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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1987 Oct;50(10):1312–1317. doi: 10.1136/jnnp.50.10.1312

A comparative evaluation of the short orientation memory concentration test of cognitive impairment.

P Davous 1, Y Lamour 1, E Debrand 1, P Rondot 1
PMCID: PMC1032457  PMID: 3681309

Abstract

In order to assess the relative sensitivity and specificity of Katzman's short orientation memory concentration test (OMCT), 89 non demented patients and 44 patients affected by vascular or degenerative dementia were consecutively evaluated by three different mental status tests. The OMCT appeared equivalent to the Mini Mental State Examination in identifying dementia. Optimum sensitivity and specificity, respectively 88% and 94%, were achieved by a 10/11 cut-off score, giving a 11% false positive rate. Among patients with Alzheimer's disease, the OMCT score was correlated with mean values of a simple reaction time. It was also correlated with the Wechsler global MQ and the orientation, logical memory and paired associates items of the scale. There was no relationship between the OMCT score and the coloured Progressive Matrices IQ. The OMCT was reliable when given at 1 month interval. Serial evaluations did not show any significant practice effect.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anthony J. C., LeResche L., Niaz U., von Korff M. R., Folstein M. F. Limits of the 'Mini-Mental State' as a screening test for dementia and delirium among hospital patients. Psychol Med. 1982 May;12(2):397–408. doi: 10.1017/s0033291700046730. [DOI] [PubMed] [Google Scholar]
  2. Blessed G., Tomlinson B. E., Roth M. The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. Br J Psychiatry. 1968 Jul;114(512):797–811. doi: 10.1192/bjp.114.512.797. [DOI] [PubMed] [Google Scholar]
  3. Davous P., Lamour Y. Bethanechol decreases reaction time in senile dementia of the Alzheimer type. J Neurol Neurosurg Psychiatry. 1985 Dec;48(12):1297–1299. doi: 10.1136/jnnp.48.12.1297. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Dick J. P., Guiloff R. J., Stewart A., Blackstock J., Bielawska C., Paul E. A., Marsden C. D. Mini-mental state examination in neurological patients. J Neurol Neurosurg Psychiatry. 1984 May;47(5):496–499. doi: 10.1136/jnnp.47.5.496. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ferris S., Crook T., Sathananthan G., Gershon S. Reaction time as a diagnostic measure in senility. J Am Geriatr Soc. 1976 Dec;24(12):529–533. doi: 10.1111/j.1532-5415.1976.tb03277.x. [DOI] [PubMed] [Google Scholar]
  6. Fillenbaum G. G. Comparison of two brief tests of organic brain impairment, the MSQ and the short portable MSQ. J Am Geriatr Soc. 1980 Aug;28(8):381–384. doi: 10.1111/j.1532-5415.1980.tb01103.x. [DOI] [PubMed] [Google Scholar]
  7. Folstein M. F., Folstein S. E., McHugh P. R. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189–198. doi: 10.1016/0022-3956(75)90026-6. [DOI] [PubMed] [Google Scholar]
  8. Folstein M., Anthony J. C., Parhad I., Duffy B., Gruenberg E. M. The meaning of cognitive impairment in the elderly. J Am Geriatr Soc. 1985 Apr;33(4):228–235. doi: 10.1111/j.1532-5415.1985.tb07109.x. [DOI] [PubMed] [Google Scholar]
  9. KAHN R. L., GOLDFARB A. I., POLLACK M., PECK A. Brief objective measures for the determination of mental status in the aged. Am J Psychiatry. 1960 Oct;117:326–328. doi: 10.1176/ajp.117.4.326. [DOI] [PubMed] [Google Scholar]
  10. Katzman R., Brown T., Fuld P., Peck A., Schechter R., Schimmel H. Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. Am J Psychiatry. 1983 Jun;140(6):734–739. doi: 10.1176/ajp.140.6.734. [DOI] [PubMed] [Google Scholar]
  11. McKhann G., Drachman D., Folstein M., Katzman R., Price D., Stadlan E. M. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology. 1984 Jul;34(7):939–944. doi: 10.1212/wnl.34.7.939. [DOI] [PubMed] [Google Scholar]
  12. Rosen W. G. Clinical and neuropsychological assessment of Alzheimer disease. Adv Neurol. 1983;38:51–64. [PubMed] [Google Scholar]
  13. Thal L. J., Grundman M., Golden R. Alzheimer's disease: a correlational analysis of the Blessed Information-Memory-Concentration Test and the Mini-Mental State Exam. Neurology. 1986 Feb;36(2):262–264. doi: 10.1212/wnl.36.2.262. [DOI] [PubMed] [Google Scholar]

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