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The Testamentary Capacity Assessment Tool (TCAT): validation and normative data.

Nadia Bolognini1,2, Chiara Gramegna3,4, Antonella Esposito3

  • 1Department of Psychology, University of Milano-Bicocca, Milan, Italy. nadia.bolognini@unimib.it.

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Summary

This study provides normative data for the Testamentary Capacity Assessment Tool (TCAT), validating its use as a cognitive screening test for testamentary capacity. The TCAT shows good convergent validity with other cognitive measures.

Keywords:
Cognitive screening testDementiaForensic Assessment InstrumentsNormative dataTestamentary capacity

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Area of Science:

  • Neuropsychology
  • Cognitive Assessment
  • Forensic Psychology

Background:

  • Increasing need for objective testamentary capacity (TC) assessment in dementia.
  • Limited adoption of the new Testamentary Capacity Assessment Tool (TCAT) due to lack of validation and normative data.
  • TCAT assesses cognitive functions like autobiographic memory and Theory of Mind, not covered by traditional tests.

Purpose of the Study:

  • Collect normative data for the TCAT.
  • Assess TCAT's convergent validity with standardized cognitive tests.
  • Evaluate TCAT's capacity to define a 'testament'.

Main Methods:

  • 323 neurologically healthy adults (31-93 years) participated.
  • Administered TCAT alongside Beck Depression Inventory-II (BDI-II), Montreal Cognitive Assessment (MoCA), Mini-Mental State Examination (MMSE), Frontal Assessment Battery (FAB), and Testament Definition Scale (TDS).
  • Utilized multiple regression and correlation analyses.

Main Results:

  • Gender, age, and education significantly affected TCAT scores.
  • TCAT scores correlated significantly with MMSE, MoCA, FAB, and BDI-II.
  • Positive correlation between TCAT and TDS confirmed convergent validity.

Conclusions:

  • The study provides normative data for TCAT, supporting its use as an adjuvant cognitive screening test for TC.
  • Findings encourage TCAT adoption in clinical practice for comprehensive neuropsychological evaluations.
  • TCAT's unique assessment of cognitive functions enhances its utility beyond traditional screening tools.