A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people
Abstract Background The high illiteracy rates in the North African and Middle Eastern region make direct cognitive testing challenging. Validated instruments for dementia in Arabic language are lacking specially those targeting low-educated subjects. Objectives The aim of this study was to develop a...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-09-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41983-020-00223-x |
| _version_ | 1818987207740882944 |
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| author | Nehal ElKholy Heba Mohamed Tawfik Somaia Ebeid Omaima Refat Elsayed Madkor Sarah Ahmed Hamza |
| author_facet | Nehal ElKholy Heba Mohamed Tawfik Somaia Ebeid Omaima Refat Elsayed Madkor Sarah Ahmed Hamza |
| author_sort | Nehal ElKholy |
| collection | DOAJ |
| description | Abstract Background The high illiteracy rates in the North African and Middle Eastern region make direct cognitive testing challenging. Validated instruments for dementia in Arabic language are lacking specially those targeting low-educated subjects. Objectives The aim of this study was to develop a cognitive evaluation battery suitable for both educated and illiterate Egyptian elderly people. Design A cross-sectional study was conducted. Setting: Ain-Shams University geriatric and ophthalmology wards, geriatrics outpatient clinic, and geriatric clubs. Participants: 159 male and female participants aged ≥ 60 years were recruited. Measurements Cut-off points were determined according to DSM-IV criteria for dementia and MMSE scores which divided the participants into 3 quadrants as normal, having mild cognitive impairment and having dementia then application of the new battery test was done. Results Test re-test reliability ranged from adequate to high in most of its tests with r ≥ 0.7. There was a statistical significance between all battery tests when divided into normal and dementia according to DSM IV criteria except in digit span forward length, digit span backward length, stimulus cue of confrontation naming and judgment. Means and standard deviations were calculated for each battery subset, for the whole sample, for low-educated group and group with > 9 years education according to three quadrants of MMSE. Conclusion A new valid and reliable neurocognitive evaluation battery that can differentiate between normal, mild cognitive impairment, and dementia in both educated and illiterate subjects under the name of Ain Shams Cognitive Assessment (ASCA) scale is now available. |
| first_indexed | 2024-12-20T19:03:01Z |
| format | Article |
| id | doaj.art-d76026da75bf498bafd4876e8d798781 |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-12-20T19:03:01Z |
| publishDate | 2020-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-d76026da75bf498bafd4876e8d7987812022-12-21T19:29:21ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292020-09-0156111410.1186/s41983-020-00223-xA model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly peopleNehal ElKholy0Heba Mohamed Tawfik1Somaia Ebeid2Omaima Refat Elsayed Madkor3Sarah Ahmed Hamza4Geriatrics and Gerontology at Ministry of HealthGeriatric and Gerontology Department, Faculty of Medicine, Ain-Shams UniversityGeriatric and Gerontology Department, Faculty of Medicine, Ain-Shams UniversityGeriatric Psychologist Fellow, Ain-Shams UniversityGeriatric and Gerontology Department, Faculty of Medicine, Ain-Shams UniversityAbstract Background The high illiteracy rates in the North African and Middle Eastern region make direct cognitive testing challenging. Validated instruments for dementia in Arabic language are lacking specially those targeting low-educated subjects. Objectives The aim of this study was to develop a cognitive evaluation battery suitable for both educated and illiterate Egyptian elderly people. Design A cross-sectional study was conducted. Setting: Ain-Shams University geriatric and ophthalmology wards, geriatrics outpatient clinic, and geriatric clubs. Participants: 159 male and female participants aged ≥ 60 years were recruited. Measurements Cut-off points were determined according to DSM-IV criteria for dementia and MMSE scores which divided the participants into 3 quadrants as normal, having mild cognitive impairment and having dementia then application of the new battery test was done. Results Test re-test reliability ranged from adequate to high in most of its tests with r ≥ 0.7. There was a statistical significance between all battery tests when divided into normal and dementia according to DSM IV criteria except in digit span forward length, digit span backward length, stimulus cue of confrontation naming and judgment. Means and standard deviations were calculated for each battery subset, for the whole sample, for low-educated group and group with > 9 years education according to three quadrants of MMSE. Conclusion A new valid and reliable neurocognitive evaluation battery that can differentiate between normal, mild cognitive impairment, and dementia in both educated and illiterate subjects under the name of Ain Shams Cognitive Assessment (ASCA) scale is now available.http://link.springer.com/article/10.1186/s41983-020-00223-xDementiaNeuropsychological assessmentElderlyEgyptians |
| spellingShingle | Nehal ElKholy Heba Mohamed Tawfik Somaia Ebeid Omaima Refat Elsayed Madkor Sarah Ahmed Hamza A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Dementia Neuropsychological assessment Elderly Egyptians |
| title | A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people |
| title_full | A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people |
| title_fullStr | A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people |
| title_full_unstemmed | A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people |
| title_short | A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people |
| title_sort | model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate egyptian elderly people |
| topic | Dementia Neuropsychological assessment Elderly Egyptians |
| url | http://link.springer.com/article/10.1186/s41983-020-00223-x |
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