The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): a review

Background and aims: The IQCODE is widely used as a screening test for dementia, particularly where the subject is unable to undergo direct cognitive testing or for screening in populations with low levels of education and literacy. This review draws together research on the psychometric properties...

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Veröffentlicht in:International psychogeriatrics 2004-09, Vol.16 (3), p.275-293
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description Background and aims: The IQCODE is widely used as a screening test for dementia, particularly where the subject is unable to undergo direct cognitive testing or for screening in populations with low levels of education and literacy. This review draws together research on the psychometric properties and validity of the IQCODE. Method: A systematic search of the literature was carried out using three databases. Results: The review shows that the questionnaire has high reliability and measures a single general factor of cognitive decline. It validly reflects past cognitive decline, performs at least as well at screening as conventional cognitive screening tests, predicts incident dementia, and correlates with a wide range of cognitive tests. A particular strength is that the IQCODE is relatively unaffected by education and pre-morbid ability or by proficiency in the culture's dominant language. The disadvantage of the IQCODE is that it is affected by informant characteristics such as depression and anxiety in the informant and the quality of the relationship between the informant and the subject. Conclusions: Because the IQCODE provides information complementary to brief cognitive tests, harnessing them together can improve screening accuracy.
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source MEDLINE; Cambridge Journals; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Aged
Biological and medical sciences
Cognition Disorders - diagnosis
cognitive decline
Dementia
Dementia - diagnosis
Humans
informant
Mass Screening - methods
Medical sciences
Neuropsychological Tests
Older people
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Reproducibility of Results
screening
Surveys and Questionnaires
Techniques and methods
title The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): a review
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