[Detection of memory impairment among community-dwelling elderly by using the Rivermead Behavioural Memory Test].
OBJECTIVE
The aim of this study was to use the Rivermead Behavioural Memory Test (RBMT) to evaluate everyday memory impairment among community-dwelling elderly who had normal cognitive function and performed daily activities normally but displayed memory impairments,and to diagnose the condition as either mild cognitive impairment or dementia.


METHODS
Among the 1,290 community-dwelling elderly persons who participated in the study, 72 subjects scored higher than 24 on the Mini-Mental State Examination (MMSE): these subjects performed daily activities normally, but their family members reported that they showed memory impairments. Fifty-two subjects completed RBMT, Clinical Dementia Rating, and brain computed tomography, and a final diagnosis was established.


RESULTS
The mean standard profile score was 15.1+/-5.0 and mean screening score was 6.4+/-3.0. RBMT score was correlated with the MMSE score. Nine of the subjects were diagnosed with dementia and 26 of them were found to be normal. RBMT achieved 100% sensitivity and specificity with regard to the differentiation of subjects with Alzheimer's disease. However, some subjects were diagnosed with dementia even though their RBMT score was higher than the cut-off score.


CONCLUSIONS
RBMT was useful in detecting memory impairments of AD subjects in community-based surveys. However, some subjects were diagnosed with dementia because of the existence of other cognitive impairments among community-dwelling elderly.
Shinagawa
Shunichiro
S
Department of Psychiatry, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.
Toyota
Yasutaka
Y
Matsumoto
Teruhisa
T
Sonobe
Naomi
N
Adachi
Hiroyoshi
H
Mori
Takaaki
T
Ishikawa
Tomohisa
T
Fukuhara
Ryuji
R
Ikeda
Manabu
M
D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000175:diagnosis; D003704:Dementia / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008569:Memory Disorders / Q000175:diagnosis* / Q000453:epidemiology; D009483:Neuropsychological Tests; D012680:Sensitivity and Specificity