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Assessment of Dementia in the Hispanic Client: A Neuropsychological Perspective

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Guide to Psychological Assessment with Hispanics

Abstract

With an astounding 62.9 % of Hispanics aged 85 and older exhibiting dementia-related symptoms and a substantial portion of Hispanics speaking Spanish only, the need for psychometrically sound measures designed to assess for cognitive impairment in this cohort is essential. This chapter offers a critical evaluation of the current assessment practices employed to assess for dementia in the Hispanic client. Assessment measures and batteries specifically designed to assess for dementia are reviewed, and research on these measures and batteries with Hispanics is discussed. Finally, guidelines for assessing cognitive impairment with this group are provided.

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References

  • Alzheimer’s Association. (2011). 2011 Alzheimer’s disease facts and figure. Retrieved from www.alz.org/downloads/Facts_Figures_2011.pdf

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: APA. http://www.apa.org/pi/aging/resources/dementia-guidelines.pdf

  • American Psychological Association. (2011). Guidelines for the evaluation of dementia and age-related cognitive change. Retrieved from www.apa.org/pi/aging/resources/dementia-guidelines.pdf

  • Ardila, A., Rodríguez-Menéndez, G., & Rosselli, M. (2002). Current issues in neuropsychological assessment with Hispanics/Latinos. In R. Ferrao (Ed.), Minority and cross-cultural aspects of neuropsychological assessment (pp. 151–180). Lisse, the Netherlands: Swets & Zeitlinger Publishers.

    Google Scholar 

  • Arnold, B. R., Cuellar, I., & Guzman, N. (1998). Statistical and clinical evaluation of the Mattis dementia rating scale-Spanish adaptation: An initial investigation. Journal of Gerontology: Psychological Science, 53(6), 364–369.

    Article  Google Scholar 

  • Boone, K., Victor, T. L., Wen, J., Razani, J., & Pontón, M. (2007). The association between neuropsychological scores and ethnicity, language, and acculturation variables in a large patient population. Archives of Clinical Neuropsychology, 22(3), 355–365. doi:10.1016/j.acn.2007.01.010.

    Article  PubMed  Google Scholar 

  • Borson, S., Scanlan, J., Brush, M., Vitaliano, P., & Dokmak, A. (2000). The mini-cog: A cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. International Journal of Geriatric Psychiatry, 15(11), 1021–1027. doi:10.1002/1099-1166(200011)15:11<1021::AID-GPS234>3.0.CO;2-6.

    Article  PubMed  Google Scholar 

  • Borson, S., Scanlan, J. M., Watanabe, J., Tu, S., & Lessig, M. (2005). Simplifying detection of cognitive impairment: Comparison of the mini-cog and mini-mental state examination in a multiethnic sample. Journal of the American Geriatrics Society, 53(5), 871–874. doi:10.1111/j.1532-5415.2005.53269.x.

    Article  PubMed  Google Scholar 

  • Carrión-Baralt, J. R., Meléndez-Cabrero, J., Beeri, M. S., Sano, M., & Silverman, J. M. (2009). The neuropsychological performances of nondemented Puerto Rican nonagenarians. Dementia and Geriatric Cognitive Disorders, 27, 353–360.

    Article  PubMed  Google Scholar 

  • Carrión-Baralt, J. R., Schnaider-Beeri, M., Melendez-Cabrero, J., Rodriguez-Ubinas, H., Sano, M., & Silverman, J. M. (2008). P3-285: Impact of APOE e4 on very late life cognition. Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, 4(4), T606.

    Google Scholar 

  • Census Bureau, U. S. (2002). Hispanic population in the United States: March 2002. Washington, DC: GPO.

    Google Scholar 

  • Cherner, M. M., Suarez, P. P., Lazzaretto, D. D., Fortuny, L., Mindt, M., & Dawes, S. S. (2007). Demographically corrected norms for the Brief Visuospatial Memory Test-revised and Hopkins Verbal Learning Test-revised in monolingual Spanish speakers from the U.S.-Mexico border region. Archives of Clinical Neuropsychology, 22(3), 343–353. doi:10.1016/j.acn.2007.01.009.

    Article  PubMed  Google Scholar 

  • Coffey, D. M., Marmol, L., Schock, L., & Adams, W. (2005). The influence of acculturation on the Wisconsin Card Sorting Test by Mexican Americans. Archives of Clinical Neuropsychology, 20(6), 795–803.

    Article  PubMed  Google Scholar 

  • Cognistat. (n.d. a). Pioneers in brain fitness cognistat cognitive assessment: About the exam. Retrieved from http://www.cognistat.com/about-exam-faq

  • Cognistat. (n.d. b). Pioneers in brain fitness cognistat cognitive assessment: Languages & translations & international distributors. Retrieved from http://www.cognistat.com/languages-translations-international-distributors

  • Conners, C., Epstein, J. N., Angold, A., & Klaric, J. (2003). Continuous performance test performance in a normative epidemiological sample. Journal of Abnormal Child Psychology: An Official Publication of the International Society for Research in Child and Adolescent Psychopathology, 31(5), 555–562. doi:10.1023/A:1025457300409.

    Google Scholar 

  • Crisostomo, P. R., Butler, K. A., Webster, J. R., & Moran, M. B. (2002). Prevalence of cognitive impairment in an urban Hispanic community population. Journal of the American Geriatrics Society, 50(5), 977–978.

    Article  PubMed  Google Scholar 

  • Dick, M. B., Teng, E. L., Kempler, D., Davis, D. S., & Taussig, I. (2002). The cross-cultural neuropsychological test battery (CCNB): Effects of age, education, ethnicity, and cognitive status on performance. In F. Ferraro & F. Ferraro (Eds.), Minority and cross-cultural aspects of neuropsychological assessment (pp. 17–41). Lisse, Netherlands: Swets & Zeitlinger Publishers.

    Google Scholar 

  • Drane, D. L., & Osato, S. S. (1997). Using the neurobehavioral cognitive status examination as a screening measure for older adults. Archives of Clinical Neuropsychology, 12, 139–143.

    PubMed  Google Scholar 

  • Drane, D. L., Yuspeh, R. L., Huthwaite, J. S., Klingler, L. K., Foster, L. M., Mrazik, M., et al. (2003). Healthy older adult performance on modified version of the Cognistat (NCSE): Demographic issues and preliminary normative data. Journal of Clinical and Experimental Neuropsychology, 25(1), 133–144. doi:10.1076/jcen.25.1.133.13628.

    Article  PubMed  Google Scholar 

  • Fillenbaum, G. G., Kuchibhalta, M., Henderson, V. W., Clark, C. M., & Taussig, I. M. (2007). Comparison of performance on the CERAD neuropsychological battery of Hispanic patients and cognitively normal controls at two sites. Clinical Gerontologist, 30(3), 1–22.

    Article  Google Scholar 

  • Fillenbaum, G. G., van Belle, G., Morris, J. C., Mohs, R. C., Mirra, S. S., Davis, P. C., et al. (2008). Consortium to establish a registry for Alzheimer’s disease (CERAD): The first twenty years. Alzheimer’s & Dementia, 4(2), 96–109.

    Article  Google Scholar 

  • Gasquoine, P., Croyle, K. L., Cavazos-Gonzalez, C., & Sandoval, O. (2007). Language of administration and neuropsychological test performance in neurologically intact Hispanic American bilingual adults. Archives of Clinical Neuropsychology, 22(8), 991–1001. doi:10.1016/j.acn.2007.08.003.

    Article  PubMed  Google Scholar 

  • Gonzalez, H. M., Mungas, D., & Haan, M. N. (2002). A Verbal Learning and Memory Test for English- and Spanish-speaking older Mexican-American adults. The Clinical Neuropsychologist, 16(4), 439–451.

    Article  PubMed  Google Scholar 

  • Groth-Marnat, G. (2003). Handbook of psychological assessment (4th ed.). Hoboken, NJ: Wiley.

    Google Scholar 

  • Hambleton, R. K., & Swaminathan, H. (1985). Item response theory: Principles and applications. Toronto, Canada: Wiley.

    Google Scholar 

  • Hambleton, R. K., Swaminathan, H., & Rogers, H. J. (1991). MMSS: Fundamentals of item response theory. Newbury Park, CA: Sage Publications.

    Google Scholar 

  • Harris, J. G., Cullum, C. M., & Puente, A. E. (1995). Effects of bilingualism on verbal learning and memory in Hispanic adults. Journal of the International Neuropsychological Society, 1, 10–16.

    Article  PubMed  Google Scholar 

  • Hernandez et al. (2006),à the in-text citation needs to be changed to Lyness, Hernandez, Chui, & Teng, 2006

    Article  PubMed  Google Scholar 

  • Heaton, R. K., et al. (2004). Revised Comprehensive Norms For An Expanded Halstead-Reitan Battery: Demographically Adjusted Neuropsychological Norms For African Americans and Caucasian Adults. Lutz, Fl: Psychological Assessment Resources, Inc

    Article  PubMed  Google Scholar 

  • Hohl, U., Grundman, M., Salmon, D. P., Thomas, R. G., & Thal, L. J. (1999). Mini-mental state examination and Mattis dementia rating scale performance differs in Hispanic and non-Hispanic Alzheimer’s disease patients. Journal of the International Neuropsychological Society, 5(4), 301–307. doi:10.1017/S1355617799544019.

    Article  PubMed  Google Scholar 

  • Jacobs, D. M., Sano, M., Albert, S., Schofield, P., Dooneief, G., & Stern, Y. (1997). Cross-cultural neuropsychological assessment: A comparison of randomly selected, demographically matched cohorts of English- and Spanish-speaking older adults. Journal of Clinical and Experimental Neuropsychology, 19(3), 331–339.

    Article  PubMed  Google Scholar 

  • Jones, R.N. & Gallo, J.J. (2002). Education and sex differences in the Mini-Mental State Examination: Effects of Differential Item Functioning. Journal of Gerontology, 57B, 548–558.

    Article  PubMed  Google Scholar 

  • Kaplan et al. (1978) should be Kaplan, Goodglass, and Weintraub (1983) and the reference for that is: Kaplan, E., Goodglass, H., & Weintraub, S. (1983). Boston Naming Test. Philadelphia: Lea & Febiger.

    Article  PubMed  Google Scholar 

  • Krueger, K. R., Wilson, R. S., Bennett, D. A., & Aggarwal, N. T. (2009). A battery of tests for assessing cognitive function in older Latino persons. Alzheimer Disease and Associated Disorders, 23(4), 384–388.

    Article  PubMed  Google Scholar 

  • La Rue, A., Romero, L. J., Ortiz, I. E., Liang, H., & Lindeman, R. D. (1999). Neuropsychological performance of Hispanic and non-Hispanic older adults: An epidemiologic survey. The Clinical Neuropsychologist, 13(4), 474–486. doi:10.1076/1385-4046(199911)13:04;1-Y;FT474.

    Article  PubMed  Google Scholar 

  • Lyness, S. A., Hernandez, I., Chui, H. C., & Teng, E. L. (2006). Performance of Spanish speakers on the Mattis dementia rating scale (MDRS). Archives of Clinical Neuropsychology, 21, 827–836.

    Article  PubMed  Google Scholar 

  • Mahurin, R. K., Espino, D. V., & Holifield, E. B. (1992). Mental status testing in elderly Hispanic populations: Special concerns. Psychopharmacology Bulletin, 28(4), 391–399.

    PubMed  Google Scholar 

  • Marshall, S.C., Mungas, D., Weldon M. et al. Differential item functioning in the Mini-Mental State Examination in English-and Spanish-speaking older adults. Psychology Aging, 12, 718–725.

    PubMed  Google Scholar 

  • Marquez de la Plata, C., Arango-Lasprilla, J. C., Alegret, M., Moreno, A., Tárraga, L., Lara, M., et al. (2009). Item analysis of three Spanish naming tests: A cross-cultural investigation. NeuroRehabilitation, 24, 75–85.

    PubMed  Google Scholar 

  • Mattis, S. (1988). Dementia Rating Scale (DRS). Odessa, FL: Psychological Assessment Resources.

    PubMed  Google Scholar 

  • Menon, C., Hall, J., Hobson, V., Johnson, L., & O’Bryant, S. E. (2011). Normative performance on the executive clock drawing task in a multi-ethnic bilingual cohort: A project FRONTIER study. International Journal of Geriatric Psychiatry. doi:10.1002/gps.2810.

  • Mungas, D. (2006). Neuropsychological assessment of Hispanics elders: Challenges and psychometric approaches. In G. Yeo & D. Gallagher-Thompson (Eds.), Ethnicity and the dementias (2nd ed., pp. 71–86). New York: Routledge/Taylor & Francis Group.

    Google Scholar 

  • Mungas, D., Marshal, S. C., Weldon, M., Haan, M., & Reed, B. R. (1996). Age and education correction of mini-mental state examination for English- and Spanish-speaking elderly. Neurology, 46(3), 700–706.

    Article  PubMed  Google Scholar 

  • Mungas, D., Reed, B. R., Crane, P. K., Haan, M. N., & González, H. (2004). Spanish and English neuropsychological assessment scales (SENAS): Further development and psychometric characteristics. Psychological Assessment, 16(4), 347–359.

    Article  PubMed  Google Scholar 

  • Mungas, D., Reed, B. R., Farias, S. T., & DeCarli, C. (2005). Criterion-referenced validity of a neuropsychological test battery: Equivalent performance in elderly Hispanics and non-Hispanic whites. Journal of the International Neuropsychological Society, 11, 620–630.

    Article  PubMed  Google Scholar 

  • Mungas, D., Reed, B. R., Haan, M. N., & González, H. (2005). Spanish and English neuropsychological assessment scales: Relationship to demographics, language, cognition, and independent function. Neuropsychology, 19(4), 466–475.

    Article  PubMed  Google Scholar 

  • Mungas, D., Reed, B. R., Marshall, S. C., & Gonzalez, H. C. (2000). Development of psychometrically matched English and Spanish language neuropsychological tests for older persons. Neuropsychology, 14(2), 209–223.

    Article  PubMed  Google Scholar 

  • Mungas, D., Widaman, K. F., Reed, B. R., & Farias, S. T. (2011). Measurement invariance of neuropsychological tests in diverse older persons. Neuropsychology, 25(2), 260–269.

    Article  PubMed  Google Scholar 

  • Nasreddine, Z. S., Philips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., et al. (2005). The Montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699.

    Article  PubMed  Google Scholar 

  • Oehlert, M., Hass, S. D., Freeman, M. R., Williams, M. D., Ryan, J. J., & Sumerall, S. W. (1997). The neurobehavioral cognitive status examination: Accuracy of the “screen-metric” approach in a clinical sample. Journal of Clinical Psychology, 53, 733–737.

    Article  PubMed  Google Scholar 

  • Peña-Casanova, J., Blesa, R., Aguilar, M., Gramunt-Fombuena, N., Gómez-Ansón, B., Oliva, R., et al. (2009). Spanish multicenter normative studies (NEURONORMA project): Methods and sample characteristics. Archives of Clinical Neuropsychology, 24(4), 307–319.

    Article  PubMed  Google Scholar 

  • Ramírez, M., Teresi, J. A., Holmes, D., Gurland, B., & Lantigua, R. (2006). Differential item functioning (DIF) and the mini-mental state examination (MMSE): Overview, sample, and issues of translation. Medical Care, 44(11), S95–S106.

    Article  PubMed  Google Scholar 

  • Ramírez, M., Teresi, J. A., Silver, S., Holmes, D., Gurland, B., & Lantigua, R. (2001). Cognitive assessment among minority elderly: Possible test bias. Journal of Mental Health and Aging, 7(1), 91–118.

    Google Scholar 

  • Rey, G. J., Feldman, E., Rivas-Vazquez, R., Levin, B. E., & Bentin, A. (1999). Neuropsychological development and normative data on Hispanics. Archives of Clinical Neuropsychology, 14, 593–601.

    PubMed  Google Scholar 

  • Roper, B. L., Bieliauskas, L. A., & Peterson, M. R. (1996). Validity of the mini-mental state examination and the neurobehavioral cognitive status examination in cognitive screening. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 9(1), 54–57.

    Google Scholar 

  • Rosen, W.G., Mohs, R.C., & Davis, K.L. (1984). A new rating scale for Alzheimer’s diseases. American Journal of Psychiatry, 14, 1356–1364.

    PubMed  Google Scholar 

  • Rossetti, H. C., Lacritz, L. H., Cullum, M., & Weiner, M. F. (2011). Normative date of the Montreal cognitive assessment (MoCA) in a population based sample. Neurology, 77(13), 1272–1275.

    Article  PubMed  Google Scholar 

  • Royall, D. R., Espino, D. V., Polk, M. J., Verdeja, R., Vale, S., Gonzales, H., et al. (2003). Validation of a Spanish translation of the CLOX for use in Hispanic samples: The Hispanic EPESE study. International Journal of Geriatric Psychiatry, 18(2), 135–140. doi:10.1002/gps.804.

    Article  PubMed  Google Scholar 

  • Strutt, A. & Scott, B. (2011). Misclassification of Cognitive Impairment on the MOCA with Spanish-Speaking Older Adults. Retrieved from: http://acn.oxfordjournals.org/content/26/6/470.abstract

  • Taussig, M., Henderson, V. W., & Mack, W. (1992). Spanish translation and validation of a neuropsychological battery: Performance of Spanish- and English-speaking Alzheimer’s disease patients and normal comparison subjects. Clinical Gerontologist, 11(3–4), 95–108.

    Article  Google Scholar 

  • Teresi, J., Golden, R., Cross, P. et al. (1995). Item bias in cognitive screening measures: Comparison of elderly White, Afro-Americans, Hispanic, and high and low education subgroups. Journal of Clinical Epidemiology, 48, 473–483.

    Article  Google Scholar 

  • Teresi, J. A., Holmes, D., Ramirez, M., Gurland, B. J., & Lantigua, R. (2001). Performance of cognitive tests among different racial/ethnic and education groups: Findings of differential item functioning and possible item bias. Journal of Mental Health and Aging, 7(1), 79–89.

    Google Scholar 

  • Thombaben, M. (2010). A simple tool to screen clients for cognitive impairment. Home Health Care Management Practice, 22, 448.

    Article  Google Scholar 

  • Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: A comprehensive review. Journal of the American Geriatrics Society, 40(9), 922–935.

    PubMed  Google Scholar 

  • Valle, R., Hough, R., Kolody, B., Cook-Gait, H., Figueroa, G., Jimenez, R., & Atkinson, J.H. (1991). The validation of the Blessed Mental Status Test and the Mini-Mental Status Examination with an Hispanic population. In Final report to the National Institute of Mental Health, Grunt #ROI MH43390-01.

    PubMed  Google Scholar 

  • Weintraub, S. (2011). Neuropsychology of aging and dementia. Retrieved from people.bu.edu/abudson/06-03-09SwPRESENT.pdf

  • Wheeler, D. K. (2010). Digit span with a linguistically diverse Latina/Latino population: A cross-language study. ProQuest Dissertations and Theses, Fielding Graduate University. Retrieved from http://search.proquest.com/docview/855633123?accountid=452

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Authors and Affiliations

  1. Department of Psychology, Victims of Crime Treatment Center, University of Nevada, Reno, MS 0296, Reno, NV, 89557, USA

    Lorraine T. Benuto Ph.D.

  2. California Department of Corrections and Rehabilitation, Adult Division, California Correctional Health Care Services, Sacramento, CA, USA

    Brian D. Leany Ph.D.

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  1. Lorraine T. Benuto Ph.D.
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Correspondence to Lorraine T. Benuto Ph.D. .

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  1. , Department of Psychology, MS 0296, University of Nevada, Reno, North Virginia Street, Reno, 89557, Nevada, USA

    Lorraine T. Benuto

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Benuto, L.T., Leany, B.D. (2013). Assessment of Dementia in the Hispanic Client: A Neuropsychological Perspective. In: Benuto, L. (eds) Guide to Psychological Assessment with Hispanics. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-4412-1_16

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