Smell test predicts performance on delayed recall memory test in elderly with depression

Introduction Elderly with depression are at increased risk for cognitive dysfunction and dementia. Smell tests are correlated with performance on cognitive tests in the elderly and therefore might serve as a screening test for cognitive impairment in depressed elderly. Purpose To assess the validity...

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Veröffentlicht in:International journal of geriatric psychiatry 2009-04, Vol.24 (4), p.376-381
Hauptverfasser: Scalco, Monica Z., Streiner, David L., Rewilak, Dmytro, Castel, Saulo, Van Reekum, Robert
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container_end_page 381
container_issue 4
container_start_page 376
container_title International journal of geriatric psychiatry
container_volume 24
creator Scalco, Monica Z.
Streiner, David L.
Rewilak, Dmytro
Castel, Saulo
Van Reekum, Robert
description Introduction Elderly with depression are at increased risk for cognitive dysfunction and dementia. Smell tests are correlated with performance on cognitive tests in the elderly and therefore might serve as a screening test for cognitive impairment in depressed elderly. Purpose To assess the validity of the CC‐SIT (Cross‐Cultural Smell Identification Test) as a screening test for cognitive impairment in elderly with depression. Methods Forty‐one patients, aged 60 and over, were assessed with the CC‐SIT and CVLT (California Verbal Learning Test) after 3 months treatment of a Major Depressive Episode (DSM‐IV) at the Day Hospital for Depression, Baycrest. Patients already diagnosed with dementia, or other psychiatric and neurological disorders, were excluded. Receiver Operating Characteristics (ROC) analysis was applied to assess the CC‐SIT's accuracy in identifying individuals with impairment (2 SD below the mean for age and education or less) on CVLT delayed recall trials. Results Forty‐one patients (33 women and eight men) were assessed. Mean age was 76.8 (SD: 6.5), mean HRSD scores before treatment was 22.0 (SD: 5.1). Nine patients had impairment on CVLT delayed recall measures. The area under the ROC curve was 0.776 (95% CI = 0.617–0.936). Conclusions Our results support the use of the CC‐SIT as a screening tool for cognitive impairment among elderly with depression as an indicator for the need of a comprehensive neuropsychological evaluation. Replication with larger samples is necessary. Copyright © 2008 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/gps.2132
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Smell tests are correlated with performance on cognitive tests in the elderly and therefore might serve as a screening test for cognitive impairment in depressed elderly. Purpose To assess the validity of the CC‐SIT (Cross‐Cultural Smell Identification Test) as a screening test for cognitive impairment in elderly with depression. Methods Forty‐one patients, aged 60 and over, were assessed with the CC‐SIT and CVLT (California Verbal Learning Test) after 3 months treatment of a Major Depressive Episode (DSM‐IV) at the Day Hospital for Depression, Baycrest. Patients already diagnosed with dementia, or other psychiatric and neurological disorders, were excluded. Receiver Operating Characteristics (ROC) analysis was applied to assess the CC‐SIT's accuracy in identifying individuals with impairment (2 SD below the mean for age and education or less) on CVLT delayed recall trials. Results Forty‐one patients (33 women and eight men) were assessed. Mean age was 76.8 (SD: 6.5), mean HRSD scores before treatment was 22.0 (SD: 5.1). Nine patients had impairment on CVLT delayed recall measures. The area under the ROC curve was 0.776 (95% CI = 0.617–0.936). Conclusions Our results support the use of the CC‐SIT as a screening tool for cognitive impairment among elderly with depression as an indicator for the need of a comprehensive neuropsychological evaluation. Replication with larger samples is necessary. Copyright © 2008 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.2132</identifier><identifier>PMID: 18814199</identifier><identifier>CODEN: IJGPES</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Biological and medical sciences ; Canada ; Cognition Disorders - diagnosis ; Cognition Disorders - psychology ; cognitive impairment ; Dementia ; Dementia - diagnosis ; Dementia - psychology ; depression ; Depressive Disorder - diagnosis ; Depressive Disorder - psychology ; Diagnostic and Statistical Manual of Mental Disorders ; elderly ; Female ; Geriatric psychiatry ; Geriatric psychology ; Humans ; Male ; Medical sciences ; Memory ; Mental depression ; Mental Recall - physiology ; Middle Aged ; Neuropsychological Tests ; Older people ; prediction ; Predictive Value of Tests ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics. Diagnostic aid systems ; Psychopathology. 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J. Geriat. Psychiatry</addtitle><description>Introduction Elderly with depression are at increased risk for cognitive dysfunction and dementia. Smell tests are correlated with performance on cognitive tests in the elderly and therefore might serve as a screening test for cognitive impairment in depressed elderly. Purpose To assess the validity of the CC‐SIT (Cross‐Cultural Smell Identification Test) as a screening test for cognitive impairment in elderly with depression. Methods Forty‐one patients, aged 60 and over, were assessed with the CC‐SIT and CVLT (California Verbal Learning Test) after 3 months treatment of a Major Depressive Episode (DSM‐IV) at the Day Hospital for Depression, Baycrest. Patients already diagnosed with dementia, or other psychiatric and neurological disorders, were excluded. Receiver Operating Characteristics (ROC) analysis was applied to assess the CC‐SIT's accuracy in identifying individuals with impairment (2 SD below the mean for age and education or less) on CVLT delayed recall trials. Results Forty‐one patients (33 women and eight men) were assessed. Mean age was 76.8 (SD: 6.5), mean HRSD scores before treatment was 22.0 (SD: 5.1). Nine patients had impairment on CVLT delayed recall measures. The area under the ROC curve was 0.776 (95% CI = 0.617–0.936). Conclusions Our results support the use of the CC‐SIT as a screening tool for cognitive impairment among elderly with depression as an indicator for the need of a comprehensive neuropsychological evaluation. Replication with larger samples is necessary. Copyright © 2008 John Wiley &amp; Sons, Ltd.</description><subject>Biological and medical sciences</subject><subject>Canada</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - psychology</subject><subject>cognitive impairment</subject><subject>Dementia</subject><subject>Dementia - diagnosis</subject><subject>Dementia - psychology</subject><subject>depression</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - psychology</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>elderly</subject><subject>Female</subject><subject>Geriatric psychiatry</subject><subject>Geriatric psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Mental depression</subject><subject>Mental Recall - physiology</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests</subject><subject>Older people</subject><subject>prediction</subject><subject>Predictive Value of Tests</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics. Diagnostic aid systems</subject><subject>Psychopathology. Psychiatry</subject><subject>Recall</subject><subject>Risk Factors</subject><subject>ROC Curve</subject><subject>screening</subject><subject>Smell</subject><subject>smell test</subject><subject>Techniques and methods</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90VtrFDEUAOAgSrutBX-BDIKXl2lzkkwmeSzFrkKxta2ubyHNnNHUuZnMUuffN-sOFQT7lEC-nCshL4AeAqXs6PsQDxlw9oQsgGqdA0j5lCyoUkUuGae7ZC_GW0rTG6gdsgtKgQCtF-TbVYtNk40Yx2wIWHk3xmzAUPehtZ3DrO-yChs7YZUFdDbZFts-TNsvvsuwqTA0U3bnxx-JpiAx-r57Tp7Vtol4MJ_75Mvp--uTD_nZ-fLjyfFZ7oSQLJdIOXPKcYVCWqnsjahLrRTTzrFUrpBAbV3VrhIVd9axstRgBVXoRCG54vvk7TbuEPpf61STaX10qSfbYb-OpuScMwGlTvLNo5IBCKr_wFf_wNt-HbrUhWGMFgXTxSbvuy1yoY8xYG2G4FsbJgPUbJZi0lLMZimJvpzjrW9arP7CeQsJvJ6BjWnEdUiT9_HBMWAllXKTM9-6O9_g9N-EZnlxNSeevY8j_n7wNvw0suRlYVaflubr58vr1WqZLvwe7f2xXg</recordid><startdate>200904</startdate><enddate>200904</enddate><creator>Scalco, Monica Z.</creator><creator>Streiner, David L.</creator><creator>Rewilak, Dmytro</creator><creator>Castel, Saulo</creator><creator>Van Reekum, Robert</creator><general>John Wiley &amp; Sons, Ltd</general><general>Psychology Press</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7QR</scope><scope>7U1</scope><scope>7U2</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200904</creationdate><title>Smell test predicts performance on delayed recall memory test in elderly with depression</title><author>Scalco, Monica Z. ; Streiner, David L. ; Rewilak, Dmytro ; Castel, Saulo ; Van Reekum, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4462-6e032c8c38e46a68ab4f798829cc20994610afdfcd4d3cac27791a408ec456383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Canada</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - psychology</topic><topic>cognitive impairment</topic><topic>Dementia</topic><topic>Dementia - diagnosis</topic><topic>Dementia - psychology</topic><topic>depression</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - psychology</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>elderly</topic><topic>Female</topic><topic>Geriatric psychiatry</topic><topic>Geriatric psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Memory</topic><topic>Mental depression</topic><topic>Mental Recall - physiology</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests</topic><topic>Older people</topic><topic>prediction</topic><topic>Predictive Value of Tests</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychopathology. Psychiatry</topic><topic>Recall</topic><topic>Risk Factors</topic><topic>ROC Curve</topic><topic>screening</topic><topic>Smell</topic><topic>smell test</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scalco, Monica Z.</creatorcontrib><creatorcontrib>Streiner, David L.</creatorcontrib><creatorcontrib>Rewilak, Dmytro</creatorcontrib><creatorcontrib>Castel, Saulo</creatorcontrib><creatorcontrib>Van Reekum, Robert</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Chemoreception Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scalco, Monica Z.</au><au>Streiner, David L.</au><au>Rewilak, Dmytro</au><au>Castel, Saulo</au><au>Van Reekum, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Smell test predicts performance on delayed recall memory test in elderly with depression</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int. J. Geriat. Psychiatry</addtitle><date>2009-04</date><risdate>2009</risdate><volume>24</volume><issue>4</issue><spage>376</spage><epage>381</epage><pages>376-381</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><coden>IJGPES</coden><abstract>Introduction Elderly with depression are at increased risk for cognitive dysfunction and dementia. Smell tests are correlated with performance on cognitive tests in the elderly and therefore might serve as a screening test for cognitive impairment in depressed elderly. Purpose To assess the validity of the CC‐SIT (Cross‐Cultural Smell Identification Test) as a screening test for cognitive impairment in elderly with depression. Methods Forty‐one patients, aged 60 and over, were assessed with the CC‐SIT and CVLT (California Verbal Learning Test) after 3 months treatment of a Major Depressive Episode (DSM‐IV) at the Day Hospital for Depression, Baycrest. Patients already diagnosed with dementia, or other psychiatric and neurological disorders, were excluded. Receiver Operating Characteristics (ROC) analysis was applied to assess the CC‐SIT's accuracy in identifying individuals with impairment (2 SD below the mean for age and education or less) on CVLT delayed recall trials. Results Forty‐one patients (33 women and eight men) were assessed. Mean age was 76.8 (SD: 6.5), mean HRSD scores before treatment was 22.0 (SD: 5.1). Nine patients had impairment on CVLT delayed recall measures. The area under the ROC curve was 0.776 (95% CI = 0.617–0.936). Conclusions Our results support the use of the CC‐SIT as a screening tool for cognitive impairment among elderly with depression as an indicator for the need of a comprehensive neuropsychological evaluation. Replication with larger samples is necessary. Copyright © 2008 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>18814199</pmid><doi>10.1002/gps.2132</doi><tpages>6</tpages></addata></record>
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subjects Biological and medical sciences
Canada
Cognition Disorders - diagnosis
Cognition Disorders - psychology
cognitive impairment
Dementia
Dementia - diagnosis
Dementia - psychology
depression
Depressive Disorder - diagnosis
Depressive Disorder - psychology
Diagnostic and Statistical Manual of Mental Disorders
elderly
Female
Geriatric psychiatry
Geriatric psychology
Humans
Male
Medical sciences
Memory
Mental depression
Mental Recall - physiology
Middle Aged
Neuropsychological Tests
Older people
prediction
Predictive Value of Tests
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Recall
Risk Factors
ROC Curve
screening
Smell
smell test
Techniques and methods
title Smell test predicts performance on delayed recall memory test in elderly with depression
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