Utility of the abbreviated Fuld Object Memory Evaluation and MMSE for detection of dementia and cognitive impairment not dementia in diverse ethnic groups.

Journal of Alzheimer's Disease : JAD
Tiffany RideauxRuth O'Hara

Abstract

To address the growing need for ethnically unbiased cognitive screening, we examined whether the Mini Mental State Exam (MMSE), the abbreviated Fuld Object Memory Evaluation (FOME), or a combination of the two provided optimal detection of dementia in an ethnically diverse group of older adults with no cognitive impairment (normal); cognitive impairment not dementia (CIND); and dementia. Participants included 509 Caucasians, 124 African Americans, and 68 Latinos (>70 years old) from the Aging, Demographics, and Memory Study who completed the MMSE and FOME. Empirically derived decision trees were computed using signal detection software for receiver operator characteristics (ROC). Among the three ethnic groups, ROC analyses revealed that lower scores on both the MMSE and FOME provided better detection of CIND or dementia. Sensitivity and specificity of the MMSE was augmented by the addition of the FOME among Caucasian and African American older adults. The MMSE alone was the best screen in Latino older adults to distinguish any cognitive impairment from normal. When comparing CIND versus dementia, however, the FOME alone was best for detecting dementia among Latinos. The abbreviated FOME is recommended to increase clinical valid...Continue Reading

Citations

Aug 9, 2016·Journal of Clinical and Experimental Neuropsychology·Miriam GoudsmitBen Schmand
Dec 31, 2019·Journal of the American Geriatrics Society·Sandra P ArévaloFrancisca S Rodriguez
Mar 13, 2014·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Ding DingZhen Hong
Sep 13, 2019·Journal of the International Neuropsychological Society : JINS·Sanne FranzenJanne M Papma
Feb 26, 2020·JAMA : the Journal of the American Medical Association·Carrie D PatnodeJennifer S Lin
May 16, 2019·Arquivos de neuro-psiquiatria·Luciane de Fátima Viola OrtegaMônica Sanches Yassuda
Apr 22, 2020·Journal of Geriatric Psychiatry and Neurology·Shanna L BurkeDavid Loewenstein

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