TY - JOUR
T1 - Validating screening instruments for cognitive impairment in older South Asians in the United Kingdom.[comment]
AU - Rait, G
AU - Burns, Alistair
AU - Baldwin, R
AU - Morley, M
AU - Chew-Graham, Carolyn
AU - St Leger, AS
N1 - DB - MEDLINEUI - 10637405IN - Department of Primary Care & Population Sciences, Royal Free and University College London Medical School, London, UK. [email protected] - 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
PY - 2000
Y1 - 2000
N2 - 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
AB - 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
KW - Cognition Disorders/di [Diagnosis]
KW - Cognition Disorders/eh [Ethnology]
KW - Emigration and Immigration
KW - Mass Screening/mt [Methods]
KW - Mental Status Schedule/st [Standards]
KW - 20105682
KW - Aged
KW - Comparative Study
KW - England
KW - Female
KW - Geriatric Assessment
KW - Great Britain
KW - Human
KW - India/eh [Ethnology]
KW - Interview,Psychological/st [Standards]
KW - Male
KW - Middle Age
KW - Pakistan/eh [Ethnology]
KW - Psychiatry
KW - Reproducibility of Results
KW - Sensitivity and Specificity
KW - Support,Non-U.S.Gov't
M3 - Article
SN - 1099-1166
VL - 15, 1
JO - International Journal of Geriatric Psychiatry.
JF - International Journal of Geriatric Psychiatry.
ER -