Validation of the Korean Version of Cambridge Cognitive Examination-Revised(CAMCOG-R) to Assist Dementia Diagnosis.
- Author:
Guk Hee SUH
;
Seong Tae HEO
- Publication Type:Original Article
- Keywords:
CAMCOG-R;
Korea;
Demetia;
MCI;
Sensitivity;
Specificity;
Cutoff;
MMSE
- MeSH:
Dementia*;
Diagnosis*;
Diagnostic and Statistical Manual of Mental Disorders;
Education;
Korea;
Psychometrics;
Reproducibility of Results;
Sensitivity and Specificity
- From:Journal of the Korean Geriatrics Society
2003;7(1):23-36
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The present study aims to examine the reliability and validity of a Korean version of the CAMCOG-R(CAMCOG-RK) in a clinical setting and an institution, that have been widely used to detect early dementia. METHODS: Study participants included 243 dementia sufferers, 68 mild cognitive impairment(MCI) suffers and 354 non-demented subjects. DSM-IV clinical criteria for dementia and Petersen's criteria for MCI were used as the 'gold' standards. The CAMCOG-R was translated into Korean and then back to English. Six items needed modifications for local usage. RESULTS: Interrater and test-retest scores calculated as intraclass correlation coefficients showed excel- lent for total score and all subscale scores of CAMCOG-RK. A strong concurrent validity was found with the MMSE-K score(r=0.82, p<0.01). Examination of the association between CAMCOG-R scores and socio- demographic variables(age, sex, and education) shows that age and education exerts a significant, and independent, effect upon performance. The eight age and education-specific cutoff point for dementia and MCI provided excellent sensitivity and specificity mostly more than 90%. CONCLUSION: The CAMCOG-RK was found to be an appropriate instrument to discriminate between demented and non-demented individuals and between individuals with MCI and without MCI in a clinical setting. Further studies should examine the psychometric characteristics of the CAMCOG-RK in a more varied sample.