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Montreal cognitive assessment reflects cognitive reserve

Cited 3 time in Web of Science Cited 5 time in Scopus
Authors
Kang, Jae Myeong; Cho, Young-Sung; Park, Soowon; Lee, Byung Ho; Sohn, Bo Kyung; Choi, Chi Hyun; Choi, Jeong-Seok; Jeong, Hee Yeon; Cho, Seong-Jin; Lee, Jae-Hong; Lee, Jun-Young
Issue Date
2018-10-30
Publisher
BioMed Central
Citation
BMC Geriatrics, 18(1):261
Keywords
MoCACognitionCognitive reserveDementiaMild cognitive impairment
Abstract
Background
The Montreal Cognitive Assessment (MoCA) is known to have discriminative power for patients with Mild Cognitive Impairment (MCI). Recently Cognitive Reserve (CR) has been introduced as a factor that compensates cognitive decline. We aimed to assess whether the MoCA reflects CR. Furthermore, we assessed whether there were any differences in the efficacy between the MoCA and the Mini-Mental State Examination (MMSE) in reflecting CR.

Methods
MoCA, MMSE, and the Cognitive Reserve Index questionnaire (CRIq) were administered to 221 healthy participants. Normative data and associated factors of the MoCA were identified. Correlation and regression analyses of the MoCA, MMSE and CRIq scores were performed, and the MoCA score was compared with the MMSE score to evaluate the degree to which the MoCA reflected CR.

Results
The MoCA reflected total CRIq score (CRI; B = 0.076, P < 0.001), CRI-Education (B = 0.066, P <  0.001), and CRI-Working activity (B = 0.025, P = 0.042), while MMSE reflected total CRI (B = 0.044, P <  0.001) and CRI-Education (B = 0.049, P <  0.001) only. The MoCA differed from the MMSE in the reflection of total CRI (Z = 2.30).

Conclusion
In this study, we show that the MoCA score reflects CR more sensitively than the MMSE score. Therefore, we suggest that MoCA can be used to assess CR and early cognitive decline.
ISSN
1471-2318
Language
English
URI
http://hdl.handle.net/10371/146879
DOI
https://doi.org/10.1186/s12877-018-0951-8
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College of Medicine/School of Medicine (의과대학/대학원)Psychiatry (정신과학전공)Journal Papers (저널논문_정신과학전공)
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