Development and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia

Soowon Park,1,* Se-Eun Park,1,* Min-Ji Kim,2 Hee-Yeon Jung,1,2 Jung-Seok Choi,1,2 Kee-Hwan Park,3 Inhye Kim,1 Jun-Young Lee1,2 1Department of Neuropsychiatry, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea; 2Department of Psychiatry and Behavioral Science, Seoul National University Colle...

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Autores principales: Park S, Park SE, Kim MJ, Jung HY, Choi JS, Park KH, Kim I, Lee JY
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Publicado: Dove Medical Press 2014
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Acceso en línea:https://doaj.org/article/d74edc68509d4646b907d8877c95477d
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spelling oai:doaj.org-article:d74edc68509d4646b907d8877c95477d2021-12-02T10:56:17ZDevelopment and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia1178-2021https://doaj.org/article/d74edc68509d4646b907d8877c95477d2014-09-01T00:00:00Zhttp://www.dovepress.com/development-and-validation-of-the-pictorial-cognitive-screening-invent-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Soowon Park,1,* Se-Eun Park,1,* Min-Ji Kim,2 Hee-Yeon Jung,1,2 Jung-Seok Choi,1,2 Kee-Hwan Park,3 Inhye Kim,1 Jun-Young Lee1,2 1Department of Neuropsychiatry, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea; 2Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Republic of Korea; 3Department of Psychology, The Catholic University of Korea, Bucheon, Republic of Korea *These authors contributed equally to this work Purpose: The purpose of this study was to develop and validate a tool called the Pictorial Cognitive Screening Inventory (PCSI), which consists of pictorial memory and attention tests that are not influenced by literacy level.Patients and methods: PCSI, Mini Mental State Examination (MMSE), and Clinical Dementia Rating (CDR) questionnaires were administered to 80 elderly participants (20 illiterate normal, 20 illiterate with dementia, 20 literate normal, and 20 literate with dementia).Results: PCSI scores were highly correlated with those of the MMSE (r 0.51) and the CDR (r -0.71). In addition, the PCSI scores differed significantly between the normal group and the dementia group (mean difference 1.71, standard error [SE] 0.14, P<0.001), while no such difference was observed between the illiterate group and the literate group (mean difference 0.00, SE 0.24, P=0.997). Diagnostic validity of the PCSI is excellent, with a sensitivity of 90% and a specificity of 98% for screening dementia, whereas the MMSE has a sensitivity of 85% and a specificity of 60%.Conclusion: These results indicate that the PCSI is a sensitive and reliable test for screening dementia, regardless of an individual’s literacy skills. The PCSI meets the increasing needs for screening of dementia in illiterate elderly populations in developing countries. Keywords: screening, dementia, literacy, cognition Park SPark SEKim MJJung HYChoi JSPark KHKim ILee JYDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 1837-1845 (2014)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Park S
Park SE
Kim MJ
Jung HY
Choi JS
Park KH
Kim I
Lee JY
Development and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia
description Soowon Park,1,* Se-Eun Park,1,* Min-Ji Kim,2 Hee-Yeon Jung,1,2 Jung-Seok Choi,1,2 Kee-Hwan Park,3 Inhye Kim,1 Jun-Young Lee1,2 1Department of Neuropsychiatry, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea; 2Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Republic of Korea; 3Department of Psychology, The Catholic University of Korea, Bucheon, Republic of Korea *These authors contributed equally to this work Purpose: The purpose of this study was to develop and validate a tool called the Pictorial Cognitive Screening Inventory (PCSI), which consists of pictorial memory and attention tests that are not influenced by literacy level.Patients and methods: PCSI, Mini Mental State Examination (MMSE), and Clinical Dementia Rating (CDR) questionnaires were administered to 80 elderly participants (20 illiterate normal, 20 illiterate with dementia, 20 literate normal, and 20 literate with dementia).Results: PCSI scores were highly correlated with those of the MMSE (r 0.51) and the CDR (r -0.71). In addition, the PCSI scores differed significantly between the normal group and the dementia group (mean difference 1.71, standard error [SE] 0.14, P<0.001), while no such difference was observed between the illiterate group and the literate group (mean difference 0.00, SE 0.24, P=0.997). Diagnostic validity of the PCSI is excellent, with a sensitivity of 90% and a specificity of 98% for screening dementia, whereas the MMSE has a sensitivity of 85% and a specificity of 60%.Conclusion: These results indicate that the PCSI is a sensitive and reliable test for screening dementia, regardless of an individual’s literacy skills. The PCSI meets the increasing needs for screening of dementia in illiterate elderly populations in developing countries. Keywords: screening, dementia, literacy, cognition 
format article
author Park S
Park SE
Kim MJ
Jung HY
Choi JS
Park KH
Kim I
Lee JY
author_facet Park S
Park SE
Kim MJ
Jung HY
Choi JS
Park KH
Kim I
Lee JY
author_sort Park S
title Development and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia
title_short Development and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia
title_full Development and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia
title_fullStr Development and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia
title_full_unstemmed Development and validation of the Pictorial Cognitive Screening Inventory for illiterate people with dementia
title_sort development and validation of the pictorial cognitive screening inventory for illiterate people with dementia
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/d74edc68509d4646b907d8877c95477d
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