Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review.

Autor:	Tavares-Júnior JWL; Department of Clinical Medicine, Division of Neurology, Universidade Federal do Ceará, Fortaleza, Brazil., de Souza ACC; Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, Brazil.; Neurology Service, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil., Alves GS; Translational Psychiatry Research Group, Universidade Federal do Maranhão, São Luís, Brazil., Bonfadini JC; Department of Clinical Medicine, Division of Neurology, Universidade Federal do Ceará, Fortaleza, Brazil.; Neurology Service, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil., Siqueira-Neto JI; Department of Clinical Medicine, Division of Neurology, Universidade Federal do Ceará, Fortaleza, Brazil., Braga-Neto P; Department of Clinical Medicine, Division of Neurology, Universidade Federal do Ceará, Fortaleza, Brazil.; Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, Brazil.; Neurology Service, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2019 Dec 13; Vol. 10, pp. 878. Date of Electronic Publication: 2019 Dec 13 (Print Publication: 2019).
DOI:	10.3389/fpsyt.2019.00878
Abstrakt:	Introduction: Cognitive assessment of older adults who are either illiterate or with low levels of education is particularly challenging because several battery tasks require a certain educational background. Early detection of mild cognitive impairment (MCI) in the elderly using validated screening tools is of great importance since this population group could benefit from new drugs that are being investigated for the treatment of dementias. Cutoff scores for psychometric properties of cognitive tests are not well established among adults with low levels of education. The present study aimed to critically review the literature on cognitive assessment tools for screening cognitive syndromes including MCI and Alzheimer's disease (AD) in older adults with low levels of education. Methods: We conducted a systematic search of MEDLINE, LILACS, Cochrane, and SCOPUS electronic databases of cross-sectional and prospective studies with adults over 55 years of age. Results: We found a significant number of assessment tools available (n = 44), but only a few of them showed diagnostic accuracy for the diagnosis of MCI and AD in older adults with low levels of education: the Mini-Mental State Exam; the Montreal Cognitive Assessment; the Persian Test of Elderly for Assessment of Cognition and Executive Function; the Six-Item Screener; and the Memory Alteration Test. Few studies evaluated individuals with low levels of education, with a wide range of cutoff scores and cognitive test batteries. Conclusion: We found that a small number of studies evaluated adults with 4 years of formal education or less. Our findings further support the importance of developing specific tools for the assessment of older adults with low levels of education. (Copyright © 2019 Tavares-Júnior, de Souza, Alves, Bonfadini, Siqueira-Neto and Braga-Neto.)
Databáze:	MEDLINE
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