungan antara asupan vitamin B6, aktivitas fisik, dan riwayat penyakit dengan fungsi kognitif (p>0,05). Kesimpulan. Penelitian ini menyimpulkan bahwa terdapat hubungan asupan asam folat dan vitamin B12 dengan fungsi kognitif pada lansia. Tetapi tidak terdapat hubungan antara asupan vitamin B6, aktivitas fisik, dan riwayat penyakit dengan fungsi kognitif.


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