Validity and reliability of the Persian version of Mini-Addenbrooke's Cognitive Examination among Iranian highly educated older adults.

IF 1.5 4区心理学 Q4 CLINICAL NEUROLOGY

Applied Neuropsychology-Adult Pub Date : 2025-11-01 Epub Date: 2024-01-19 DOI:10.1080/23279095.2024.2303725

Maryam Pourshams, Vahid Rashedi, Mostafa Almasi-Dooghaee, Seyed Kazem Malakouti, Leila Kamalzadeh, Nahid Borna, Athena Enderami, Behnam Shariati

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Abstract

Background: Limited studies have examined psychometric properties of dementia screening tools in university-educated older adults. We aimed to examine this population's diagnostic accuracy of the Iranian version of Mini-Addenbrooke's Cognitive Examination (M-ACE).

Materials & methods: Eighty-seven participants with over 60 years with university education were divided into three groups: Major neurocognitive disorder, mild neurocognitive disorder, and healthy control. The Iranian version of M-ACE, the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS), the Activities of Daily Living-Instrumental Activities of Daily Living (ADL-IADL) scale and Diagnostic and Statistical Manual of Mental Disorders 5th edition-Text Revision (DSM-5) were used.

Results: A high internal reliability of questionnaire was confirmed by Cronbach's alpha coefficient. One-way ANOVA and post hoc analysis confirmed a significant difference between study groups. The scores of M-ACE were found to have a high positive correlation with MMSE, IADL, ADL, and a moderate correlation with GDS. The optimal cutoff score of M-ACE to screen for mild and major neurocognitive disorders were 27.5 and 20.5, respectively.

Conclusion: The M-ACE was a concise and reliable tool used to identify neurocognitive disorders in highly educated older adults, but they should be evaluated at a higher traditional cut score in earlier stages.

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在伊朗受过高等教育的老年人中进行的波斯语版迷你艾登布鲁克认知检查的有效性和可靠性。

背景：对受过大学教育的老年人痴呆症筛查工具的心理测量特性进行的研究有限。我们的目的是研究伊朗版迷你艾登布鲁克认知检查（M-ACE）对这一人群的诊断准确性：87 名 60 岁以上、受过大学教育的参与者被分为三组：重度神经认知障碍组、轻度神经认知障碍组和健康对照组。采用伊朗版 M-ACE、小型精神状态检查（MMSE）、老年抑郁量表（GDS）、日常生活活动-器质性日常生活活动（ADL-IADL）量表和《精神障碍诊断与统计手册》第 5 版-文本修订版（DSM-5）：结果：Cronbach's α系数证实问卷具有较高的内部可靠性。单因素方差分析和事后分析证实研究组之间存在显著差异。研究发现，M-ACE评分与MMSE、IADL、ADL呈高度正相关，与GDS呈中度相关。M-ACE筛查轻度和重度神经认知障碍的最佳临界值分别为27.5和20.5：M-ACE是一种简洁可靠的工具，可用于识别受过高等教育的老年人的神经认知障碍，但在早期阶段应采用较高的传统截断分数对其进行评估。

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来源期刊

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.