Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-23T17:37:47.587Z Has data issue: false hasContentIssue false

Criterion-referenced validity of a neuropsychological test battery: Equivalent performance in elderly Hispanics and Non-Hispanic Whites

Published online by Cambridge University Press:  26 August 2005

DAN MUNGAS
Affiliation:
Department of Neurology, School of Medicine, University of California, Davis, California Veterans Administration Northern California Health Care System, Martinez, California
BRUCE R. REED
Affiliation:
Department of Neurology, School of Medicine, University of California, Davis, California Veterans Administration Northern California Health Care System, Martinez, California
SARAH TOMASZEWSKI FARIAS
Affiliation:
Department of Neurology, School of Medicine, University of California, Davis, California
CHARLES DECARLI
Affiliation:
Department of Neurology, School of Medicine, University of California, Davis, California Veterans Administration Northern California Health Care System, Martinez, California

Abstract

This study examined the validity of the Spanish and English Neuropsychological Assessment Scales (SENAS) in comparison with clinical diagnosis of normal cognition versus cognitive impairment, not demented (CIND) versus demented in elderly Hispanics and Whites. Relationships between SENAS scales and diagnosis were essentially the same in Hispanics and Whites. Verbal memory measures were most strongly related, with more than 35% of the variance in these measures accounted for by diagnosis independent of effects of education, age, gender, and language. Diagnosis accounted for more than 10% of the variance (19% on average) in 11 of the 17 measures examined in this study. Logistic regressions showed that verbal memory was important both for distinguishing normal from CIND and CIND from demented. Object naming improved discrimination of CIND from demented beyond that of verbal memory alone. These results provide evidence of equivalent validity across Hispanics and Whites. (JINS, 2005, 11, 620–630.)

Type
Research Article
Copyright
© 2005 The International Neuropsychological Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

American Academy of Neurology Therapeutics and Technology Assessment Subcommittee. (1996). Assessment: Neuropsychological testing of adults. Considerations for neurologists. Neurology, 47, 592599.Google Scholar
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (Rev. 3rd ed.). Washington, DC: Author.
Arnold, B.R., Cuellar, I., & Guzman, N. (1998). Statistical and clinical evaluation of the Mattis Dementia Rating Scale–Spanish adaptation: An initial investigation. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53, P364369.Google Scholar
Blessed, G.T., Roth, B.E., & Tomlinson, M. (1968). The association between quantitative measures of dementia and of senile changes in the cerebral grey matter of elderly subjects. British Journal of Psychiatry, 114, 797811.Google Scholar
Blessed, G., Tomlinson, B.E., & Roth, M. (1988). Blessed-Roth Dementia Scale (DS). Psychopharmacology Bulletin, 24, 705708.Google Scholar
Campo, P., Morales, M., & Martinez-Castillo, E. (2003). Discrimination of normal from demented elderly on a Spanish version of the verbal selective reminding test. Journal of Clinical and Experimental Neuropsychology, 25, 991999.Google Scholar
Chui, H.C., Victoroff, J.I., Margolin, D., Jagust, W., Shankle, R., & Katzman, R. (1992). Criteria for the diagnosis of ischemic vascular dementia proposed by the state of California Alzheimer's disease diagnostic and treatment centers. Neurology, 42, 473480.Google Scholar
De Jager, C.A., Hogervorst, E., Combrinck, M., & Budge, M.M. (2003). Sensitivity and specificity of neuropsychological tests for mild cognitive impairment, vascular cognitive impairment and Alzheimer's disease. Psychological Medicine, 33, 10391050.Google Scholar
Di Carlo, A., Baldereschi, M.L.A., Maggi, S., Grigeletto, F., Scarlato, G., et al. (2000). Cognitive impairment without dementia in older people: Prevalence, vascular risk factors, impact on disability. The Italian longitudinal study on aging. Journal of American Geriatric Society, 48, 775782.Google Scholar
Fillenbaum, G.G., Heyman, A., Huber, M.S., Ganguli, M., & Unverzagt, F.W. (2001). Performance of elderly African American and White community residents on the CERAD Neuropsychological Battery. Journal of the International Neuropsychological Society, 7, 502509.Google Scholar
Folstein, M., Folstein, S., & McHugh, P.R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.CrossRefGoogle Scholar
Gasquoine, P.G. (1999). Variables moderating cultural and ethnic differences in neuropsychological assessment: The case of Hispanic Americans. Clinical Neuropsychology, 13, 376383.Google Scholar
Graham, J.E., Rockwood, K., Beattie, B.L., Eastwood, R., Gauthier, S., Tuokko, H., et al. (1997). Prevalence and severity of cognitive impairment with and without dementia in an elderly population. Lancet, 349, 17931796.Google Scholar
Hambleton, R.K. & Swaminathan, H. (1985). Item response theory. Principles and applications. Boston: Kluwer-Nijhoff Publishing.
Hambleton, R.K., Swaminathan, H., & Rogers, H.J. (1991). Fundamentals of item response theory. Newbury Park, CA: Sage Publications.
Hohl, U., Grundman, M., Salmon, D.P., Thomas, R.G., & Thal, L.J. (1999). Mini-mental state examination and Mattis Dementia Rating Scale performance differs in Hispanic and non-Hispanic Alzheimer's disease patients. Journal of the International Neuropsychological Society, 5, 301307.Google Scholar
Kaplan, E., Goodglass, H., & Weintraub, S. (1983). Boston Naming Test (Rev. 60-item version). Philadelphia: Lea & Febiger.
La Rue, A., Romero, L.J., Ortiz, I.E., Liang, H.C., & Lindeman, R.D. (1999). Neuropsychological performance of Hispanic and non-Hispanic older adults: An epidemiologic survey. Clinical Neuropsychologist, 13, 474486.Google Scholar
Loewenstein, D.A., Arguelles, T., Barker, W.W., & Duara, R. (1993). A comparative analysis of neuropsychological test performance of Spanish-speaking and English-speaking patients with Alzheimer's disease. Journal of Gerontology: Psychological Science, 48, P142P149.Google Scholar
Manly, J.J., Jacobs, D.M., Sano, M., Bell, K., Merchant, C.A., Small, S.A., et al. (1998). Cognitive test performance among nondemented elderly African Americans and whites. Neurology, 50, 12381245.Google Scholar
Mattis, S. (1988). Dementia Rating Scale. Odessa, FL: Psychological Assessment Resources.
Mulgrew, C.L., Morgenstern, N., Shetterly, S.M., Baxter, J., Baron, A.E., & Hamman, R.F. (1999). Cognitive functioning and impairment among rural elderly Hispanics and non-Hispanic whites as assessed by the mini-mental state examination. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 54, P223P230.Google Scholar
Mungas, D., Reed, B.R., Crane, P.K., Haan, M.N., & González, H. (2004). Spanish and English Neuropsychological Assessment Scales (SENAS): Further development and psychometric characteristics. Psychological Assessment, 16, 347359.Google Scholar
Mungas, D., Reed, B.R., Haan, M.N., & González, H. (in press). Spanish and English Neuropsychological Assessment Scales (SENAS): Relationship to demographics, language, cognition, and independent function. Neuropsychology.
Mungas, D., Reed, B.R., Marshall, S.C., & González, H.M. (2000). Development of psychometrically matched English and Spanish neuropsychological tests for older persons. Neuropsychology, 14, 209223.Google Scholar
Petersen, R.C., Stevens, J.C., Ganguli, M., Tangalos, E.G., Cummings, J.L., & DeKosky, S.T. (2001). Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review). Report of the quality standards subcommittee of the American Academy of Neurology. Neurology, 56, 11331142.Google Scholar
Ramírez, M., Teresi, J.E., Silver, S., Holmes, D., Gurland, B., & Lantigua, R. (2001). Cognitive assessment among minority elderly: Possible test bias. Journal of Mental Health and Aging, 7, 91118.Google Scholar
Rey, G.J., Feldman, E., Rivas-Vazquez, R., Levin, B.E., & Benton, A. (1999). Neuropsychological test development and normative data on Hispanics. Archives of Clinical Neuropsychology, 14, 593601.Google Scholar
Stern, Y., Andrews, H., Pittman, J., Sano, M., Tatemichi, T., Lantigua, R., et al. (1992). Diagnosis of dementia in a heterogeneous population: Development of a neuropsychological paradigm-based diagnosis of dementia and quantified correction for the effects of education. Archives of Neurology, 49, 453460.Google Scholar
Taussig, I.M., Mack, W.J., & Henderson, V.W. (1996). Concurrent validity of Spanish-language versions of the mini-mental state examination, mental status questionnaire, information-memory-concentration test, and orientation-memory-concentration test: Alzheimer's disease patients and nondemented elderly comparison subjects. Journal of the International Neuropsychological Society, 2, 286298.Google Scholar
Testa, J.A., Ivnik, R.J., Boeve, B., Petersen, R.C., Pankratz, V.S., Knopman, D., Tangalos, E., & Smith, G.E. (2004). Confrontation naming does not add incremental diagnostic utility in MCI and Alzheimer's disease. Journal of the International Neuropsychological Society, 10, 504512.Google Scholar
Unverzagt, F.W., Gao, S., Baiyewu, O., Ogunniyi, A.O., Gureje, O., Perkins, A., et al. (2001). Prevalence of cognitive impairment: Data from the Indianapolis study of health and aging. Neurology, 57, 16551662.Google Scholar
Wechsler, D. (1981). Wechsler Adult Intelligence Scale–Revised. San Antonio, TX: The Psychological Corporation.
Welsh, K.A., Butters, N., Hughes, J., Mohs, R., & Heyman, A. (1992). Detection and staging of dementia in Alzheimer's disease: Use of neuropsychological measures developed for the consortium to establish a registry for Alzheimer's disease (CERAD). Archives of Neurology, 49, 448452.Google Scholar
Welsh, K.A., Butters, N., Mohs, R.C., Beekly, B., Edland, S., Fillenbaum, G., et al. (1994). The consortium to establish a registry for Alzheimer's disease (CERAD). Part V. A normative study of the neuropsychological battery. Neurology, 44, 609614.Google Scholar