A COMPARISON OF CLINICAL, PSYCHOMETRIC AND BEHAVIORAL MEMORY TESTS - FINDINGS FROM A COMMUNITY STUDY OF THE EARLY DETECTION OF DEMENTIA

Diagnostic criteria for dementia require assessment of the ability to learn new information. Ideally, this assessment should be brief and sensitive to early impairment. We present comparative data on a variety of memory tests administered to a population sample of elderly community residents who are being studied longitudinally. Of the three classes of memory tests, clinical, psychometric and everyday tests, discriminant function analysis indicated that, overall, the best discrimination between demented and non‐demented individuals was achieved by some everyday tests: recalling a news item, retracing a route, and recalling a name after learning a name‐photograph association. However, of the 11 tests examined in total, two were identified which together discriminated almost as efficiently as all 11 measures combined. These were recalling a name and recalling six objects. By comparison, the principal memory item in the Mini Mental State Examination, the recall of three words, produced poor discrimination. The two simple measures which provided good discrimination in this population sample may therefore be recommended to assess the ability to learn new information, where the aim of the assessment is the diagnosis of dementia. Copyright © 1991 John Wiley & Sons, Ltd.