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Japanese versions of the Executive Interview (J-EXIT25) and the Executive Clock Drawing Task (J-CLOX) for older people

  • Teruyuki Matsuoka (a1), Yuka Kato (a1), Shogo Taniguchi (a1), Mayu Ogawa (a1), Hiroshi Fujimoto (a1), Aiko Okamura (a2), Keisuke Shibata (a3), Kaeko Nakamura (a1), Hiroyuki Uchida (a4), Shutaro Nakaaki (a4), Hiroyuki Koumi (a5), Masaru Mimura (a4), Kenji Fukui (a1) and Jin Narumoto (a1)...

Abstract

Background:

The aim of the study was to develop the Japanese versions of Executive Interview (J-EXIT25) and Executive Clock Drawing Task (J-CLOX) and to evaluate the aspects of executive function that these two tests will be examining.

Methods:

The concurrent validity and reliability of J-EXIT25 and J-CLOX were first examined in all participants (n = 201). Next, the relationship between the two tests was examined using receiver operating characteristic (ROC), correlation, and regression analyses in healthy participants (n = 45) and participants with mild cognitive impairment (n = 36) and dementia (n = 95).

Results:

Satisfactory concurrent validity and reliability of J-EXIT25 and J-CLOX were shown. ROC analysis indicated that J-EXIT25 and J-CLOX1 were superior to the Frontal Assessment Battery, but inferior to the Mini-Mental State Examination (MMSE), in discriminating between non-dementia and dementia. J-EXIT25, J-CLOX1, and J-CLOX2 scores were significantly correlated with age, scores on the MMSE, Instrumental Activities of Daily Living (IADL) and Physical Self-Maintenance Scale (PSMS), and care level. In stepwise regression analyses of IADL scores, MMSE and J-EXIT25 were significantly independent predictors in men, and MMSE, age, and J-CLOX1 were significantly independent predictors in women. J-EXIT25, MMSE, and J-CLOX1 were significantly independent predictors in stepwise regression analysis of PSMS scores, and J-EXIT25 was the only significantly independent predictor in stepwise regression analysis of care level.

Conclusions:

J-EXIT25 and J-CLOX are valid and reliable instruments for assessment of executive function in older people. The present results suggest that these tests have common and distinct psychometric properties in the assessment of executive function.

Copyright

Corresponding author

Correspondence should be addressed to: Dr. Teruyuki Matsuoka, Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan. Phone: +81-75-2515612; Fax: +81-75-2515839. Email: tmms2004@koto.kpu-m.ac.jp.

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Keywords

Japanese versions of the Executive Interview (J-EXIT25) and the Executive Clock Drawing Task (J-CLOX) for older people

  • Teruyuki Matsuoka (a1), Yuka Kato (a1), Shogo Taniguchi (a1), Mayu Ogawa (a1), Hiroshi Fujimoto (a1), Aiko Okamura (a2), Keisuke Shibata (a3), Kaeko Nakamura (a1), Hiroyuki Uchida (a4), Shutaro Nakaaki (a4), Hiroyuki Koumi (a5), Masaru Mimura (a4), Kenji Fukui (a1) and Jin Narumoto (a1)...

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