The area under the ROC curve was 0.89. Sensitivity and specificity were 85.7 and 79.3, respectively (cut-off of 3 or more). Conclusions
The Spanish version of the SPMSQ test has a good reliability and validity. For clinical use, a cut-off of 3 appears to be most useful. When illiterate patients are assessed, the it is recommended to employ a cut-off of 4 or more.
Cross-cultural adaptation and validation of Pfeiffer’s test (Short Portable Mental Status Questionnaire [SPMSQ]) to screen cognitive impairment in general population aged 65 or older
 
  Keywords
 
 
  
   Elderly
  
 
 
  
   Cognitive impairment
  
 
 
  
   SPMSQ
  
 
 
  
   Cross-cultural adaptation
  
 
 
  
   Validation
  
 
Background
Our aims were to develop a Spanish version of the short portable mental status questionnaire (SPMSQ) (Pfeiffer’s test) and to validate the resultant Spanish version of the test among a general population aged 65 years or older.
Patients, Material And Methods
First, we developed the Spanish version of the SPMSQ by means of a cross- cultural adaptation methodology.
Patients were the assessed by independent teams in two sessions the same day.
The first team (two trained psychiatrists and one trained family physician) carried out a standardised neuropsychological assessment to diagnose <dis>cognitive impairment</dis>/<dis>dementia</dis> according to ICD-10 criteria wich was regarded as the reference “gold standard” to calculate validity parameters (sensitivity and specificity).
The second team (family physicians/nurses) assessed the presence of <dis>cognitive impairment</dis> with the Spanish version of the SPMSQ.
Results
255 subjects (66.7%, females) underwent the assessment.
Mean age was 74.5 years and 65.5% of them were illiterate.
The inter-rater reliability and test- retest reliability of the SPMSQ Spanish version were 0.738 (p < 0.001), and 0.925 (p < 0.001), respectively, with a convergent validity of 0.74 (p < 0.001) and a discriminant validity of 0.230 (p < 0.001).
The internal consistency was high with an αvalue of 0.82.
The area under the ROC curve was 0.89.
Sensitivity and specificity were 85.7 and 79.3, respectively (cut-off of 3 or more).
Conclusions
The Spanish version of the SPMSQ test has a good reliability and validity.
For clinical use, a cut-off of 3 appears to be most useful.
When illiterate patients are assessed, the it is recommended to employ a cut-off of 4 or more.
Background
Our aims were to develop a Spanish version of the short portable mental status questionnaire (SPMSQ) (Pfeiffer’s test) and to validate the resultant Spanish version of the test among a general population aged 65 years or older.
Patients, Material And Methods
First, we developed the Spanish version of the SPMSQ by means of a cross- cultural adaptation methodology.
Patients were the assessed by independent teams in two sessions the same day.
The first team (two trained psychiatrists and one trained family physician) carried out a standardised neuropsychological assessment to diagnose cognitive impairment/dementia according to ICD-10 criteria wich was regarded as the reference “gold standard” to calculate validity parameters (sensitivity and specificity).
The second team (family physicians/nurses) assessed the presence of cognitive impairment with the Spanish version of the SPMSQ.
Results
255 subjects (66.7%, females) underwent the assessment.
Mean age was 74.5 years and 65.5% of them were illiterate.
The inter-rater reliability and test- retest reliability of the SPMSQ Spanish version were 0.738 (p < 0.001), and 0.925 (p < 0.001), respectively, with a convergent validity of 0.74 (p < 0.001) and a discriminant validity of 0.230 (p < 0.001).
The internal consistency was high with an αvalue of 0.82.
The area under the ROC curve was 0.89.
Sensitivity and specificity were 85.7 and 79.3, respectively (cut-off of 3 or more).
Conclusions
The Spanish version of the SPMSQ test has a good reliability and validity.
For clinical use, a cut-off of 3 appears to be most useful.
When illiterate patients are assessed, the it is recommended to employ a cut-off of 4 or more.
The area under the ROC curve was 0.89. Sensitivity and specificity were 85.7 and 79.3, respectively (cut-off of 3 or more). Conclusions
The Spanish version of the SPMSQ test has a good reliability and validity. For clinical use, a cut-off of 3 appears to be most useful. When illiterate patients are assessed, the it is recommended to employ a cut-off of 4 or more.