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Published on: September 20, 2018
Clinical Manifestations
Aline Siqueira de Souza1,2,3,4, João Vitor da Silva Viana5,6, Isabelle de Aguiar Maia6,7
1Sciences Applied to Adult Health Postgraduate Program, School of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Background:
The Cognitive Domains and Functional Assessment Questionnaire (CDFAQ) assesses cognitive and functional decline based on the DSM-5 criteria for Neurocognitive Disorders. Its accuracy has been assessed, and it has been translated and adapted into English. The participant version (CDFAQ-PV) is a 30-item questionnaire that assesses six cognitive domains, based on the DSM-5, with five items each: Complex Attention (CA), Executive Functions (EF), Learning and Memory (LM), Language (L), Perceptual-Motor (PM) and Social Cognition (SC). Although the informant version (CDFAQ-IV) has already been assessed by factor analysis with convergence to the DSM-5 cognitive domains, this assessment hasn't been done yet for the participant version.
Objective:
To perform a Confirmatory Factor Analysis of the CDFAQ-PV to assess the six-factor cognitive domain model.
Methods:
Older adults and their informants were invited to participate in this study. The CDFAQ-PV was applied in 377 older adults. We used the JASP for a Confirmatory Factor Analysis based on Lavaan R Packages. The confirmatory factor analysis was run with a manual six-factor model. This study was approved by the ethics committee of UFMG.
Results:
Confirmatory factor analysis model fitness was significant with X2(p < .001), with standardized root mean square residual (SRMR) .065 (accepted < .08), and with the goodness of fit index (GFI) .983 (accepted > .9). However, the root mean square error of approximation (RMSEA) was over the accepted values .073 (accepted < .06), as well as the comparative fit index CFI that was .792 under the accepted cutoff (accepted > .9).
Conclusion:
The six-factor model of the showed a good fit for three parameters, and negative for two. These results point to a convergence of the CDFAQ-PV and CDFAQ-IV, as well to the DSM-5 cognitive domains. These are still preliminary results and we aim to increase our sample to further assess the confirmatory factor analysis.
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