Validity and reliability of Abbreviated Mental Test Score (AMTS) among older Iranian

• Published in: Psychogeriatrics Vol. 17; no. 6; pp. 460 - 465
• Main Authors: Foroughan, Mahshid, Wahlund, Lars‐Olof, Jafari, Zahra, Rahgozar, Mehdi, Farahani, Ida G., Rashedi, Vahid
• Format: Journal Article
• Language: English
• Published: Melbourne John Wiley & Sons Australia, Ltd 01.11.2017; Blackwell Publishing Ltd
• Subjects: Abbreviated Mental Test; Aged; Aged, 80 and over; Cognitive ability; Cognitive Dysfunction - diagnosis; cognitive impairment; Cross-Sectional Studies; Data processing; Dementia; Dementia - diagnosis; Dementia disorders; dementia screening; Diagnostic and Statistical Manual of Mental Disorders; Female; Geriatric Assessment; Humans; Iran; Male; Mass Screening - methods; Medicin och hälsovetenskap; Mental disorders; Morbidity; Older people; Psychological tests; reliability; Reproducibility of Results; ROC Curve; Sensitivity and Specificity; Siblings; Statistics; Surveys and Questionnaires - standards; Translating; validity; cognitive impairment; validity; Abbreviated Mental Test; dementia screening; reliability
• ISSN: 1346-3500; 1479-8301; 1479-8301
• DOI: 10.1111/psyg.12276

Background Cognitive impairment is common among older people and is associated with increased morbidity and mortality. The main aim of this study was to evaluate the validity of the Persian version of the Abbreviated Mental Test Score (AMTS) as a screening tool for dementia. Methods Data were obtained from a cross‐sectional study. One hundred and one older adults who were members of Iranian Alzheimer Association and 101 of their siblings were entered into this study by convenient sampling. The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for diagnosing dementia and the Mini‐Mental State Examination were used as the study tools. The gathered data were analyzed by the Mann–Whitney U‐test, the Kruskal–Wallis test, Spearman's rank correlation coefficient, and the receiver–operating characteristic. Results The AMTS could successfully differentiate the dementia group from the non‐dementia group. Scores were significantly correlated with Diagnostic and Statistical Manual of Mental Disorders diagnosis for dementia and Mini‐Mental State Examination scores (P < 0.001). Educational level (P < 0.001) and male sex (P = 0.015) were positively associated with AMTS, whereas (P < 0.001) was negatively associated with AMTS. Total Cronbach's α coefficient was 0.90. The scores 6 and 7 showed the optimum balance between sensitivity (99% and 94%, respectively) and specificity (85% and 86%, respectively). Conclusions The Persian version of the AMTS is a valid cognitive assessment tool for older Iranian adults and can be used for dementia screening in Iran.