Brain Neurorehabil.  2015 Mar;8(1):11-18. 10.12786/bn.2015.8.1.11.

Assessment of Dementia

Affiliations
  • 1Department of Rehabilitation Medicine, Eulji General Hospital, Eulji University School of Medicine, Korea. khj2603@eulji.ac.kr

Abstract

As Korea is one of the fastest aging countries in the world, the management of dementia has become a major social issue. An ideal way of treating dementia is to prevent the onset of the disease, as effective cure remains elusive yet. Therefore, every effort is needed to provide any interventions to delay the progression of dementia. Comprehensive assessment of dementia includes evaluation of cognitive functions, activities of daily living and neurobehavioral symptoms. Detailed history from the family member or the caregiver is essential and standardized assessment tools are recommended when evaluating a patient's functions. By putting all the information together, we estimate the severity of the disease and the prognosis to set up a therapeutic plan. As the incidence of dementia is on the rise, it is advisable for all members of rehabilitation medicine team to be well-acquainted with the assessment methods of dementia for early identification of problems and the monitoring of therapeutic interventions. This article provides a brief overview of the assessment of dementia to assist clinicians in evaluating and treating these patients.

Keyword

activities of daily living; behavior; cognition; dementia; evaluation

MeSH Terms

Activities of Daily Living
Aging
Caregivers
Cognition
Dementia*
Humans
Incidence
Korea
Prognosis
Rehabilitation

Cited by  2 articles

Predictors of Behavioral and Psychological Symptoms of Dementia: Based on the Model of Multi-Dimensional Behavior
Jeong Eun Yang, Gwi-Ryung Son Hong
J Korean Acad Nurs. 2018;48(2):143-153.    doi: 10.4040/jkan.2018.48.2.143.

Effect of Cognitive Improvement Programs for Mild Cognitive Impairment in Korean Elderly: A Meta-Analysis
Kyoungyun Kim, Eunjoo Lee
Korean J Adult Nurs. 2017;29(2):177-189.    doi: 10.7475/kjan.2017.29.2.177.


Reference

1. Statistics Korea. 2014 Statistics on the Aged. Seoul: KOSIS;2014. cited 2015 10 January. Available from: http://www.kosis.kr.
2. Kim YJ, Han JW, So YS, Seo JY, Kim KY, Kim KW. Prevalence and trends of dementia in Korea: a systematic review and meta-analysis. J Korean Med Sci. 2014; 29:903–912.
3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association;2013.
4. Jin JH, Kang Y. Neuropsychological Assessmet. Korean Dementia Association. Dementia: a clinical approach. Seoul: Academia;2006. p. 75–95.
5. Na DL. A clinical approach for patients with dementia. Korean Dementia Assocation. Dementia: a clinical approach. Seoul: Academia;2006. p. 61–71.
6. Choi SH, Na DL, Kang Y, Lee WY, Park BJ. The validity and reliability of the Samsung Dementia Questionnaire (SDQ). J Korean Neurol Assoc. 1998; 16:307–314.
7. Choi SH, Na DL, Oh KM, Park BJ. A Short form of the Samsung Dementia Questionnaire (S-SDQ): development and cross-validation. J Korean Neurol Assoc. 1999; 17:253–258.
8. Yang DW, Cho B, Chey JY, Kim SY, Kim BS. The development and validation of Korean Dementia Screening Questionnaire (KDSQ). J Korean Neurol Assoc. 2002; 20:135–141.
9. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12:189–198.
10. Kwon YC, Park JH. Korean version of Mini-mental state examiniation. Part I: development of the test for the elderly. J Korean Neuropsychiatr Assoc. 1989; 28:125–113.
11. Kang Y, Na DL, Hahn S. A validity study on the Korean Mini-mental state examination (K-MMSE) in dementia patients. J Korean Neurol Assoc. 1997; 15:300–308.
12. Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Youn JC, Kim SY, Woo SI, Woo JI. A normative study of the Mini-mental state examination in the Korean elderly. J Korean Neuropsychiatr Assoc. 2002; 41:508–525.
13. Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, Choo IH, Lee DW, Yoon JC, Do YJ, Lee SB, Kim MD, Kim KW. Korean version of mini mental status examination for dementia screening and its' short form. Psychiatry Investig. 2010; 7:102–108.
14. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005; 53:695–699.
15. Lee JY, Lee DW, Cho SJ, Na DL, Hong Jin J, Kim SK, You Ra L, Youn JH, Kwon M, Lee JH, Maeng Je C. Brief screening for mild cognitive impairment in elderly outpatient clinic: validation of the Korean version of the Montreal Cognitive Assessment. J Geriatr Psychiatry Neurol. 2008; 21:104–110.
16. Kang Y, Park JS, Yoo KH, Lee BC. A reliability validity, and normative study of the Korean-Montreal Cognitive Assessment (K-MoCA) as an instrument for screening of vascular cognitive impairment. Korean J Clin Psychol. 2009; 28:549–562.
17. Imai Y, Hasegawa K. The Revised Hasegawa's Dementia Scale (HDS-R) - evaluation of its usefulness as a screening test for dementia. J Hong Kong Coll Psychiatr. 1994; 4:20–22.
18. Kim KW, Lee DY, Ahn SY, Jhoo JH, Kil YN. Reliability and validity of the Korean version of Hasegawa Dementia Scale (HDS-K) as a dementia screening instrument. J Korean Neuropsychiatr Assoc. 2002; 41:526–537.
19. Yang DW, Kim BS, Shim DS, Chung SW, Lee KS, Han SH, Kim SY, Jeong SK. Reliability and validity of the Korean version of revised form of Hasegawa Dementia Scale (K-HDS). J Korean Neurol Assoc. 2004; 22:315–321.
20. Morris JC, Heyman A, Mohs RC, Hughes JP, van Belle G, Fillenbaum G, Mellits ED, Clark C. The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease. Neurology. 1989; 39:1159–1165.
21. Lee JH, Lee KU, Lee DY, Kim KW, Jhoo JH, Kim JH, Lee KH, Kim SY, Han SH, Woo JI. Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries. J Gerontol B Psychol Sci Soc Sci. 2002; 57:47–53.
22. Kang YW, Na DR. Seoul neuropsychological screening battery. Incheon: Human Brain Research & consulting Co.;2003.
23. Ahn HJ, Chin J, Park A, Lee BH, Suh MK, Seo SW, Na DL. Seoul Neuropsychological Screening Battery-dementia version (SNSB-D): a useful tool for assessing and monitoring cognitive impairments in dementia patients. J Korean Med Sci. 2010; 25:1071–1076.
24. Rosen WG, Mohs RC, Davis KL. A new rating scale for Alzheimer's disease. Am J Psychiatry. 1984; 141:1356–1364.
25. Youn JC, Lee DY, Kim KW, Lee JH, Jhoo JH, Lee KU, Ha J, Woo JI. Development of the Korean version of Alzheimer's Disease Assessment Scale (ADAS-K). Int J Geriatr Psychiatry. 2002; 17:797–803.
26. Mahoney FI, Barthel DW. Functional Evaluation: The Barthel Index. Md State Med J. 1965; 14:61–65.
27. Jung HY, Park BK, Shin HS, Kang YK, Pyun SB, Paik NJ, Kim SH, Kim TH, Han TR. Development of the Korean version of Modified Barthel Index (K-MBI): multi-center study for subjects with stroke. J Korean Acad Rehabil Med. 2007; 31:283–297.
28. Ku HM, Kim JH, Lee HS, Ko HJ, Kwon EJ, Jo S, Kim DK. A study on the reliability and validity of Seoul-Activities of Daily Living (S-ADL). J Korean Geriatr Soc. 2004; 8:206–214.
29. Won CW, Rho YG, Sunwoo D, Lee YS. The validity and reliability of Korean Instrumental Activities of Daily Living (K-IADL) scale. J Korean Geriatr Soc. 2002; 6:273–280.
30. Kang SJ, Choi SH, Lee BH, Kwon JC, Na DL, Han SH. The reliability and validity of the Korean Instrumental Activities of Daily Living (K-IADL). J Korean Neurol Assoc. 2002; 20:8–14.
31. Korean Association for Geriatric Psychiatry. Korean Assessment Scales for Demented Patients. Seoul: Hakji-Sa;2003.
32. Han SH. Behavioral and psychological symptoms of dementia: an overview. Dement Neurocogn Disord. 2004; 3:1–4.
33. Ku BD, Kim SG, Lee JY, Park KH, Shin JH, Kim KK, Youn YC, Lee YM, Hong CH, Seo SW, Na DL, Kim SY, Cheong HK, Kim DK, Lee JH, Kim SY, Yeon BK, Kim SY, Han SH. Clinical practice guideline for dementia by Clinical Research Center for Dementia of South Korea. J Korean Med Assoc. 2011; 54:861–875.
34. Choi SH. Assessment scale for behavioral and psychological symptoms of dementia (BPSD). Dement Neurocogn Disord. 2004; 3:9–13.
35. Choi SH, Na DL, Kwon HM, Yoon SJ, Jeong JH, Ha CK. The Korean version of the neuropsychiatric inventory: a scoring tool for neuropsychiatric disturbance in dementia patients. J Korean Med Sci. 2000; 15:609–615.
36. Youn JC, Lee DY, Lee JH, Kim KW, Jhoo JH, Choo IH, Paek YS, Jeon YH, Seo KW, Woo JI. Development of a Korean version of the behavior rating scale for dementia (BRSD-K). Int J Geriatr Psychiatry. 2008; 23:677–684.
37. Suh GH, Son HG, Shin H, Kim IM, Hong S, Park J, Choi IG, Kim SK, Yeon BK. Reliability and analysis of symptom category scores of the Behavior Pathology in Alzheimer's Disease Rating Scale, Korean version (BEHAVE-AD-K). J Korean Geriatr Psychiatry. 2001; 5:50–57.
38. Cummings JL, Mega M, Gray K, Rosenberg-Thompson S, Carusi DA, Gornbein J. The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology. 1994; 44:2308–2314.
39. Kang SJ, Choi SH, Lee BH, Jeong Y, Hahm DS, Han IW, Cummings JL, Na DL. Caregiver-administered Neuropsychiatric Inventory (CGA-NPI). J Geriatr Psychiatry Neurol. 2004; 17:32–35.
40. Tariot PN, Mack JL, Patterson MB, Edland SD, Weiner MF, Fillenbaum G, Blazina L, Teri L, Rubin E, Mortimer JA, et al. The Behavior Rating Scale for Dementia of the consortium to establish a registry for Alzheimer's disease. The behavioral pathology committee of the consortium to establish a registry for Alzheimer's disease. Am J Psychiatry. 1995; 152:1349–1357.
41. Reisberg B, Borenstein J, Salob SP, Ferris SH, Franssen E, Georgotas A. Behavioral symptoms in Alzheimer's disease: phenomenology and treatment. J Clin Psychiatry. 1987; 48:Suppl. 9–15.
42. Jung IK, Kwak DI, Shin DK, Lee MS, Lee HS, Kim JY. A reliability and validity study of Geriatric Depression Scale. J Korean Neuropsychiatr Assoc. 1997; 36:103–112.
43. Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology. 1993; 43:2412–2414.
44. Fillenbaum GG, Peterson B, Morris JC. Estimating the validity of the clinical Dementia Rating Scale: the CERAD experience. Aging Clin Exp Res. 1996; 8:379–385.
45. Choi SH, Na DL, Lee BH, Hahm DS, Jeong JH, Yoon SJ, Yoo KH, Ha CK, Hanwella R. Dementia Research Group. Estimating the validity of the Korean version of expanded Clinical Dementia Rating (CDR) scale. J Korean Neurol Assoc. 2001; 19:585–591.
46. Reisberg B, Ferris SH, de Leon MJ, Crook T. The Global Deterioration Scale for assessment of primary degenerative dementia. Am J Psychiatry. 1982; 139:1136–1139.
47. Choi SH, Na DL, Lee BH, Hahm DS, Jeong JH, Jeong Y, Koo EJ, Ha CK, Ahn SS. Korean Dementia Research Group. The validity of the Korean version of Global Deterioration Scale. J Korean Neurol Assoc. 2002; 20:612–617.
48. Won CW, Paik JW, Park KC, Kim SY, Park KW, Lee DW, Han ST. Development of Global Deterioration Scale staging algorithm. J Korean Geriatr Soc. 2011; 15:80–89.
49. Reisberg B. Functional assessment staging (FAST). Psychopharmacol Bull. 1988; 24:653–659.
50. Na HR, Kim SY, Chang YH, Park MH, Cho ST, Han IW, Kim TY, Hwang SA. Functional assessment staging (FAST) in Korean patients with Alzheimer's disease. J Alzheimers Dis. 2010; 22:151–158.
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