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Validating screening instruments for cognitive impairment in older South Asians in the United Kingdom.[comment]
RaitG, Burns AS, Baldwin RC, MorleyM, Chew-Graham CA, St LegerA.S
International Journal of Geriatric Psychiatry. 2000;15, 1.
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Abstract
BACKGROUND: The numbers of older South Asians in the United Kingdom are rising. Investigation of their mental health has been neglected compared to their physical health. OBJECTIVES: This study aimed to determine the sensitivity and specificity of modified versions of two screening instruments for cognitive impairment (Mini-Mental State Examination and Abbreviated Mental Test) in a community-based population. DESIGN: Two-stage study comparing screening instruments against diagnostic interview. SETTING: South, central and north Manchester. SUBJECTS: Community-resident South Asians aged 60 years and over. METHODS: Subjects were approached via their general practitioners and interviewed at home. Sensitivity and specificity for the screening instruments were calculated using receiver operating characteristic (ROC) curve analysis. RESULTS: For the Gujarati population, the MMSE cutoff was >/=24 (sensitivity 100%, specificity 95%) and AMT>/=6 (sensitivity 100%, specificity 95%). For the Pakistani population, the MMSE cutoff was >/=27 (sensitivity 100%, specificity 77%) and AMT>/=7 (sensitivity 100%, specificity 87%). CONCLUSIONS: Culturally modified versions of the Mini-Mental State Examination and Abbreviated Mental Test are acceptable and may have a high degree of sensitivity. They may assist with the recognition of cognitive impairment, if an appropriate cutoff is used. Copyright 2000 John Wiley & Sons, Ltd
Keyword(s)
*Cognition Disorders/di [Diagnosis]; *Cognition Disorders/eh [Ethnology]; *Emigration and Immigration; *Mass Screening/mt [Methods]; *Mental Status Schedule/st [Standards]; 20105682; Aged; Comparative Study; England; Female; Geriatric Assessment; Great Britain; Human; India/eh [Ethnology]; Interview,Psychological/st [Standards]; Male; Middle Age; Pakistan/eh [Ethnology]; Psychiatry; Reproducibility of Results; Sensitivity and Specificity; Support,Non-U.S.Gov't
Bibliographic metadata
- DB - MEDLINEUI - 10637405IN - Department of Primary Care & Population Sciences, Royal Free and University College London Medical School, London, UK. g.rait@ucl.ac.ukCM - Comment in: Int J Geriatr Psychiatry. 2000 Dec;15(12):1157; PMID: 11180477AS - Int J Geriatr Psychiatry. 2000 Jan;15(1):54-62JC - co0, 8710629, 8710629SB - IMCP - EnglandPT - Journal ArticleLG - English