Expanded Normative Data for the Mattis Dementia Rating Scale for Use with Urban, Elderly Medical Patients

Bank, Adam L.; Yochim, Brian P.; MacNeill, Susan E.; Lichtenberg, Peter A.

doi:10.1076/1385-4046(200005)14:2;1-z;ft149

Cited by 34 publications

(30 citation statements)

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“…The results found in this study confirm the influence of the variables age and schooling in the DRS 12,20,24,25 . The Conceptualization subscale, which contains tasks related to abstraction and semantic memory, showed sensitivity both to the variables age and schooling.…”

Section: Discussionsupporting

confidence: 74%

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Brazilian version of the Mattis dementia rating scale: diagnosis of mild dementia in Alzheimer's disease

Porto

Fichman

Caramelli

et al. 2003

Arq. Neuro-Psiquiatr.

118

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-Objectives: To verify the diagnostic accuracy of the Brazilian version of the Mattis Dementia Rating Scale (DRS) in the diagnosis of patients with mild dementia in Alzheimer's disease (AD); to verify the interference of the variables age and schooling on the performance of the DRS. Method: The DRS was administered to 41 patients with mild AD and to 60 controls. In order to analyze the effects of age and schooling on the performance of the tests, patients and controls were separated into three age groups and three levels of schooling. Results: The cutoff score of 122 showed a sensitivity of 91.7 % and specificity of 87.8 %. Age and schooling interfered in the DRS total score and in the scores of its subscales. Conclusion: The DRS showed good diagnostic accuracy in the discrimination of patients with mild AD from the control individuals. In the sample examined, the effects of schooling were more marked than age.KEY WORDS: Alzheimer's disease, dementia, neuropsychological assessment, education.

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Section: Discussionsupporting

confidence: 74%

“…Thus, the data derived from these studies are not considered representative, which has led researchers to validate the scale in specific populations 12,22,23 . Recent studies have shown the influence of age and schooling on performance in the DRS, suggesting that a single cutoff score is not appropriate for all groups of elderly people 20,[23][24][25] .…”

mentioning

confidence: 99%

Brazilian version of the Mattis dementia rating scale: diagnosis of mild dementia in Alzheimer's disease

Porto

Fichman

Caramelli

et al. 2003

Arq. Neuro-Psiquiatr.

118

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“…A metodologia empregada deveria tentar isolar a variável escolaridade da variável idade e de gênero, que interferem nas avaliações neuropsicológicas. Na análise dessas variáveis, mesmo estando ciente da influência do envelhecimento sobre a MDRS 11,[14][15][16] , verificou-se que a idade não representou correlação significativa em relação aos resultados da escala, o que pode ser devido à estreita faixa etária estudada, 64 aos 77 anos, que, talvez, não tenha apresentado uma variação suficiente para mostrar associação com o desempenho da escala.…”

Section: Discussionunclassified

“…Entretanto, deve-se considerar que, na população brasileira, há número maior de mulheres analfabetas que o de homens; portanto, a diferença encontrada, também, pode r e l a c i o n a r-se com variáveis sociais e culturais. Ainda quanto ao gênero, na MDRS, os resultados ainda não alcançaram um consenso sobre sua influência no desempenho dessa escala 15,16,19 .…”

Section: Discussionunclassified

“…Além disso, os grupos com maiores escolaridades apresentaram desempenhos superiores aos com menos escolaridade (Gráfico 1). Portanto,o escore total, que representa o comprometimento cognitivo apresentado ou a gravidade do quadro demencial, esteve para os analfabetos abaixo das notas de corte apresentadas na literatura 11,13,14,16,[26][27][28] , o que coincide com estudos realizados com outras escalas, como o MEEM 9 e a Adas-cog 29 dentre outras 30,31 .…”

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Influência da escolaridade na avaliação neuropsicológica de idosos: aplicação e análise dos resultados da Escala de Mattis para Avaliação de Demência (Mattis Dementia Rating Scale - MDRS)

Foss

Vale

Speciali

2005

Arq. Neuro-Psiquiatr.

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RESUMO: O b j e t i v o:Estimar a influência da baixa escolaridade e do analfabetismo na avaliação das demências através da aplicação da Escala de Mattis para Avaliação de Demência (MDRS). Método: Aplicouse a MDRS em 62 idosos normais (64-77 anos), divididos em cinco grupos, segundo a escolaridade: 15-16 anos, 11-12 anos, 8-9 anos, 4 anos, analfabetos. A MDRS abrange o estudo de 36 itens distribuídos em cinco subescalas, sendo que a soma pode representar o grau de comprometimento cognitivo. R e s u l t a d o s: Observou-se diferença significativa (p<0,05) na escala, no desempenho entre os grupos quanto a escolaridade, em 12 dos itens, nas cinco subescalas ( analfabetos< os demais grupos e os de 15-16 anos> que os de 4 e/ou 8 anos de escolaridade, p≤0,001)e no total de pontos da MDRS (analfabetos 4 and 8 years of schooling, p≤0.001) and the total MDRS score (illiterates< all others and 4 and 8 years < 15-16 years, p <0.001). No significant correlations where found for age and, regarding gender, the differences were significant in only one item Conclusion: Education interfered with individual performance on the MDRS. Illiteracy is a determinant factor of lower MDRS scores that could generate diagnostic errors.

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Assessment of Neuropsychological Functioning

Podell

Barrett

McCullen

et al. 2003

Handbook of Psychology

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Neuropsychology, like most other subspecialties in psychology, has undergone extensive and rapid changes and development over the past few decades. This has been particularly the case for neuropsychology within the past several years, as the 1990s were designated as the decade of the brain. Neuropsychology has been shaped by both economic pressures and changes and technological developments. These alterations in the field have lead to the development of new clinical avenues, technological progress, clinical and theoretical breakthroughs, and fundamental changes in the practice and teaching of neuropsychology. This chapter will explore these changes and developments focusing on both clinical and experimental areas, as well as offer some insight and advice regarding how these changes are affecting the field today. The chapter starts with a brief historical perspective, and then discusses the exciting and popular new clinical areas of sports‐related concussion and forensic neuropsychology. This is followed by a discussion of recent developments and issues in neuropsychological assessment and how advances in psychometric properties have improved neuropsychological assessment techniques. The final section discusses recent advances in experimental neuropsychology, mainly its role in fMRI research and transcranial magnetic stimulation, followed by an overview and ideas about the future direction of neuropsychology.

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Expanded Normative Data for the Mattis Dementia Rating Scale for Use with Urban, Elderly Medical Patients

Cited by 34 publications

References 0 publications

Brazilian version of the Mattis dementia rating scale: diagnosis of mild dementia in Alzheimer's disease

Brazilian version of the Mattis dementia rating scale: diagnosis of mild dementia in Alzheimer's disease

Influência da escolaridade na avaliação neuropsicológica de idosos: aplicação e análise dos resultados da Escala de Mattis para Avaliação de Demência (Mattis Dementia Rating Scale - MDRS)

Assessment of Neuropsychological Functioning

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