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A short-form version of the Boston Naming Test for language screening in dementia in a bilingual rural community in Galicia (Spain)

Published online by Cambridge University Press:  03 September 2010

M. C. Nebreda ,
A. García-Caballero ,
E. Asensio ,
P. Revilla ,
M. Rodriguez-Girondo  and
R. Mateos
M. C. Nebreda*
Affiliation:
Complexo Hospitalario de Ourense, Rúa Ramón Puga 52–54, 32005 Ourense, Spain
A. García-Caballero
Affiliation:
Complexo Hospitalario de Ourense, Rúa Ramón Puga 52–54, 32005 Ourense, Spain
E. Asensio
Affiliation:
Complexo Hospitalario de Ourense, Rúa Ramón Puga 52–54, 32005 Ourense, Spain
P. Revilla
Affiliation:
Misión Biológica de Galicia (CSIC), Apartado 28, 36080 Pontevedra, Spain
M. Rodriguez-Girondo
Affiliation:
Complexo Hospitalario de Ourense, Rúa Ramón Puga 52–54, 32005 Ourense, Spain
R. Mateos
Affiliation:
Department of Psychiatry, School of Medicine, E-15782, Santiago de Compostela, Spain
*
Correspondence should be addressed to: Mr M. C. Nebreda, Rua do Cruceiro 17–7A, 36002 Pontevedra, Spain. Phone: +34 699863337. Email: [email protected].
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Abstract

Background: Aphasia, one of the core symptoms of cortical dementia, is routinely evaluated using graded naming tests like the Boston Naming Test (BNT). However, the application of this 60-item test is time-consuming and shortened versions have been devised for screening. The hypothesis of this research is that a specifically designed shortened version of the BNT could replace the original 60-item BNT as part of a mini-battery for screening for dementia. The objective of this study was to design a short version of the BNT for a rural population in Galicia (Spain).

Methods: A clinic group of 102 patients including 43 with dementia was recruited along with 78 healthy volunteers. The clinic and control groups were scored on the Spanish version of the Mini-mental State Examination (MMSE) and BNT. In addition, the clinic group was tested with standard neuropsychological instruments and underwent brain investigations and routine neurological examination. BNT items with specificity and sensitivity above 0.5 were selected to compose a short battery of 11 pictures named BNTOu11. ANOVA and mean comparisons were made for MMSE and BNT versions. Receiver operating characteristics (ROC) curves and internal consistency were calculated.

Results: Areas under ROC curves (AUC) did not show statistically significant differences; therefore BNTOu11's AUC (0.814) was similar to the 60-item BNT versions (0.785 and 0.779), to the short versions from Argentina (0.772) and Andalusia (0.799) and to the Spanish MMSE (0.866). BNTOu11 had higher internal consistency than the other short versions.

Conclusions: BNTOu11 is a useful and time-saving method as part of a battery for screening for dementia in a psychogeriatric outpatient unit.

Keywords

dementiagraded naming testsaphasiaMini-mental State Examinationrural populationbilinguallow education
Type
Research Article
Information
International Psychogeriatrics , Volume 23 , Issue 3 , April 2011 , pp. 435 - 441
Copyright
Copyright © International Psychogeriatric Association 2010

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