The use of subjective cognitive complaints for detecting mild cognitive impairment in older adults across cultural and linguistic groups: A comparison of the Cognitive Function Instrument to the Montreal Cognitive Assessment

被引：6

作者：

Li, Clara ^{[1
]}

Hong, Yue ^{[2
,3
]}

Yang, Xiao ^{[1
]}

Zeng, Xiaoyi ^{[1
]}

Ocepek-Welikson, Katja ^{[4
]}

Eimicke, Joseph P. ^{[5
]}

Kong, Jian ^{[5
]}

Sano, Mary ^{[1
,6
]}

Zhu, Carolyn ^{[1
,6
]}

Neugroschl, Judith ^{[1
]}

Aloysi, Amy ^{[1
]}

Cai, Dongming ^{[1
,6
]}

Martin, Jane ^{[1
]}

Loizos, Maria ^{[1
]}

Sewell, Margaret ^{[1
]}

Akrivos, Jimmy ^{[1
]}

Evans, Kirsten ^{[6
]}

Sheppard, Faye ^{[1
]}

Greenberg, Jonathan ^{[1
]}

Ardolino, Allison ^{[1
]}

Teresi, Jeanne A. ^{[4
,5
,7
]}

机构：

[1] Icahn Sch Med Mt Sinai, Dept Psychiat, Alzheimers Dis Res Ctr, 1 Gustave L Levy Pl,Box 1230, New York, NY 10029 USA

[2] Salem Hosp, Mass Gen Brigham, Salem, MA USA

[3] Massachusetts Gen Hosp, Athinoula A Martinos Ctr Biomed Imaging, Charlestown, MA USA

[4] Columbia Univ, Stroud Ctr, New York State Psychiat Inst, New York, NY USA

[5] Hebrew Home Riverdale, Res Div, New York, NY USA

[6] James J Peters VA Med Ctr, New York, NY USA

[7] Mt Sinai Med Ctr, Mt Sinai Pepper Older Amer Independence Ctr, Dept Geriatr & Palliat Med, New York, NY 10029 USA

来源：

ALZHEIMERS & DEMENTIA | 2023年 / 19卷 / 05期

关键词：

diverse culture; mild cognitive impairment; older adults; racial; ethnic minorities; subjective cognitive complaints; ALZHEIMERS ASSOCIATION WORKGROUPS; MEMORY COMPLAINTS; ASSESSMENT MOCA; DIAGNOSTIC GUIDELINES; NATIONAL INSTITUTE; DISEASE DEMENTIA; NORMATIVE DATA; PRIMARY-CARE; DECLINE; RISK;

D O I：

10.1002/alz.12804

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction This pilot study aims to explore the psychometric properties of the Cognitive Function Instrument (CFI) as a measure of subjective cognitive complaints (SCC) and its performance in distinguishing mild cognitive impairment (MCI) from normal control (NC) compared to an objective cognitive screen (Montreal Cognitive Assessment [MoCA]). Methods One hundred ninety-four community-dwelling non-demented older adults with racial/ethnic diversity were included. Unidimensionality and internal consistency of the CFI were examined using factor analysis, Cronbach's alpha, and McDonald's omega. Logistic regression models and receiver operating characteristic (ROC) analysis were used to examine the performance of CFI. Results The CFI demonstrated adequate internal consistency; however, the fit for a unidimensional model was suboptimal. The CFI distinguished MCI from NC alone or in combination with MoCA. ROC analysis showed comparable performance of the CFI and the MoCA. Discussion Our findings support the use of CFI as a brief and easy-to-use screen to detect MCI in culturally/linguistically diverse older adults. Highlight What is the key scientific question or problem of central interest of the paper? Subjective cognitive complaints (SCCs) are considered the earliest sign of dementia in older adults. However, it is unclear if SCC are equivalent in different cultures. The Cognitive Function Instrument (CFI) is a 14-item measure of SCC. This study provides pilot data suggesting that CFI is sensitive for detecting mild cognitive impairment in a cohort of older adults with racial/ethnic diversity. Comparing performance, CFI demonstrates comparable sensitivity to the Montreal Cognitive Assessment, an objective cognitive screening test. Overall, SCC may provide a non-invasive, easy-to-use method to flag possible cognitive impairment in both research and clinical settings.

引用

页码：1764 / 1774

页数：11

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