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Cognitive test battery for evaluating elderly Chinese Americans

Published online by Cambridge University Press:  02 October 2018

Clara Li*
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Judith Neugroschl
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Carolyn W. Zhu
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA James J. Peters VA Medical Center, New York, NY, USA
Mari Umpierre
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Jane Martin
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Xiaoyi Zeng
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Qiying Huang
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Hillel Grossman
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA James J. Peters VA Medical Center, New York, NY, USA
Dongming Cai
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA James J. Peters VA Medical Center, New York, NY, USA
Mary Sano
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA James J. Peters VA Medical Center, New York, NY, USA
*
Correspondence should be addressed to: Clara Li, 1 Gustave L. Levy Place, Box 1230, New York, NY 10029, USA. Phone: 212-659-8786; Fax: 212-996-0987. Email: clara.li@mssm.edu.

Abstract

Objectives:

This study aimed to determine the diagnostic utility of a Chinese test battery for evaluating cognitive loss in elderly Chinese Americans.

Methods:

Data from a pilot study at the Mount Sinai Alzheimer’s Disease Research Center was examined. All participants were > 65 years old, primarily Chinese speaking, with adequate sensorimotor capacity to complete cognitive tests. A research diagnosis of normal mild cognitive impairment (MCI) or Alzheimer’s disease (AD) was assigned to each participant in consensus conference. Composite scores were created to summarize test performance on overall cognition, memory, attention executive function, and language. Multivariable logistic regression models were used to assess the sensitivity of each cognitive domain for discriminating three diagnostic categories. Adjustment was made for demographic variables (i. e., age, gender, education, primary language, and years living in the USA).

Results:

The sample included 67 normal, 37 MCI, and 12 AD participants. Performance in overall cognition, memory, and attention executive function was significantly worse in AD than in MCI, and performance in MCI was worse than in normal controls. Language performance followed a similar pattern, but differences did not achieve statistical significance among the three diagnostic groups.

Conclusions:

This study highlights the need for cognitive assessment in elderly Chinese immigrants.

Type
Original Research Article
Copyright
© International Psychogeriatric Association 2018 

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