Detection of cognitive deficits by a brief mental status examination. The Cognitive Capacity Screening Examination, a reappraisal and a review

David Myland Kaufman, Marie Weinberger, James J. Strain, John W. Jacobs

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Results of a brief mental status questionnaire, the Cognitive Capacity Screening Examination (CCSE), were compared with the clinical evaluations of 59 patients on a neurology service. In 71% of the cases, the CCSE scores correctly indicated a cognitive deficit (true-positive) or the absence of one (true-negative); false-negative results were observed in 15% and questionable negative results were found in 10%. Abnormal neurologic physical signs were present in 90% of all patients with cognitive deficits. In this population, although positive CCSE scores were reliable, negative scores were often misleading. Mild diffuse intellectual dysfunction (dementia) and some discrete intellectual deficits (aphasia and anosognosia) went undetected. Cognitive deficits associated with major cerebral disease were unappreciated in nine patients. Caution is recommended in interpreting negative CCSE scores. Abbreviated screening devices are only a preliminary approach to mental status evaluation; this test requires further refinement.

Original languageEnglish (US)
Pages (from-to)247-255
Number of pages9
JournalGeneral Hospital Psychiatry
Volume1
Issue number3
DOIs
StatePublished - 1979

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Agnosia
Aphasia
Neurology
Neurologic Manifestations
Dementia
Equipment and Supplies
Population
Surveys and Questionnaires

ASJC Scopus subject areas

  • Medicine(all)
  • Emergency Medicine
  • Psychiatry and Mental health

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Detection of cognitive deficits by a brief mental status examination. The Cognitive Capacity Screening Examination, a reappraisal and a review. / Kaufman, David Myland; Weinberger, Marie; Strain, James J.; Jacobs, John W.

In: General Hospital Psychiatry, Vol. 1, No. 3, 1979, p. 247-255.

Research output: Contribution to journalArticle

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