Fitri Fasihah Irfani, Nazriani Dina, Dachi Octaviasari Agatha, Nitrini Ricardo, Caramelli Paulo
Universitas Sumatera Utara, Faculty of Medicine, Department of Neurology, Medan, Indonesia.
Universitas Sumatera Utara, Faculty of Psychology, Medan, Indonesia.
Arq Neuropsiquiatr. 2025 Apr;83(4):1-6. doi: 10.1055/s-0045-1809335. Epub 2025 Jun 1.
Neuropsychological and functional assessments are crucial for identifying the transition from healthy aging to dementia. While brief cognitive batteries have become popular for their practicality, most have been developed in high-income countries, neglecting the diverse educational backgrounds found in developing nations.This study focuses on the Brief Cognitive Screening Battery (BCSB) adapted for Indonesia (BCSB-INA), aiming to investigate its diagnostic accuracy in detecting cognitive impairment among older adults.This cross-sectional study was conducted at the Memory Clinic of Universitas Sumatera Utara Hospital from January to August 2024, including participants aged 50 and above. Subjects underwent cognitive assessments using MoCA-INA and BCSB-INA. Data analysis involved ROC curves to evaluate the tests' accuracy.A total of 140 subjects were included, with significant differences in cognitive test scores between those with cognitive impairment and normal individuals. The BCSB-INA demonstrated good diagnostic performance, with an AUC of 0.875 when including the Clock Drawing Test (CDT) and 0.810 without it. The development of a multivariate model further enhances its diagnostic capabilities, allowing for more tailored intervention strategies.The BCSB-INA represents an important improvement in cognitive assessment for older adults in Indonesia, showing good sensitivity and specificity. Continued research and updates to cognitive assessment tools are crucial to meet the increasing demand for effective dementia screening in diverse populations.
神经心理学和功能评估对于识别从健康衰老到痴呆的转变至关重要。虽然简短认知测试组合因其实用性而受到欢迎，但大多数是在高收入国家开发的，忽视了发展中国家存在的多样化教育背景。本研究聚焦于适用于印度尼西亚的简短认知筛查测试组合（BCSB-INA），旨在调查其在检测老年人认知障碍方面的诊断准确性。这项横断面研究于2024年1月至8月在北苏门答腊大学医院记忆诊所进行，纳入了50岁及以上的参与者。受试者接受了使用MoCA-INA和BCSB-INA的认知评估。数据分析采用ROC曲线来评估测试的准确性。总共纳入了140名受试者，认知障碍者和正常个体之间的认知测试分数存在显著差异。BCSB-INA表现出良好的诊断性能，包括画钟测试（CDT）时AUC为0.875，不包括时为0.810。多变量模型的开发进一步增强了其诊断能力，从而能够制定更具针对性的干预策略。BCSB-INA代表了印度尼西亚老年人认知评估的一项重要改进，显示出良好的敏感性和特异性。持续开展对认知评估工具的研究和更新对于满足不同人群对有效痴呆筛查日益增长的需求至关重要。
