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Journal of Geriatric Psychiatry and Neurology, Vol. 14, No. 1, 1-6 (2001)
DOI: 10.1177/089198870101400102
© 2001 SAGE Publications

Memory Testing in Dementia: How Much Is Enough?

Douglas S. Derrer, PhD

Diane B. Howieson, PhD

Erin A. Mueller, PhD

Richard M. Camicioli, MD

Gary Sexton, PhD

Jeffrey A. Kaye, MD

Analyses of eight widely used memory measures (Word List Acquisition and Recall used in the Alzheimer's Disease Assessment Scale and the Consortium to Establish a Registry for Alzheimer's Disease neuropsychology battery, Wechsler Memory Scale-Revised [WMS-R] Logical Memory I and II, WMS-R Visual Reproduction I and II, the memory scores from the Neurobehavioral Cognitive Status Examination [NCSE], memory scores from the Mini- Mental State Examination [MMSE]), and the MMSE total score showed each to have moderate predictive power in differentiating between patients with mild dementia and healthy normal controls. When these instruments were combined in a logistic regression analysis, three of them had substantial predictive power. Together, the Word List Acquisition, WMS-R Logical Memory II, and WMS-R Visual Reproduction II were 97.26% accurate (100% sensitive and 94.59% specific) in distinguishing these two groups. The Word List Acquisition is a brief test that alone had high accuracy (92%). These memory tests are highly useful in the diagnosis of mild dementia. (J Geriatr Psychiatry Neurol 2001; 14:1-6).


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