scholarly journals Validity of Zulliger-SC in the Cognitive Assessment of Elderly and Long-Lived Adults

Psico-USF ◽  
2021 ◽  
Vol 26 (3) ◽  
pp. 571-583
Author(s):  
Jucelaine Bier Di Domenico Grazziotin ◽  
Silvana Alba Scortegagna
Keyword(s):  
Cognitive Processes ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Abstract Reasoning ◽  
Psychological Practice ◽  
External Variables ◽  
Positive Correlations ◽  
Middle Aged Adults ◽  
The Relationship ◽  
State Examination

Abstract This study sought evidence of validity of the Zulliger method to evaluate cognitive processes in elderly and long-lived adults and to verify the relationship between cognition and external variables. Participated 142 subjects, aged between 18 and 96 years old. The Zulliger Comprehensive System (ZSC), Mini-Mental State Examination and sociodemographic protocols were used as of data collection. The older and long-lived adults presented a significant decrease in mediation (X-%, XA%, P) and abstract reasoning (M) when compared to young and middle-aged adults. Education and socioeconomic status (SES) demonstrated significant and positive correlations with cognitive processes (R, ZF, W, M, DQ+ and Intellectualization). The findings are fundamental to psychological practice and to directing measures for cognitive preservation in human aging.

Tracking Cognitive Decline with a Serious Game: Benchmarking Against the Mini-Mental State Examination

2020 ◽  
Vol 64 (1) ◽  
pp. 6-10
Author(s):  
Tiffany Tong ◽  
Jacqueline Urakami ◽  
Mark Chignell ◽  
Mary C. Tierney ◽  
Jacques S. Lee
Keyword(s):  
Executive Functioning ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Serious Game ◽  
Cognitive Speed ◽  
Relationship Of ◽  
The Relationship ◽  
Game Performance ◽  
State Examination

We are developing whack-a-mole games for cognitive assessment. In prior research, we have shown that variants of the game assess cognitive speed and executive functioning (response inhibition), and can be used to screen for delirium in emergency departments. We have also found that whack-a-mole game performance is significantly correlated with overall Mini-Mental State Examination (MMSE) scores. In this paper, we report the results of a study that assessed the relationship of our serious game for cognitive assessment with specific components of the MMSE. We found that game performance is correlated most strongly with the orientation to time items component of MMSE and that the combination of three elements of the MMSE (attention and calculation; orientation to time; repetition) accounted for almost half of the variance in game performance in our sample.

scholarly journals The Zulliger-CS in Elderly on Hemodialysis and the Relationship Between External Variables

2017 ◽  
Vol 27 (66) ◽  
pp. 43-50 ◽  
Author(s):  
Viviane Gregoleti ◽  
Silvana Alba Scortegagna
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Family Support ◽  
Interpersonal Relationships ◽  
Mini Mental State Examination ◽  
Positive Association ◽  
Clinical Group ◽  
External Variables ◽  
The Relationship ◽  
State Examination

Abstract: The use of reliable instruments is an ethical condition to exert psychological evaluation. The aim of the study was to investigate the validity of the Zulliger test in the evaluation of elderly with chronic kidney disease (CKD) with focus on cognitive constructs and interpersonal relationships of elderly with Chronic Kidney Disease; and investigate the relationship with external variables. The 60 participants, 30 from the Clinical Group (CG) and 30 from the Non-Clinical Group (NCG), answered a socio-demographic protocol, the Mini-Mental State Examination and the Zulliger test in the Comprehensive System. The CG presented decrease of variables Xu% (p = .031,d = .58), R (p = .002,d = .78), Fd (p = .021,d = .65) and isolation (p = .006,d = .61), rise in X-%, and PHR>GHR. There was a positive association between time since diagnosis and family support (rho = .403,p = .027). Findings confirm the relevance of the Zulliger test and family support as a health potentiator.

scholarly journals The Effect of Psychological Factors on Cognitive Functions in Stroke Patients With Chronic Fatigue

2021 ◽  
Vol 15 (3) ◽  
pp. 185-192
Author(s):  
Lale Lajevardi ◽  
◽  
Ghorban Taghizade ◽  
Zahra Parnain ◽  
◽  
...  
Keyword(s):  
Cognitive Functions ◽  
Cognitive Assessment ◽  
Psychological Factors ◽  
Mini Mental State Examination ◽  
Chronic Fatigue ◽  
Chronic Stroke ◽  
Cognitive Factors ◽  
Stroke Patients ◽  
The Relationship ◽  
State Examination

Background and Objectives: Cognitive and psychological impairments are among the disabling consequences of chronic stroke. Despite the high prevalence of these impairments in patients with chronic stroke and the significant impact of psychological factors on cognitive factors in other neurological diseases, no study was found to investigate the relationship between psychological factors and cognitive factors in chronic stroke patients with chronic fatigue. Therefore, this study aimed to investigate the relationship between psychological factors and cognitive functions in chronic stroke patients with chronic fatigue Methods: A total of 85 chronic stroke patients with chronic fatigue visited the Rehabilitation Centers of Tehran, Iran, were selected through the simple non-probability sampling method and enrolled in this correlational study. The Fatigue Severity Scale, Beck Depression Inventory, and Beck Anxiety Inventory were used to measure the levels of the fatigue, depression, and anxiety of patients with strokes, respectively. Besides, the cognitive functions of the participants were assessed using the Mini-Mental State Examination, the Montreal Cognitive Assessment, and the Pain Visual Analog Scale. Results: Based on the regression models, the Mini-Mental State Examination and the Montreal Cognitive Assessment explained up to 24.2% and 39.6% of the variance of cognitive functions, respectively. In all step-by-step models, the variables of anxiety, education level, and depression were the strongest predictors of cognitive functions. Conclusion: According to the clinical findings, psychological impairments, such as anxiety can adversely affect cognitive factors in chronic stroke patients with chronic fatigue. Therefore, therapeutic interventions focused on psychological factors may considerably improve the cognitive skills of these patients.

scholarly journals Association of the level of cognition and obesity among middle-aged adults in Sri Lanka

2021 ◽  
Vol 9 (6) ◽  
pp. 1546
Author(s):  
Pushpika Ariyasinghe ◽  
Ruwan Kumara ◽  
Dham Alexander ◽  
Harsha Senarathna ◽  
Sunethra Kasthuri ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Cognitive Functions ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Descriptive Study ◽  
Normal Weight ◽  
Middle Aged ◽  
Level Of Education ◽  
Middle Aged Adults ◽  
State Examination

Background: Cognition is the collection of an intellectual process, such as perception, thinking, and reasoning for goal-directed behaviours. The obesity-associated cognitive functions (CFs) was varied due to inconsistency of the findings and it is also context bounded. The objective was to assess the association between cognitive function and obesity among middle-aged adults in Sri Lanka.Methods: A descriptive study was conducted among middle-aged adults aged between 50-60 years in Colombo District, Sri Lanka. While Generalized obesity was estimated by the WHO cutoff of body mass index (BMI) while the central obesity was determined using and waist hip ratio (WHR). CFs was assessed using a validated Montreal cognitive assessment (MoCA) and the Mini-mental state examination (MMSE) tools.Results: The study sample consisted of 83 subjects of each obese and normal weight categories, while 50% were females. Middle-aged adults with obesity showed significantly lower CF scores in both MoCA and MMSE compared to the normal-weight adults (p<0.01). In addition, lower MMSE scores were significantly associated with high WHR values (p<0.05). The level of education of adults was a significant predictor of cognitive functions among middle-aged adults (p<0.05).Conclusions: Therefore, the results further confirmed that obesity-associated cognitive impairment among middle-aged adults and further research is warranted to clarify the cause and effect relationship between obesity and body composition.  

Disruptive Vocalization and Depression in Older Nursing Home Residents

2000 ◽  
Vol 12 (4) ◽  
pp. 463-471 ◽  
Author(s):  
Michael Dwyer ◽  
Gerard J. A. Byrne
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Mini Mental State Examination ◽  
Mmse Score ◽  
Nursing Home Residents ◽  
Confounding Variables ◽  
The Relationship ◽  
State Examination ◽  
Age And Sex

Screaming and other types of disruptive vocalization are commonly observed among nursing home residents. Depressive symptoms are also frequently seen in this group, although the relationship between disruptive vocalization and depressive symptoms is unclear. Accordingly, we sought to examine this relationship in older nursing home residents. We undertook a controlled comparison of 41 vocally disruptive nursing home residents and 43 non-vocally-disruptive nursing home residents. All participants were selected to have Mini-Mental State Examination (MMSE) scores of at least 10. Participants had a mean age of 81.0 years (range 63-97 years) and had a mean MMSE score of 17.8 (range 10-29). Nurse ratings of disruptive vocalization according to a semioperationalized definition were validated against the noisy behavior subscale of the Cohen-Mansfield Agitation Inventory. Subjects were independently rated for depressive symptoms by a psychiatrist using the Dementia Mood Assessment Scale, the Cornell Scale for Depression in Dementia, and the Depressive Signs Scale. Vocally disruptive nursing home residents scored significantly higher than controls on each of these three depresion-in-dementia scales. These differences remained significant when the effects of possible confounding variables of cognitive impairment, age, and sex were removed. We conclude that depressive symptoms are associated with disruptive vocalization and may have an etiological role in the generation of disruptive vocalization behaviors in elderly nursing home residents.

scholarly journals Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination

2014 ◽  
Vol 72 (4) ◽  
pp. 273-277 ◽  
Author(s):  
José Roberto Wajman ◽  
Fabricio Ferreira de Oliveira ◽  
Rodrigo Rizek Schultz ◽  
Sheilla de Medeiros Correia Marin ◽  
Paulo Henrique Ferreira Bertolucci
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Cognitive Responses ◽  
Clinical Dementia Rating ◽  
Severe Dementia ◽  
Advanced Stages ◽  
State Examination

Cognitive assessment in advanced stages of Alzheimer’s disease (AD) is limited by the imprecision of most instruments. Objective: To determine objective cognitive responses in moderate and severe AD patients by way of the Severe Mini-Mental State Examination (SMMSE), and to correlate performances with Mini-Mental State Examination (MMSE) scores. Method: Consecutive outpatients in moderate and severe stages of AD (Clinical Dementia Rating 2.0 or 3.0) were evaluated and compared according to MMSE and SMMSE scores. Results: Overall 400 patients were included, 67.5% females, mean age 76.6±6.7 years-old. There was no significant impact of age or gender over MMSE or SMMSE scores. Mean schooling was 4.4±2.5 years, impacting SMMSE scores (p=0.008). Scores on MMSE and SMMSE were significantly correlated (F-ratio=690.6325, p<0.0001). Conclusion: The SMMSE is influenced by schooling, but not by age or gender, and is an accurate test for assessment of moderate and severe AD.

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