Validation of the European Cross-Cultural Neuropsychological Test Battery (CNTB) for the assessment of mild cognitive impairment due to Alzheimer's disease and Parkinson's disease.

Alzheimer's disease Parkinson's disease cognitive assessment cross-cultural neuropsychology mild cognitive impairment

Journal

Frontiers in aging neuroscience
ISSN: 1663-4365
Titre abrégé: Front Aging Neurosci
Pays: Switzerland
ID NLM: 101525824

Informations de publication

Date de publication:
2023
Historique:
received: 29 12 2022
accepted: 10 04 2023
medline: 22 5 2023
pubmed: 22 5 2023
entrez: 22 5 2023
Statut: epublish

Résumé

The Cross-Cultural Neuropsychological Test Battery (CNTB) is a novel test battery specifically designed to reduce the impact of multiculturality in cognitive assessment. We aimed to validate the CNTB in Spaniards in patients with Alzheimer's disease (AD), including patients at mild cognitive impairment (MCI) and mild dementia stages, and Parkinson's disease with MCI (PD-MCI). Thirty patients with AD-MCI, 30 with AD-dementia (AD-D), and 30 with PD-MCI were recruited. Each clinical group was compared against a healthy control group (HC) with no differences in sex, age, or years of education. Intergroup comparisons, ROC analysis, and cut-off scores were calculated. AD-MCI scored lower than HC in those subtests associated with episodic memory and verbal fluency. AD-D also showed lower scores in executive functions and visuospatial tests. Effect sizes for all the subtests were large. PD-MCI showed lower performance than HC in memory and executive functions, particularly on error scores, with large effect sizes. Comparing AD-MCI and PD-MCI, AD-MCI had lower memory scores, while PD-MCI showed the worst performance in executive functions. CNTB showed appropriate convergent validity with standardized neuropsychological tests measuring the same cognitive domains. We obtained similar cut-off scores to previous studies performed in other populations. The CNTB showed appropriate diagnostic properties in AD and PD, including those stages with mild cognitive impairment. This supports the utility of the CNTB for the early detection of cognitive impairment in AD and PD.

Sections du résumé

Background UNASSIGNED
The Cross-Cultural Neuropsychological Test Battery (CNTB) is a novel test battery specifically designed to reduce the impact of multiculturality in cognitive assessment.
Objective UNASSIGNED
We aimed to validate the CNTB in Spaniards in patients with Alzheimer's disease (AD), including patients at mild cognitive impairment (MCI) and mild dementia stages, and Parkinson's disease with MCI (PD-MCI).
Methods UNASSIGNED
Thirty patients with AD-MCI, 30 with AD-dementia (AD-D), and 30 with PD-MCI were recruited. Each clinical group was compared against a healthy control group (HC) with no differences in sex, age, or years of education. Intergroup comparisons, ROC analysis, and cut-off scores were calculated.
Results UNASSIGNED
AD-MCI scored lower than HC in those subtests associated with episodic memory and verbal fluency. AD-D also showed lower scores in executive functions and visuospatial tests. Effect sizes for all the subtests were large. PD-MCI showed lower performance than HC in memory and executive functions, particularly on error scores, with large effect sizes. Comparing AD-MCI and PD-MCI, AD-MCI had lower memory scores, while PD-MCI showed the worst performance in executive functions. CNTB showed appropriate convergent validity with standardized neuropsychological tests measuring the same cognitive domains. We obtained similar cut-off scores to previous studies performed in other populations.
Conclusions UNASSIGNED
The CNTB showed appropriate diagnostic properties in AD and PD, including those stages with mild cognitive impairment. This supports the utility of the CNTB for the early detection of cognitive impairment in AD and PD.

Identifiants

pubmed: 37213535
doi: 10.3389/fnagi.2023.1134111
pmc: PMC10196233
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1134111

Informations de copyright

Copyright © 2023 Delgado-Álvarez, Nielsen, Delgado-Alonso, Valles-Salgado, López-Carbonero, García-Ramos, Gil-Moreno, Díez-Cirarda, Matías-Guiu and Matias-Guiu.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Arch Clin Neuropsychol. 2021 Jul 19;36(5):815-830
pubmed: 33043958
Neurology. 2005 Oct 25;65(8):1239-45
pubmed: 16247051
Eur J Neurol. 2023 Mar;30(3):578-586
pubmed: 36380695
Neurology. 1967 May;17(5):427-42
pubmed: 6067254
Neurotherapeutics. 2022 Jan;19(1):26-54
pubmed: 35347644
Neuropsychologia. 2009 Oct;47(12):2464-9
pubmed: 19409401
J Clin Exp Neuropsychol. 2017 Mar;39(2):163-172
pubmed: 27501011
Front Aging Neurosci. 2022 Aug 23;14:963751
pubmed: 36081891
Neurologia. 2005 Oct;20(8):395-401
pubmed: 16217688
J Int Neuropsychol Soc. 2022 Oct;28(9):947-962
pubmed: 34569460
Neurology. 2003 Nov 11;61(9):1222-8
pubmed: 14610124
Arch Clin Neuropsychol. 2019 Jul 26;34(5):713-720
pubmed: 30272111
J Neuropsychol. 2013 Sep;7(2):193-224
pubmed: 24007368
Int Psychogeriatr. 2014 Apr;26(4):555-63
pubmed: 24423470
Int J Geriatr Psychiatry. 2019 Jul;34(7):982-989
pubmed: 30901493
Braz J Psychiatry. 2020;42(3):286-294
pubmed: 32130401
J Alzheimers Dis. 2015;49(3):617-31
pubmed: 26484931
Eur J Neurol. 2023 Apr;30(4):799-801
pubmed: 36445003
Arch Clin Neuropsychol. 2009 Jun;24(4):307-19
pubmed: 19549723
Alzheimers Dement. 2011 May;7(3):270-9
pubmed: 21514249
Int J Geriatr Psychiatry. 2019 Nov;34(11):1724-1733
pubmed: 31389089
Int Psychogeriatr. 2004 Mar;16(1):13-31
pubmed: 15190994
J Clin Exp Neuropsychol. 2001 Jun;23(3):399-406
pubmed: 11419453
Clin Neuropsychol. 2022 Apr;36(3):546-557
pubmed: 34612169
Nat Rev Dis Primers. 2017 Mar 23;3:17013
pubmed: 28332488
J Alzheimers Dis. 2023;91(2):705-717
pubmed: 36502332
Arch Clin Neuropsychol. 2021 Apr 21;36(3):381-393
pubmed: 31942602
Int J Geriatr Psychiatry. 2019 Jan;34(1):144-152
pubmed: 30246268
Q J Exp Psychol (Hove). 2011 Mar;64(3):447-66
pubmed: 20839136
Ageing Res Rev. 2015 Sep;23(Pt B):183-92
pubmed: 26169474
J Psychiatr Res. 1982-1983;17(1):37-49
pubmed: 7183759
Int Psychogeriatr. 1998 Sep;10(3):261-70
pubmed: 9785147
Cold Spring Harb Perspect Med. 2012 Aug 01;2(8):
pubmed: 22908189
Clin Neuropsychol. 2018 Nov;32(8):1411-1430
pubmed: 29364089
Cortex. 2019 Apr;113:191-209
pubmed: 30660957
Mov Disord. 2012 Mar;27(3):349-56
pubmed: 22275317

Auteurs

Alfonso Delgado-Álvarez (A)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.
Faculty of Psychology, Universidad Autónoma de Madrid, Madrid, Spain.

Thomas Rune Nielsen (TR)

Department of Neurology, Danish Dementia Research Centre, University of Copenhagen-Rigshospitalet, Copenhagen, Denmark.

Cristina Delgado-Alonso (C)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

María Valles-Salgado (M)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

Juan I López-Carbonero (JI)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

Rocío García-Ramos (R)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

María José Gil-Moreno (MJ)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

María Díez-Cirarda (M)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

Jorge Matías-Guiu (J)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

Jordi A Matias-Guiu (JA)

Department of Neurology, Hospital Clinico San Carlos, San Carlos Institute for Health Research (IdISSC), Universidad Complutense, Madrid, Spain.

Classifications MeSH