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A New Clinical Scale for the Staging of Dementia

Published online by Cambridge University Press:  29 January 2018

Charles P. Hughes
Affiliation:
Department of Neurology and Neurological Surgery (Neurology), Washington University School of Medicine, 660 S. Euclid Avenue, St Louis, Missouri 63110, USA
Leonard Berg
Affiliation:
Department of Neurology and Neurological Surgery (Neurology), Washington University School of Medicine, 660 S. Euclid Avenue, St Louis, Missouri 63110, USA
Warren Danziger
Affiliation:
Department of Neurology and Neurological Surgery (Neurology), Washington University School of Medicine, 660 S. Euclid Avenue, St Louis, Missouri 63110, USA
Lawrence A. Coben
Affiliation:
Department of Neurology and Neurological Surgery (Neurology), Washington University School of Medicine, 660 S. Euclid Avenue, St Louis, Missouri 63110, USA
Ronald L. Martin
Affiliation:
Department of Psychiatry, Washington University School of Medicine

Summary

Accurate clinical staging of dementia in older subjects has not previously been achieved despite the use of such methods as psychometric testing, behavioural rating, and various combinations of simpler psychometric and behavioural evaluations. The Clinical Dementia Rating (CRD), a global rating device, was developed for a prospective study of mild senile dementia—Alzheimer type (SDAT). Reliability, validity, and correlational data are discussed. The CDR was found to distinguish unambiguously among older subjects with a wide range of cognitive function, from healthy to severely impaired.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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References

Birren, J. E. (1964) The Psychology of Aging. Englewood Cliffs, New Jersey: Prentice Hall.Google Scholar
Blessed, G., Tomlinson, B. E. & Roth, M. (1968) The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. British Journal of Psychiatry, 114, 797811.CrossRefGoogle ScholarPubMed
Botwinick, J. (1978) Aging and Behavior. New York: Springer.Google Scholar
Carlen, P. L., Wilkinson, D. A., Wortzman, G., Holgate, R., Cordingley, J., Lee, M. A., Huszar, L., Moddel, G., Singh, R., Kiraly, L. & Rankin, J. G. (1981) Cerebral atrophy and functional deficits in alcoholics without clinically apparent liver disease. Neurology, 31, 377–85.CrossRefGoogle ScholarPubMed
Coblentz, J. M., Mattis, S., Zingesser, L. H., Kasoff, S., Wisniewski, H. M. & Katzman, R. (1973) Presenile dementia. Clinical aspects and evaluation of cerebrospinal fluid dynamics. Archives of Neurology, 29, 299308.CrossRefGoogle ScholarPubMed
Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Gourlay, A. J., Gurland, B. J., Fleiss, J. L. & Sharpe, L. (1976) A semi-structural clinical interview for the assessment of diagnosis and mental state in the elderly. The geriatric mental state schedule. I. Development and reliability. Psychological Medicine, 6, 439–49.CrossRefGoogle Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A. Jr., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Fink, M., Green, M. A. & Bender, M. B. (1952) The face-hand test as a diagnostic sign of organic mental syndrome. Neurology, 2, 4658.CrossRefGoogle ScholarPubMed
Fishback, D. B. (1977) Mental status questionnaire for organic brain syndrome with a new visual counting test. Journal of American Geriatric Society, 25, 167–70.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–98.CrossRefGoogle ScholarPubMed
Goodglass, H. & Kaplan, E. (1972) The Assessment of Aphasia and Related Disorders. Philadelphia: Lea and Febiger.Google Scholar
Hamilton, M. (1967) Development of a rating scale for primary depressive illness. British Journal Social and Clinical Psychology, 6, 278–96.CrossRefGoogle ScholarPubMed
Hare, M. (1978) Clinical check list for diagnosis of dementia. British Medical Journal, 2, 266–7.CrossRefGoogle ScholarPubMed
Hemsi, L. K., Whitehead, A. & Post, F. (1968) Cognitive functioning and cerebral arousal in elderly depressives and dements. Journal of Psychosomatic Research, 12, 145–56.CrossRefGoogle ScholarPubMed
Hersch, E. L. (1979) Development and application of the extended scale for dementia. Journal of American Geriatric Society, 27, 348–54.CrossRefGoogle ScholarPubMed
Hersch, E. L. Kral, V. A. & Palmer, R. B. (1978) Clinical value of the London Psychogeriatric Rating Scale. Journal of American Geriatric Society, 26, 348–54.CrossRefGoogle ScholarPubMed
Hollingshead, A. B. (1957) Two Factor Index of Social Position. New Haven.Google Scholar
Hughes, C. P. & Gado, M. H. (1981) Computerized tomography and aging of the brain. Radiology, 139, 391–6.CrossRefGoogle ScholarPubMed
Kahn, R. L., Goldfarb, A. I., Pollack, M. & Peck, A. (1960) Brief objective measures for the determination of mental status in the aged. American Journal of Psychiatry, 117, 326–8.CrossRefGoogle ScholarPubMed
Kral, V. A. (1962) Senescent forgetfulness: benign and malignant. Canadian Medical Association Journal, 86, 257–60.Google ScholarPubMed
Pfeiffer, E. (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of American Geriatric Society, 23, 433–41.CrossRefGoogle Scholar
Piercy, M. (1959) Testing for intellectual impairment—some comments on the tests and the testers. Journal of Mental Science, 105, 489–95.CrossRefGoogle Scholar
Roberts, M. A. & Caird, F. I. (1976) Computerized tomography and intellectual impairment in the elderly. Journal of Neurology, Neurosurgery and Psychiatry, 39, 986–9.CrossRefGoogle ScholarPubMed
Robinson, R. A. (1961) Some problems of clinical trials in elderly people. Gerontologia Clinica, 3, 247–57.CrossRefGoogle ScholarPubMed
Rosen, W. G., Terry, R. D., Fuld, P. A., Katzman, R. & Peck, A. (1980) Pathological verification of ischemic score in differentiation of dementias. Annals of Neurology, 7, 466–8.CrossRefGoogle ScholarPubMed
Roth, M. & Hopkins, B. (1953) Psychological test performance in patients over 60. I. Senile psychosis and the affective disorders of old age. Journal of Mental Science, 99, 439–50.CrossRefGoogle Scholar
Salzman, C., Kochansky, G. E. & Shader, R. I. (1972) Rating scales for geriatric psychopharmacology—a review. Psychopharmacology Bulletin, 8, 350.Google ScholarPubMed
Shader, R. I., Harmatz, J. S. & Salzman, C. (1974) A new scale for clinical assessment in geriatric populations: Sandoz Clinical Assessment—Geriatric (SCAG). Journal of American Geriatric Society, 22, 107–13.CrossRefGoogle ScholarPubMed
Shapiro, M. B., Post, F., Löfving, B. & Inglis, J. (1956) “Memory function” in psychiatric patients over 60. Some methodological and diagnostic implications. Journal of Mental Science, 102, 233–46.CrossRefGoogle Scholar
Wells, C. E. (1978) Chronic brain disease: an overview. American Journal of Psychiatry, 135, 112.Google ScholarPubMed
Zarit, S. H., Miller, N. E. & Kahn, R. L. (1978) Brain function, intellectual impairment and education in the aged. Journal of American Geriatric Society, 26, 5867.CrossRefGoogle ScholarPubMed
Complete copies of the Initial Subject Protocol will be furnished on request.Google Scholar
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