![]() ![]() Several measures have been developed to assess CR using these variables. CR is associated with diverse factors of life experience such as higher intellectual quotient (IQ), education, occupational complexity and duration, and lifestyle. Moreover, a meta-analysis reported that higher CR lowers the risk for incidence of dementia to 54%. It has been suggested that environmental factors play an important role in the onset of AD. CR is believed to counter the effects of aging or brain damage. Ĭognitive Reserve (CR) is a concept based on the plasticity of the brain. Moreover, MoCA is not only highly sensitive in identifying patients with AD, but also non-AD patients who demonstrate behavioral variants of frontotemporal dementia, dementia associated with Parkinson’s disease, and vascular dementia. Previous studies have indicated that the MoCA exhibits high sensitivity and specificity in other languages as well. MoCA has shown higher sensitivity in detecting cognitive decline than the Mini-Mental State Examination (MMSE), another common clinical screening tool for Alzheimer’s disease (AD). The Montreal Cognitive Assessment (MoCA) is known to distinguish patients with Mild Cognitive Impairment (MCI) from the normal population. Therefore, the development and standardization of effective screening tools are required. This increase emphasizes the importance of early detection and treatment of dementia. In recent years, the number of patients with dementia has increased worldwide. Therefore, we suggest that MoCA can be used to assess CR and early cognitive decline. In this study, we show that the MoCA score reflects CR more sensitively than the MMSE score. The MoCA differed from the MMSE in the reflection of total CRI ( Z = 2.30). Correlation and regression analyses of the MoCA, MMSE and CRIq scores were performed, and the MoCA score was compared with the MMSE score to evaluate the degree to which the MoCA reflected CR. Normative data and associated factors of the MoCA were identified. MoCA, MMSE, and the Cognitive Reserve Index questionnaire (CRIq) were administered to 221 healthy participants. Furthermore, we assessed whether there were any differences in the efficacy between the MoCA and the Mini-Mental State Examination (MMSE) in reflecting CR. We aimed to assess whether the MoCA reflects CR. Recently Cognitive Reserve (CR) has been introduced as a factor that compensates cognitive decline. All rights reserved.The Montreal Cognitive Assessment (MoCA) is known to have discriminative power for patients with Mild Cognitive Impairment (MCI). Moreover, MoCA scores were related to performance-based measures of functional capacity.īipolar disorder Cognitive deficits Depression Functional outcomes Neuropsychology Schizophrenia.Ĭopyright © 2014 Elsevier Ireland Ltd. Overall, the MoCA demonstrated high sensitivity as a cognitive screener in SMI. Both the MoCA and the BACS contributed unique variance in GAF scores. When entered into hierarchical regression analyses, the MoCA accounted for significant variance in UPSA scores above variance accounted for by the BACS. The MoCA was significantly correlated with UPSA scores but not GAF scores, whereas the BACS was not significantly correlated with UPSA or GAF scores. The cutoff score <26 of the MoCA resulted in favorable sensitivity (89%) but lower specificity (61%) in classification of SMI patients. Patients obtained significantly lower scores on the MoCA, BACS, UPSA-2, and GAF compared to non-patients. ![]() ![]() The MoCA, Brief Assessment of Cognition in Schizophrenia (BACS), UCSD Performance-Based Skills Assessment Test-2 (UPSA-2), and Global Assessment of Functioning (GAF) were administered to 28 SMI patients and 18 non-psychiatric controls. This study examined the Montreal Cognitive Assessment (MoCA) as a neurocognitive screener and its relationship with functional outcomes in a sample of outpatients diagnosed with severe mental illness (SMI). ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |