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Dementia
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Self-reported severe memory problems as a screen for cognitive impairment and dementia

Valerie C. Crooks

J. Galen Buckwalter

Diana B. Petitti

Kathleen K. Brody

Kaiser Permanente, USA

Ralph L. Yep

Southern California Permanente Medical Group, USA

Undetected cognitive impairment (CI) and dementia are important clinical and epidemiological problems. This study addresses the effectiveness of using a single self-reported measure of severe memory problems (SMP) as a screen for CI and dementia. For the purposes of the study, 3220 elderly women participated in a mailed Health Survey Questionnaire and telephone interviews. Cognitive scores derived from the Telephone Interview for Cognitive Status–modified (TICSm) were calculated. Based on a multi-stage assessment strategy, all subjects were classified in one of three status categories: dementia, CI, or unimpaired. The SMP question was suggestive of cognitive problems in the majority of responders. t-tests found affirmative responders scored much lower on the cognitive test than negative responders. The SMP question had a sensitivity of .24 and a specificity of .99 for screening CI and dementia. While other assessment measures are needed, the SMP question is highly suggestive of CI and may serve as a first-stage screen in clinical and research settings.

Key Words: cognitive screen • memory problems • self-report surveys • telephone interviews

Dementia, Vol. 4, No. 4, 539-551 (2005)
DOI: 10.1177/1471301205058310


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[Abstract] [Full Text] [PDF]