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

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 abnormal clocks, and a limited number with dementia-particularly Alzheimer's disease. Abnormal CDT results of geropsychiatry outpatients must therefore be interpreted carefully. Additional conclusions regarding the study results are discussed.

authors

Gruber NP,Varner RV,Chen YW,Lesser JM

doi

10.1002/(sici)1099-1166(199705)12:5<526::aid-gps53

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

526-32

issue

5

eissn

0885-6230

issn

1099-1166

pii

10.1002/(SICI)1099-1166(199705)12:5<526::AID-GPS53

journal_volume

12

pub_type

杂志文章
  • The validity and reliability of the Turkish version of Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) in patients with mild and moderate Alzheimer's disease and normal subjects.

    abstract:OBJECTIVES:The cognitive subscale of the Alzheimer's Disease Assesment Scale (ADAS-Cog) is the most widely used test in clinical trials dealing with Alzheimer's disease (AD). The aim of this study was to investigate the validity and reliability of the Turkish version of ADAS-Cog. METHODS:Twenty-nine patients with AD, ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1457

    authors: Mavioglu H,Gedizlioglu M,Akyel S,Aslaner T,Eser E

    更新日期:2006-03-01 00:00:00

  • Accuracy of the short-form Montreal Cognitive Assessment: Systematic review and validation.

    abstract:INTRODUCTION:Short-form versions of the Montreal Cognitive Assessment (SF-MoCA) are increasingly used to screen for dementia in research and practice. We sought to collate evidence on the accuracy of SF-MoCAs and to externally validate these assessment tools. METHODS:We performed systematic literature searching across...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5162

    authors: McDicken JA,Elliott E,Blayney G,Makin S,Ali M,Larner AJ,Quinn TJ,VISTA-Cognition Collaborators.

    更新日期:2019-10-01 00:00:00

  • Relationship between symptoms of depression and agitation in nursing home residents with dementia.

    abstract:OBJECTIVE:The aim of this study is to analyze modifiable factors related to agitation of nursing home residents with dementia. METHODS:Relationship of agitation with three modifiable factors (depression, psychosis, and pain) was explored using longitudinal Minimum Data Set (MDS) information from 2032 residents of Dutc...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2800

    authors: Volicer L,Frijters DH,Van der Steen JT

    更新日期:2012-07-01 00:00:00

  • Risk factors for dementia in patients over 65 with diabetes.

    abstract:OBJECTIVE:This study identified factors in patients with diabetes associated with risk of developing dementia. RESEARCH DESIGN AND METHODS:This retrospective, longitudinal study used a national cohort of US Veterans with diabetes 65 years or older to examine incidence of dementia over 2 years. A multivariable Cox regr...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2604

    authors: Parikh NM,Morgan RO,Kunik ME,Chen H,Aparasu RR,Yadav RK,Schulz PE,Johnson ML

    更新日期:2011-07-01 00:00:00

  • Describing perceived stigma against Alzheimer's disease in a general population in France: the STIG-MA survey.

    abstract:BACKGROUND:Alzheimer's disease (AD) causes progressive loss of memory and disability, especially in older people. As worldwide population grows older, AD is responsible for an important social and economical burden in many nations. People suffering from AD may experience health-related stigma that influences their atti...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.3903

    authors: Piver LC,Nubukpo P,Faure A,Dumoitier N,Couratier P,Clément JP

    更新日期:2013-09-01 00:00:00

  • Is integrated care associated with service costs and admission rates to institutional settings? An observational study of community mental health teams for older people in England.

    abstract:OBJECTIVES:To evaluate the association between the degree of integration in community mental health teams (CMHTs) and: (i) the costs of service provision; (ii) rates of mental health inpatient and care home admission. METHODS:An observational study of service use and admissions to institutional care was undertaken for...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4424

    authors: Wilberforce M,Tucker S,Brand C,Abendstern M,Jasper R,Challis D

    更新日期:2016-11-01 00:00:00

  • Body image in older, inpatient women and the relationship to BMI, anxiety, depression, and other sociodemographic factors.

    abstract:OBJECTIVES:To determine the prevalence of body image dysfunction in a cohort of older, inpatient women, and to examine any associated health or sociodemographic factors. METHODS:In this cross-sectional, observational study, 50 older women admitted to a subacute hospital completed the Body Shape Questionnaire (BSQ-34),...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5233

    authors: Dean E,Haywood C,Hunter P,Austin N,Prendergast L

    更新日期:2020-02-01 00:00:00

  • The effects of antidepressant medication adherence as well as psychosocial and clinical factors on depression outcome among older adults.

    abstract:OBJECTIVE:To examine the contribution of medication adherence to 12-month depression scores in the context of other psychosocial and clinical predictors of depression in a sample of older adults treated for depression. METHODS:Secondary analysis of a prospective cohort study involving 241 older patients undergoing dep...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1852

    authors: Bosworth HB,Voils CI,Potter GG,Steffens DC

    更新日期:2008-02-01 00:00:00

  • The effects of aging on insight into illness in schizophrenia: a review.

    abstract:OBJECTIVES:Impaired insight into illness is a prevalent feature of schizophrenia, which negatively influences treatment adherence and clinical outcomes. Little is known about the effects of aging on insight impairment. We aimed to review the available research literature on the effects of aging on insight into illness ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.4154

    authors: Gerretsen P,Plitman E,Rajji TK,Graff-Guerrero A

    更新日期:2014-11-01 00:00:00

  • Verbal fluency in a national sample: Telephone administration methods.

    abstract:OBJECTIVES:Describe novel methods for ascertaining verbal fluency in a large national sample of adults, examine demographic factors influencing performance, and compare scores to studies using in-person assessment. METHODS/DESIGN:Participants were from the Reasons for Geographic and Racial Differences in Stroke (REGAR...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5054

    authors: Marceaux JC,Prosje MA,McClure LA,Kana B,Crowe M,Kissela B,Manly J,Howard G,Tam JW,Unverzagt FW,Wadley VG

    更新日期:2019-04-01 00:00:00

  • Differentiating between demented and psychiatric patients with the Dutch version of the IQCODE.

    abstract::This study presents psychometric data on the Dutch version of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE-N). We focused on differentiating between inpatients with dementia or a mood/psychotic disorder. A cutoff point of 3.9 on the IQCODE-N correctly predicted group membership in 87.8% and ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199704)12:4<462::aid-gps51

    authors: de Jonghe JF

    更新日期:1997-04-01 00:00:00

  • What causes problems in Alzheimer's disease: attributions by caregivers. A qualitative study.

    abstract:OBJECTIVE:To gain insight into caregivers' understanding of the causes of behaviours they find problematic in people with Alzheimer's disease in order to inform the development of educational strategies. METHODS:A qualitative, semi-structured interview was used. Participants were 205 caregivers for a person with Alzhe...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1118

    authors: Paton J,Johnston K,Katona C,Livingston G

    更新日期:2004-06-01 00:00:00

  • Relationship of exercise and other risk factors to depression of Alzheimer's disease: the LASER-AD study.

    abstract:BACKGROUND:Depression is common in Alzheimer's disease (AD; 5-35%). It is associated with increased disability, cost of care and carer burden. Exercise is known to be associated with a lower prevalence of depression across the age range but little is known about its relationship to depression in AD. AIMS:To investigat...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1278

    authors: Regan C,Katona C,Walker Z,Livingston G

    更新日期:2005-03-01 00:00:00

  • Prevalence of cognitive impairment in the hospitalized elderly.

    abstract::Surveys of older populations reveal rates of senile dementia varying from 5.2% to 25%. The specialist branch of psychiatry dealing with the elderly advocates that services for these patients and their carers should predominantly be based outside hospital. The following study was conducted in Limerick, Ireland before t...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199701)12:1<27::aid-gps446

    authors: Hickey A,Clinch D,Groarke EP

    更新日期:1997-01-01 00:00:00

  • Normative study of the Stroop Color and Word Test in an educationally diverse elderly population.

    abstract:OBJECTIVE:The purpose of this study was to explore the effects of demographic variables on Stroop Color and Word Test (SCWT) performance in an educationally diverse elderly population and to provide normative information. METHODS:SCWT was administered to 564 community-dwelling volunteers aged 60-90 years with an educa...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2027

    authors: Seo EH,Lee DY,Choo IH,Kim SG,Kim KW,Youn JC,Jhoo JH,Woo JI

    更新日期:2008-10-01 00:00:00

  • Depression after minor stroke: the association with disability and quality of life--a 1-year follow-up study.

    abstract:OBJECTIVE:Minor stroke is characterized by mild neurological functional impairment and relatively good outcome. Little is known about the association between post-stroke depression (PSD) and outcomes of minor stroke. The aim of this study was to investigate the association between PSD and disability and quality of life...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4353

    authors: Shi YZ,Xiang YT,Yang Y,Zhang N,Wang S,Ungvari GS,Chiu HF,Tang WK,Wang YL,Zhao XQ,Wang YJ,Wang CX

    更新日期:2016-04-01 00:00:00

  • Delirium in the non-demented oldest old in the general population: risk factors and prognosis.

    abstract:BACKGROUND:The oldest old are prone to develop delirium. Studies into risk factors for delirium have been carried out predominantly in younger age groups. The aim of this population-based follow-up study was to investigate the risk factors for delirium requiring medical attention and subsequent prognosis in the non-dem...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.356

    authors: Rahkonen T,Eloniemi-Sulkava U,Halonen P,Verkkoniemi A,Niinistö L,Notkola IL,Sulkava R

    更新日期:2001-04-01 00:00:00

  • A brief metacognition questionnaire for the elderly: comparison with cognitive performance and informant ratings the Cache County Study.

    abstract:OBJECTIVE:To examine the utility of a brief, metacognition questionnaire by examining its association with objective cognitive testing and informant ratings. We hypothesized that the association between self-ratings of change and both outcomes would be greater among individuals without dementia than among those with de...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2416

    authors: Buckley T,Norton MC,Deberard MS,Welsh-Bohmer KA,Tschanz JT

    更新日期:2010-07-01 00:00:00

  • High score on the Relative Stress Scale, a marker of possible psychiatric disorder in family carers of patients with dementia.

    abstract:OBJECTIVE:To compare the scores on the Relative Stress Scale (RSS) with those on the General Health Questionnaire (GHQ) and the Geriatric Depression Scale (GDS), and to establish a cut-off score for RSS in order to distinguish carers with symptoms of psychiatric disorders from those without. METHODS:One hundred and ni...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1660

    authors: Ulstein I,Wyller TB,Engedal K

    更新日期:2007-03-01 00:00:00

  • Reliability and validity of the Norwegian version of the Severe Impairment Battery (SIB).

    abstract:OBJECTIVE:The Severe Impairment Battery (SIB) is developed to test cognitive function in patients with dementia of moderate to severe degree. We have conducted a study to assess the inter-rater reliability and the validity of the Norwegian version of SIB. METHODS:The reliability study comprised 30 patients, and the va...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2001

    authors: Bergh S,Selbaek G,Engedal K

    更新日期:2008-09-01 00:00:00

  • Cognitive and motor impairments predict functional declines in patients with vascular dementia.

    abstract:BACKGROUND:Vascular dementia (VaD) is associated with impairments in cognitive, motor, and functional domains. Patients with VaD display diverse cognitive and motor deficits, however, and relationships between these impairments and independent living abilities remain unclear. OBJECTIVES:The purpose of the present stud...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.539

    authors: Boyle PA,Cohen RA,Paul R,Moser D,Gordon N

    更新日期:2002-02-01 00:00:00

  • Suicide ideation, dementia and mental disorders among a community sample of older people in Mexico.

    abstract:UNLABELLED:Data on the prevalence of and risk factors for suicide ideation among older people in developing countries is lacking. OBJECTIVE:This study aimed to estimate if dementia and other mental disorders are associated with suicide ideation among the older people controlling for demographic and other suspected ris...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4134

    authors: Borges G,Acosta I,Sosa AL

    更新日期:2015-03-01 00:00:00

  • Quantifying the association between computerised measures of attention and confusion assessment method defined delirium: a prospective study of older orthopaedic surgical patients, free of dementia.

    abstract:OBJECTIVE:To determine whether attentional impairments are reliable neuropsychological markers of delirium. METHOD:A prospective cohort of one hundred patients admitted for elective orthopaedic surgery, 70 years and over, and free of dementia were recruited from an Orthopaedic unit in a university teaching hospital. C...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2059

    authors: Lowery DP,Wesnes K,Brewster N,Ballard C

    更新日期:2008-12-01 00:00:00

  • The health status of family caregivers in Taiwan: an analysis of gender differences.

    abstract:BACKGROUND:Many studies have assessed the impact of caregivers' work activities on the caregiver. There is growing concern about the ever-increasing problems, both physical and physiological, faced by health care workers who provide care for the ill and incapacitated. AIM:The aim of the study was to examine what, if a...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1364

    authors: Chiou CJ,Chen IP,Wang HH

    更新日期:2005-09-01 00:00:00

  • Diagnosing dementia in a developing nation: an evaluation of the GMS-AGECAT algorithm in an older Korean population.

    abstract:BACKGROUND:Numbers of older people are increasing rapidly in many developing nations and there is a pressing need for epidemiological studies of psychiatric morbidity, particularly dementia. Valid methods for case identification are an important first step. The Geriatric Mental State (GMS) is a widely used diagnostic i...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.834

    authors: Kim JM,Stewart R,Prince M,Shin IS,Yoon JS

    更新日期:2003-04-01 00:00:00

  • Geriatric characteristics in randomised controlled trials on antidepressant drugs for older adults: a systematic review.

    abstract:OBJECTIVE:Meta-analyses of antidepressant drug treatment trials have found that increasing age is associated with a less favourable outcome. Because the prevalence of geriatric characteristics, like disability, medical co-morbidity, malnutrition, cognitive (dys)function and frailty increase with age and are associated ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.4443

    authors: Benraad CE,Kamerman-Celie F,van Munster BC,Oude Voshaar RC,Spijker J,Olde Rikkert MG

    更新日期:2016-09-01 00:00:00

  • Depression among older people with cognitive impairment: prevalence and detection.

    abstract:BACKGROUND:Past research has demonstrated that there is a high level of depression among older people, particularly for those with cognitive impairment and those in residential care. The current study was designed to determine the prevalence of depression among older people in hostels with cognitive impairment using a ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1538

    authors: McCabe MP,Davison T,Mellor D,George K,Moore K,Ski C

    更新日期:2006-07-01 00:00:00

  • Predicting rehospitalisation in older inpatients with a psychotic disorder.

    abstract:OBJECTIVE:The objective of this study was to predict rehospitalisation in a psychiatric clinic in older inpatients with a psychotic disorder. METHODS/DESIGN:In this prospective, observational study, all eligible inpatients aged 55 years and over with a primary psychotic disorder, admitted to a specialised ward for old...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5337

    authors: Kist N,van den Berg JF,Kok RM

    更新日期:2020-05-18 00:00:00

  • The prevalence of major depression or dysthymia among aged Medicare Fee-for-Service beneficiaries.

    abstract:RESEARCH OBJECTIVE:Estimates of the prevalence of major depression vary widely. Current estimates range from 2 to 14 % depending upon the definition and procedure for diagnosis. Further, most estimates are for special populations, either living in selected geographic areas or receiving specific types of medical care. A...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.642

    authors: McCall NT,Parks P,Smith K,Pope G,Griggs M

    更新日期:2002-06-01 00:00:00

  • Epidemiological studies of cognitive impairment and dementia across Eastern and Middle European countries (epidemiology of dementia in Eastern and Middle European Countries).

    abstract:OBJECTIVE:To determine the availability and the consistency of prevalence findings of epidemiological studies on cognitive impairment and dementia conducted in Eastern and Middle Europe. METHODS:We adopted a stepwise multimethod study approach consisting of iterative literature searches for epidemiological articles pu...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.2511

    authors: Kiejna A,Frydecka D,Adamowski T,Bickel H,Reynish E,Prince M,Caracciolo B,Fratiglioni L,Georges J

    更新日期:2011-02-01 00:00:00