Screening for dementia in Arabic: normative data from an elderly Lebanese sample

Abou-Mrad, Fadi; Chelune, Gordon J.; Zamrini, Edward; Tarabey, Lubna; Hayek, Maryse; Fadel, Patricia

doi:10.1080/13854046.2017.1288270

Cited by 22 publications

(17 citation statements)

References 27 publications

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“…It is unclear whether the inclusion of societal context variables (e.g., HIHD) could help reduce this heterogeneity and if so, whether it could be used as a correcting factor in multicultural and international collaborative studies. For example, several authors have used regression models to “correct” test scores for individual differences (i.e., age, education, sex; Cavaco et al, 2013a,b; Casaletto et al, 2016; Abou-Mrad et al, 2017; Alobaidy et al, 2017; Kirsebom et al, 2019). A similar correction approach may be adopted with the HIHD or other societal variables in future studies.…”

Section: Discussionmentioning

confidence: 99%

Origins Matter: Culture Impacts Cognitive Testing in Parkinson’s Disease

Statucka

Cohn

2019

Front. Hum. Neurosci.

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Cognitive decline is common in Parkinson’s disease (PD), and precise cognitive assessment is important for diagnosis, prognosis, and treatment. To date, there are no studies in PD investigating cultural bias on neuropsychological tests. Clinical practice in multicultural societies such as, Toronto Canada where nearly half of the population is comprised of first generation immigrants, presents important challenges as most neuropsychological tools were developed in Anglosphere cultures (e.g., USA, UK) and normed in more homogeneous groups. We examine total scores and rates of deficits on tests of visuoperceptual/visuospatial, attention, memory, and executive functions in Canadians with PD born in Anglosphere countries ( n = 248) vs. in Canadians with PD born in other regions (International group; n = 167). The International group shows lower scores and greater rates of deficits on all visuoperceptual and some executive function tasks, but not on attention or memory measures. These biases are not explained by demographic and clinical variables as groups were comparable. Age at immigration, years in Canada, and English proficiency also do not account for the observed biases. In contrast, group differences are strongly mediated by the Historical Index of Human Development of the participants’ country of birth, which reflects economic, health, and educational potential of a country at the time of birth. In sum, our findings demonstrate lasting biases on neuropsychological tests despite significant exposure to, and participation in, Canadian culture. These biases are most striking on visuoperceptual measures and non-verbal executive tasks which many clinicians still considered to be “culture-fair” despite the growing evidence from the field of cross-cultural neuropsychology to the contrary. Our findings also illustrate that socio-development context captures important aspects of culture that relate to cognition, and have important implications for clinical practice.

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Section: Discussionmentioning

confidence: 99%

Origins Matter: Culture Impacts Cognitive Testing in Parkinson’s Disease

Statucka

Cohn

2019

Front. Hum. Neurosci.

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“…It was surprising that none of the studies examined a cross-culturally and cross-linguistically applicable test, even though such a test has been developed, that is, the Cross-Linguistic Naming Test (Ardila, 2007). The Cross-Linguistic Naming Test has been studied in healthy non-Western populations from Morocco, Colombia, and Lebanon (Abou-Mrad et al, 2017;Galvez-Lara et al, 2015), as well as in Spanish patients with dementia (Galvez-Lara et al, 2015). These studies preliminarily support its cross-cultural applicability, although more research is needed in diverse populations with dementia.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations

Franzen

Berg

Goudsmit

et al. 2019

J Int Neuropsychol Soc

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Objective:Neuropsychological tests are important instruments to determine a cognitive profile, giving insight into the etiology of dementia; however, these tests cannot readily be used in culturally diverse, low-educated populations, due to their dependence upon (Western) culture, education, and literacy. In this review we aim to give an overview of studies investigating domain-specific cognitive tests used to assess dementia in non-Western, low-educated populations. The second aim was to examine the quality of these studies and of the adaptations for culturally, linguistically, and educationally diverse populations.Method:A systematic review was performed using six databases, without restrictions on the year or language of publication.Results:Forty-four studies were included, stemming mainly from Brazil, Hong Kong, Korea, and considering Hispanics/Latinos residing in the USA. Most studies focused on Alzheimer’s disease (n = 17) or unspecified dementia (n = 16). Memory (n = 18) was studied most often, using 14 different tests. The traditional Western tests in the domains of attention (n = 8) and construction (n = 15), were unsuitable for low-educated patients. There was little variety in instruments measuring executive functioning (two tests, n = 13), and language (n = 12, of which 10 were naming tests). Many studies did not report a thorough adaptation procedure (n = 39) or blinding procedures (n = 29).Conclusions:Various formats of memory tests seem suitable for low-educated, non-Western populations. Promising tasks in other cognitive domains are the Stick Design Test, Five Digit Test, and verbal fluency test. Further research is needed regarding cross-cultural instruments measuring executive functioning and language in low-educated people.

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“…Comprehensive psychometric tests were done for measuring global cognition using the Arabic form of the Mini-Mental State Examination (MMSE) [13,14]. The cognitive domains (attention/psychomotor speed, verbal memory, and visuospatial memory) were assessed by selective subtests of Wechsler Adult Intelligence Scale (WAIS-IV) "Digit span, Arithmetic, Digit symbol and Block design tests" in its Arabic form [15]. The Arabic form of the Short Form 36 questionnaire (SF-36) was used for quantitative assessment of health-related quality of life (HRQOL) [16,17].…”

Section: Methodsmentioning

confidence: 99%

Psychiatric disturbances in patients undergoing open-heart surgery

Younes

Amer

Fawzy

et al. 2019

Middle East Curr Psychiatry

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Background: Emotional and behavioral problems have been noted in a considerable number of patients after open-heart surgery. However, great discrepancy exists in the literature regarding the frequency and the course of psychiatric symptoms, cognitive performance, and quality of life among those patients. This prospective study was designed to assess the pre-and postoperative psychiatric profile, as well as the quality of life of patients undergoing open-heart surgery. Methods: One hundred patients who were prepared for cardiac surgery and met our selection criteria were recruited in this study. Each patient was subjected to the Hospital Anxiety and Depression Scale, the Mini-Mental State Examination with selective subtests of Wechsler Adult intelligence scale, and the Short Form 36 questionnaire to assess psychiatric symptoms, cognitive performance, and quality of life respectively. Assessment was done for each of the evaluated items before surgery as well as at 1 week and 6 months postoperatively. Results: The anxiety and depressive symptoms were significantly lower at 6 months postoperatively than preoperatively. The cognitive performance declined after 1 week, then improved significantly at the 6-month follow-up. The quality of life scale was significantly lower preoperatively than after surgery. Conclusions: Anxiety and depressive symptoms, which occurred in substantial percentage of patients undergoing open-heart surgery, were gradually improved with time. Cognitive functions showed early deterioration with significant improvement at 6 months. Psychiatric problems had an adverse impact on patients' quality of life which raised the importance of psychiatric consultation before and after cardiac surgeries to shorten recovery time.

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Screening for dementia in Arabic: normative data from an elderly Lebanese sample

Cited by 22 publications

References 27 publications

Origins Matter: Culture Impacts Cognitive Testing in Parkinson’s Disease

Origins Matter: Culture Impacts Cognitive Testing in Parkinson’s Disease

A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations

Psychiatric disturbances in patients undergoing open-heart surgery

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