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Differential Relationships Between the Montreal Cognitive Assessment and Informant-Rated Cognitive Decline Among Mexican Americans and Non-Hispanic Whites
Journal of Geriatric Psychiatry and Neurology ( IF 2.9 ) Pub Date : 2021-07-22 , DOI: 10.1177/08919887211029383
Emily M Briceño 1 , Roshanak Mehdipanah 2 , Xavier F Gonzales 3 , Steven G Heeringa 4 , Deborah A Levine 5 , Kenneth M Langa 4, 5, 6, 7 , Daniel Zahs 4 , Nelda Garcia 8 , Ruth Longoria 8 , Alejandro Vargas 9 , Lewis B Morgenstern 8, 10
Affiliation  

Objectives:

We compared the concurrent validity of the Montreal Cognitive Assessment (MoCA) with other cognitive screening instruments among Mexican Americans (MA) and non-Hispanic whites (NHW).

Methods:

In a community-based study in Nueces county, Texas (5/2/18-2/26/20), participants 65+ with MoCA ≤25 completed the Harmonized Cognitive Assessment Protocol. Regressions examined associations between MoCA and: 1) Mini Mental State Examination (MMSE); 2) abbreviated Community Screening Interview for Dementia (CSI-D); 3) Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE).

Results:

MA (n = 229) and NHW (n = 81) differed by education but not age or sex. MoCA and cognitive performance associations (MMSE, CSI-D-Respondent) did not differ between MA and NHW (p’s > .16). MoCA and informant rating associations (IQCODE, CSI-D-Informant) were stronger in NHW than MA (NHW R2 = 0.39 and 0.38, respectively; MA R2 = 0.30 and 0.28, respectively).

Discussion:

Our findings suggest non-equivalence across cognitive screening instruments among MAs and NHWs.



中文翻译:

墨西哥裔美国人和非西班牙裔白人蒙特利尔认知评估与线人评定的认知下降之间的差异关系

目标:

我们将蒙特利尔认知评估 (MoCA) 与其他认知筛查工具在墨西哥裔美国人 (MA) 和非西班牙裔白人 (NHW) 中的同时有效性进行了比较。

方法:

在德克萨斯州纽埃西斯县的一项社区研究中(2018 年 5 月 2 日至 2020 年 2 月 26 日),65 岁以上且 MoCA ≤ 25 的参与者完成了统一认知评估协议。回归检验了 MoCA 与以下各项之间的关联: 1) 简易精神状态检查 (MMSE);2) 痴呆症社区筛查访谈(CSI-D);3)老年人认知衰退知情人调查问卷(IQCODE)。

结果:

MA (n = 229) 和 NHW (n = 81) 在教育方面存在差异,但在年龄或性别方面没有差异。MA 和 NHW 之间的 MoCA 和认知表现关联(MMSE、CSI-D-受访者)没有差异 (p's > .16)。MoCA 和线人评级关联(IQ​​CODE、CSI-D-Informant)在 NHW 中比 MA 更强(NHW R 2分别 = 0.39 和 0.38;MA R 2分别 = 0.30 和 0.28)。

讨论:

我们的研究结果表明,MA 和 NHW 之间的认知筛查工具并不相同。

更新日期:2021-07-22
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