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Related Experiment Videos

Ishihara test performance and dementia

R McCleary1, W R Shankle, R A Mulnard

  • 1Institute for Brain Aging and Dementia, University of California, Irvine, CA 92717-5150, USA. MCCLEARY@UCL.EDU

Journal of the Neurological Sciences
|October 1, 1996
PubMed
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The Ishihara trail-tracing and number-naming tests can help differentiate dementia types. Error patterns correlate with cognitive impairment and dementia stage, showing clinical utility.

Area of Science:

  • Neuroscience
  • Clinical Psychology
  • Gerontology

Background:

  • Dementia diagnosis relies on clinical assessment and cognitive tests.
  • Differentiating between dementia subtypes, like Alzheimer's disease and vascular dementia, is crucial for effective treatment.
  • The Ishihara tests, commonly used for color vision deficiency, have potential applications in assessing cognitive function in dementia.

Purpose of the Study:

  • To investigate the utility of Ishihara trail-tracing (TT) and number-naming (NN) tests in a dementia patient sample.
  • To determine if error patterns on TT and NN tests correlate with dementia severity, stage, and etiology.
  • To explore the potential of Ishihara tests for discriminating between different types of dementia.

Main Methods:

  • Administered Ishihara TT and NN tests to 378 patients with dementia.

Related Experiment Videos

  • Utilized negative binomial generalized linear models to analyze error counts.
  • Regressed error counts on patient characteristics, cognitive impairment (Mini-Mental State Exam: MMSE), dementia stage (Clinical Dementia Rating: CDR), etiology, onset age, and symptom duration.
  • Main Results:

    • Error counts on TT and NN tests followed a negative binomial distribution.
    • MMSE, CDR, and dementia etiology significantly affected error counts.
    • MMSE errors correlated with both TT and NN errors; CDR errors correlated only with TT errors; etiology errors correlated only with NN errors.
    • Patient characteristics, onset age, and symptom duration did not significantly affect error counts.

    Conclusions:

    • Ishihara TT and NN tests demonstrate clinical utility in dementia assessment.
    • Distinct correlational patterns of errors suggest differential diagnostic potential for vascular dementia versus Alzheimer's disease.
    • The findings support the use of Ishihara tests to probe specific cognitive and functional deficits associated with dementia subtypes.