The Addenbrooke's Cognitive Examination (ACE) in the Differential Diagnosis of Early Dementias Versus Affective Disorder

Dudás, Róbert B.; Berríos, Germán E.; Hodges, John R.

doi:10.1097/00019442-200503000-00007

Cited by 88 publications

(57 citation statements)

References 20 publications

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“…Further to the original validation study, Dudas (2005) compared the ACE scores of patients who had cognitive impairment due to dementia and the ACE scores of patients who had cognitive impairment due to affective disorder. The results showed that the total ACE scores of the dementia groups were significantly lower (<88) compared to total ACE scores of the affective disorder group.…”

Section: The Addenbrooke's Cognitive Examination (Ace)mentioning

confidence: 99%

The validity of the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in acute stroke

Morris

Hacker

Lincoln

2011

Disability and Rehabilitation

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Section: The Addenbrooke's Cognitive Examination (Ace)mentioning

confidence: 99%

The validity of the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in acute stroke

Morris

Hacker

Lincoln

2011

Disability and Rehabilitation

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“…Driving impairments might be expected in various populations, as normal aging, clinical neurologic disease (namely, Alzheimer's Disease, Parkinson's Disease, Multiple Sclerosis, Stroke) and psychiatric conditions (namely, Major Depression, Schizophrenia) that affect a person's cognitive functioning and may impact driving ability (Marcotte and Scott, 2009). ACE-R research has examined these conditions (e.g., Alexopoulos et al, 2010;Dudas et al, 2005;Hamilton et al, 2009;Kwak et al, 2010;Mathew et al, 2011;Pendlebury et al, 2012;Reyes et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The Addenbrooke's Cognitive Examination Revised as a potential screening test for elderly drivers

Ferreira

Simões

Marôco

2012

Accident Analysis & Prevention

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a b s t r a c tConsiderable research has shown that neuropsychological tests are predictive of real-world driving ability. The Mini-Mental State Examination (MMSE) is a brief cognitive test that has been commonly used in the assessment of older drivers. However, this test has inherent problems that limit its validity to evaluate cognitive abilities related to driving and to screen for driving impairments in non-demented people. Therefore, it is useful to test new screening instruments that may predict potential unsafe drivers who require an in-depth neuropsychological assessment in a specialised centre. To date, the utility of the Addenbrooke's Cognitive Examination Revised (ACE-R) as an indicator of driving ability has not been established. In the current study, fifty older drivers (mean age = 73.1 years) who were referred for a psychological assessment, the protocol of which included the ACE-R, underwent an on-road driving test. Using linear discriminant analyses, the results highlighted the higher classification accuracy of the ACE-R compared to the MMSE score, particularly for detecting unsafe drivers. Measures of visuospatial and executive functions, which are not incorporated in the MMSE score, had an incremental value in the prediction of driving ability. This emerging brief cognitive test may warrant additional study for use in the fitness to drive assessment of older adults.

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“…ACE was also shown to distinguish between cognitive impairment due to major depression from that due to dementia. The former was characterized by mildly low total scores and low scores on memory and letter but not category fluency (Dudas et al, 2005). ACE and ACE-R are relatively newly developed cognitive screening tools.…”

Section: Addenbrooke's Cognitive Examination (Ace)mentioning

confidence: 99%

Brief cognitive screening instruments: an update

Ismail

Rajji

Shulman

2009

Int J Geriat Psychiatry

364

292

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Objective: To review the recent literature on cognitive screening with a focus on brief screening methods in primary care as well as geriatric services. Design: The Medline search engine was utilized using the keyword search terms 'cognitive screening', 'cognitive assessment', and 'dementia screening' limiting articles to those published in English since 1998. Results: 679 abstracts were retrieved. Articles focusing on attitudes toward cognitive screening, current screening practices, promising new instruments and more recent updates contributing significant information on established instruments were retrieved and incorporated into this review. Reference lists were reviewed for relevant contributing articles. Instruments recommended from previous reviews of cognitive screening and those identified in surveys as most frequently used in primary care and geriatric settings were emphasized in this review. Conclusions: Dementia remains under-diagnosed in the elderly population. Despite significant limitations, the Mini Mental State Exam remains the most frequently used cognitive screening instrument. Its best value in the community and primary care appears to be for the purpose of ruling out a diagnosis of dementia. Instruments such as the Mini-Cog, Memory Impairment Screen (MIS), and the General Practitioner Assessment of Cognition (GPCOG) have consistently been recognized for utility in primary care. The clock drawing test (CDT) and newer instruments such as the Montreal Cognitive Assessment (MoCA) and the Rowland Universal Dementia Assessment Scale (RUDAS) are gaining credibility due to improvements in sensitivity, addressing frontal/executive functioning, and decreasing susceptibility to cultural and educational biases.

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The Addenbrooke's Cognitive Examination (ACE) in the Differential Diagnosis of Early Dementias Versus Affective Disorder

Cited by 88 publications

References 20 publications

The validity of the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in acute stroke

The validity of the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in acute stroke

The Addenbrooke's Cognitive Examination Revised as a potential screening test for elderly drivers

Brief cognitive screening instruments: an update

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