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The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
Published on: October 13, 2016
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Ideal combination of dementia screening tests
Momoe Osafune1, Kentaro Deguchi, Koji Abe
1Department of Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science.
Summary
A new dementia screening tool combines six tests for efficient patient evaluation. This compact test battery reduces the burden on patients and clinicians in daily medical practice.
Area of Science:
- Neuropsychology
- Geriatrics
- Neurology
Background:
- Neuropsychological tests are crucial for assessing higher brain dysfunction.
- Current extensive testing poses challenges for patients and clinicians in daily practice.
Purpose of the Study:
- To identify correlations between 11 neuropsychological tests.
- To develop a compact and easily administered screening test for dementia detection.
Main Methods:
- 1,674 outpatients and 46 controls underwent 11 neuropsychological tests.
- Evaluated tests included those for global cognition, frontal function, emotional changes, depression, motivation, and daily living activities.
- Correlations between test scores and completion times were analyzed.
Main Results:
- Significant correlations were found between various cognitive, emotional, and functional assessments.
- The Frontal Assessment Battery (FAB) and Abe's Behavioral and Psychological Symptoms of Dementia score (ABS) were quicker than the MoCA and NPI, respectively.
Conclusions:
- A combination of six tests (MMSE/HDS-R, FAB, ABS, GDS, AS, ADCS-ADL) is effective for dementia screening.
- This reduced test battery simplifies dementia screening in clinical settings.
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