PMID: 9193960May 1, 1997Paper

A comparison of the clock drawing test and the Pfeiffer Short Portable Mental Status Questionnaire in a geropsychiatry clinic

International Journal of Geriatric Psychiatry
N P GruberJ M Lesser

Abstract

Wolf-Klein and colleagues' clock drawing test (CDT) performance was compared with Pfeiffer's Short Portable Mental Status Questionnaire (Pfeiffer) scores in 145 outpatient geropsychiatry patients. Although normal CDT results were almost always associated with normal Pfeiffer scores, 21% of Pfeiffer normal individuals drew abnormal clocks. Age, but not gender or education, was significantly associated with this finding. Almost all the Pfeiffer normal subjects who drew abnormal clocks were diagnosed with primary psychiatric disorders (85%) or neurologically based organic mood and anxiety disorders (12%); only one (3%) had dementia. We suggest the discrepant performance between the CDT and Pfeiffer may result from psychiatric illness. Contributing to this may be CDT sensitivity to executive skills dysfunction. This dyscontrol can occur in patients with dementia and other neurological disorders, but also presents in some primary mental disorders. Older age may heighten this impairment. In a typical geropsychiatry clinic, the CDT will not have high specificity for Alzheimer's disease as reported by Wolf-Klein and her colleagues. This results from the presence of many patients with primary psychopathology, some of whom will draw abno...Continue Reading

Citations

Dec 17, 2003·Psychiatry Research·Vasilis P BozikasAthanasios Karavatos
Jun 27, 2006·Aging & Mental Health·J A ZauszniewskiD L Morris
Oct 22, 2008·Journal of Clinical and Experimental Neuropsychology·Lennie BabinsHoward Chertkow
May 6, 2006·Psychological Reports·Jennifer Harned AdamsJ Ray Hays
May 27, 2003·International Journal of Geriatric Psychiatry·Cíntia FuzikawaUNKNOWN Bambuí Health and Ageing Study
Sep 3, 2010·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Ayako KanedaSunao Kaneko
Jun 13, 2014·International Journal of Geriatric Psychiatry·Ruth PetersChristopher Bulpitt
Nov 20, 2008·Journal of Geriatric Psychiatry and Neurology·Gabriele BergerJohannes Pantel
Nov 10, 2004·Journal of Geriatric Psychiatry and Neurology·Benjamin K P WooDaniel D Sewell
Jul 27, 2018·Journal of Advanced Nursing·JinKyung ParkGyeongAe Seomun
Jun 22, 2000·International Journal of Geriatric Psychiatry·K I Shulman
Dec 8, 2017·Dementia & Neuropsychologia·Bárbara SpenciereHelenice Charchat-Fichman

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