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

被引:65
作者
BLESSED, G
BLACK, SE
BUTLER, T
KAY, DWK
机构
[1] UNIV NEWCASTLE UPON TYNE,SCH MED,DIV PRIMARY HLTH CARE,NEWCASTLE TYNE NE1 7RU,TYNE & WEAR,ENGLAND
[2] NEWCASTLE GEN HOSP,BRIGHTON CLIN,NEWCASTLE TYNE NE4 6BE,TYNE & WEAR,ENGLAND
关键词
D O I
10.1192/bjp.159.2.193
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
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.
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页码:193 / 198
页数:6
相关论文
共 21 条
[1]  
[Anonymous], [No title captured]
[2]   ASSOCIATION BETWEEN QUANTITATIVE MEASURES OF DEMENTIA AND OF SENILE CHANGE IN CEREBRAL GREY MATTER OF ELDERLY SUBJECTS [J].
BLESSED, G ;
TOMLINSON, BE ;
ROTH, M .
BRITISH JOURNAL OF PSYCHIATRY, 1968, 114 (512) :797-+
[3]   AN EPIDEMIOLOGICAL-STUDY OF DEMENTIA IN A RURAL-POPULATION OF ELDERLY WOMEN [J].
BRAYNE, C ;
CALLOWAY, P .
BRITISH JOURNAL OF PSYCHIATRY, 1989, 155 :214-219
[4]   THE GERIATRIC MENTAL STATE (GMS) USED IN THE COMMUNITY - REPLICATION STUDIES OF THE COMPUTERIZED DIAGNOSIS AGECAT [J].
COPELAND, JRM ;
DEWEY, ME ;
HENDERSON, AS ;
KAY, DWK ;
NEAL, CD ;
HARRISON, MAM ;
MCWILLIAM, C ;
FORSHAW, D ;
SHIWACH, R .
PSYCHOLOGICAL MEDICINE, 1988, 18 (01) :219-223
[5]   A COMPUTERIZED PSYCHIATRIC DIAGNOSTIC SYSTEM AND CASE NOMENCLATURE FOR ELDERLY SUBJECTS - GMS AND AGECAT [J].
COPELAND, JRM ;
DEWEY, ME ;
GRIFFITHSJONES, HM .
PSYCHOLOGICAL MEDICINE, 1986, 16 (01) :89-99
[6]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[7]   CENTRAL AUDITORY FUNCTION IN ALZHEIMERS-DISEASE [J].
GRIMES, AM ;
GRADY, CL ;
FOSTER, NL ;
SUNDERLAND, T ;
PATRONAS, NJ .
NEUROLOGY, 1985, 35 (03) :352-358
[8]  
Henderson AS, 1990, DEMENTIA, V1, P119
[9]   HEARING IMPAIRMENT AND MENTAL STATE IN THE ELDERLY LIVING AT HOME [J].
HERBST, KG .
BMJ-BRITISH MEDICAL JOURNAL, 1980, 281 (6245) :903-905
[10]  
HODKINSON H M, 1972, Age and Ageing, V1, P233, DOI 10.1093/ageing/1.4.233