378 Prevalence of Alzheimer's disease and other dementing disorders in Pilea, Greece

Tsolaki, Magda; Fountoulakis, Constantinos; Pavlopoulos, Ilias; Kazis, A.

doi:10.1016/s0197-4580(96)80380-0

Cited by 5 publications

(8 citation statements)

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“…The MMSE cut-point is 23/24 for the first age group and is 221 23 for the second one. This agrees with the experience gained internationally after years of using the MMSE (Strub & Black, 1989;Tombaugh & McIntyre, 1992), although different evaluations also exist (Uhlmann & Larson, 1991).…”

supporting

confidence: 88%

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Validation of the Epidemiological Dementia Index in Geriatric Outpatients

Fountoulakis

Tsolaki

Paulopoulos

et al. 2000

Int. Psychogeriatr.

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The aim of the current study was to test the properties of a scale especially developed for use in epidemiological surveys in low sociocultural populations, and to determine whether this scale can be used in a clinical population. Material and Methods: Two hundred fifty subjects took part; 150 were controls and 100 had dementia of various types according to DSM-IV and NINCDS-ADRDA criteria. Results: Cronbach's alpha was equal to .78. In the group of people under 75 years old, sensitivity did not exceed 90%. Specificity was over 90% at the level 4/5. The respective scores for the group of people over 74 were 6/7 and 3/4. Discussion: The Epidemiological Dementia Index seems to be less powerful when used in a clinical population. This provides further evidence that it is not suitable to use the same instruments in both epidemiological studies and clinical practice.

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supporting

confidence: 88%

“…During an epidemiological survey on dementia in the municipality of Pylaia, Greece, by our research group (Tsolaki et al, 1996b(Tsolaki et al, ,1999, 380 individuals aged over 70 years were screened. The MMSE and CAMCOG were applied.…”

mentioning

confidence: 99%

Validation of the Epidemiological Dementia Index in Geriatric Outpatients

Fountoulakis

Tsolaki

Paulopoulos

et al. 2000

Int. Psychogeriatr.

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“…14,15 Things get even more complicated when we review the epidemiological survey. 4 The MMSE had satisfactory specificity only below the level of 14/15, and the levels for satisfactory sensitivity and specificity for CAMCOG were 56/57 and 43/44, respectively. These results were probably due to the functional illiteracy of elderly people in Greece, the coexistence of mood disorders, and low levels of cooperation between the subject and the examiner.…”

Section: Assessment Scalesmentioning

confidence: 87%

“…It should be noted that the validity of neuropsychologic and psychometric assessment tests for populations that differ culturally or educationally from the United States (US) and United Kingdom (UK) is still an open question. This article summarizes and combines the results of six earlier studies conducted in Greece [1][2][3][4][5][6] to test this hypothesis. One of the authors of this study was a principal investigator in all the previous studies.…”

Section: Introductionmentioning

confidence: 95%

“…All these scales have been translated and validated in Greece [1][2][3] and used in everyday clinical practice and in one epidemiological survey. 4 Other commonly used scales developed for the same purpose are the Physical and Mental Impairmentof-Function Evaluation (PAMIE), 11 the Brief Cognitive Rating Scale (BCRS), 12 and the Short Test of Mental Status (STMS). 13 The MMSE is a valid test for the Greek elderly population, with the internationally accepted cut-off point of 23/24 confirmed for clinical populations.…”

Section: Assessment Scalesmentioning

confidence: 99%

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Special characteristics affecting the neuropsychologic assessment of the elderly in Greece

Fountoulakis

Kaprinis²,

Kaprinis

2002

Am J Alzheimers Dis Other Demen

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An important element in the diagnostic approach to psychogeriatric patients is the neuropsychologic assessment. Most instruments have been developed in the United States or the United Kingdom, but their appropriateness for culturally different populations is still an open question. Validation studies in Greece revealed certain difficulties both for the Mini-Mental State Examination and the Cambridge Cognitive Examination for the Elderly. These results were probably due to the functional illiteracy of elderly people in Greece, the coexistence of mood disorders, restricted access to news over past decades, and low levels of cooperation between the subject and the examiner The need for a more suitable diagnostic instrument for this kind of population led to the development of the Epidemiological Dementia Index. Data from developing countries support the possibility that research results from Europe and the United States are not directly applicable to the whole world; thus, the need for data from non-English speaking countries is evergrowing. Our understanding of psychogeriatric disorders in the developing world is like an iceberg: The larger portion is hidden because of the lack of relevant data.

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