Document Detail

Clinical assessment of mental decline in elderly people: a proposal for a new quantitative index.
MedLine Citation:
PMID:  7599244     Owner:  NLM     Status:  MEDLINE    
Despite the many instruments available for assessing elderly people, there is a need for additional methods to measure mental decline that would also be applicable in cross sectional and longitudinal studies. With this purpose in mind, our group developed and checked a new instrument, the Index of Mental Decline (IMD), which consists of five clusters of items intended for the assessment of cognition, personal interrelationships, affective disorders, apathy and somatic complaints. To improve its consistency, all clusters and items were evaluated individually, according to their clinical impact. Three levels of symptom importance were determined: absent to very mild, mild to moderate, severe to very severe. Inter-rater reliability and test-retest reliability were demonstrated in a sample of 59 subjects, and proved to be satisfactory. The validity of the IMD was tested in a group of 203 patients, in whom a clinical diagnosis of probable dementia (DSM III-R criteria) had been formulated. The results suggest the effectiveness of the IMD both in quantifying mental decline and monitoring clinical symptoms. The IMD cannot be the first step of diagnostic procedure, but it can be useful for evaluating mental decline in elderly subjects with cognitive disorders. In longitudinal studies, the presence of the same caregiver or informant is compulsory.
D Cucinotta; L Ambrosoli; A Poli; M Martorelli; G C Savorani; F Anzivino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Aging (Milan, Italy)     Volume:  7     ISSN:  0394-9532     ISO Abbreviation:  Aging (Milano)     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-08-10     Completed Date:  1995-08-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9102503     Medline TA:  Aging (Milano)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  29-34     Citation Subset:  IM    
Division of Geriatric Medicine, S. Orsola-Malpighi University Hospital, Bologna, Italy.
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MeSH Terms
Mental Disorders / diagnosis*
Psychological Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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