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Reynolds Intellectual Screening Instrument 1st versus 2nd Edition in a Memory Disorder Sample.

Robert Ruchinskas¹, William Goette²

¹Department of Psychiatry; Department of Neurology & Neurotherapeutics, UT Southwestern Medical Center, TX 75390-8869, USA.

Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists

|August 28, 2020

Summary

The Reynolds Intellectual Screening Instrument-2 (RIST-2) shows better diagnostic accuracy than the original RIST in older adults with cognitive concerns. However, neither screening tool should be used alone for diagnosing dementia or mild cognitive impairment.

Keywords:

Alzheimer’s disease Intelligence testing Reynolds Intellectual Screening Instrument

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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

Published on: January 11, 2020

Area of Science:

Neuropsychology
Geriatric Medicine
Cognitive Assessment

Background:

The Reynolds Intellectual Screening Instrument (RIST) and its second edition (RIST-2) are brief intelligence screening tools suitable for older adults due to their extended age norms.
These instruments are valuable in memory disorder clinics for assessing cognitive function in aging populations.

Purpose of the Study:

To evaluate the performance of the RIST and RIST-2 in individuals over 50 years old presenting with cognitive complaints or diagnosed with Mild Cognitive Impairment (MCI) or possible dementia of the Alzheimer Type (DAT).
To compare the diagnostic accuracy and discriminative ability of the RIST and RIST-2 in a clinical memory disorder setting.

Main Methods:

A sample of 1,145 subjects aged over 50 from a memory disorder clinic referral pool were analyzed.
Participants were categorized into Mild Cognitive Impairment (MCI; n=536), possible dementia of the Alzheimer Type (DAT; n=400), or subjective cognitive complaints (SCC; n=209) groups.
Performance on either the RIST (n=747) or RIST-2 (n=398) within a comprehensive neuropsychological battery was examined, with no significant demographic or performance differences noted between RIST versions.

Main Results:

The RIST-2 Total and subtest scores were significantly lower in the DAT group compared to the RIST, with over a 1 SD mean difference observed for Total scores.
Diagnostic accuracy analyses indicated that the RIST-2 demonstrated superior discrimination between the MCI, DAT, and SCC groups compared to the RIST.
Both RIST versions exhibited higher sensitivity than specificity in differentiating the groups.

Conclusions:

Performance disparities exist between the RIST and RIST-2, particularly impacting the DAT group.
The RIST-2 offers improved diagnostic accuracy over the RIST.
Neither the RIST nor RIST-2 should be used as standalone tools for the definitive clinical diagnosis of DAT or MCI.