title: The Brief Cognitive Status Examination (BCSE): Comparing Diagnostic Utility and Equating Scores to the Mini-Mental State Examination (MMSE).
abstract: The study purpose was to compare the diagnostic utility of the Brief Cognitive Status Exam (BCSE) to that of the Mini-Mental State Examination (MMSE) and to develop equated scores to facilitate comparisons. One hundred and eighty-two patients underwent cognitive evaluation and were placed into three groups: dementia (DEM), cognitive impairment, no dementia (CIND), and no cognitive impairment (NCI). One hundred and eighty-two healthy controls from the BCSE standardization sample served as a comparison group. On both measures, the DEM group obtained significantly lower scores than the other two groups, and the CIND group scored significantly lower than the NCI group. The BCSE was more sensitive in all clinical groups, although at extremely low scores, the two tests displayed similar sensitivity. Results indicate the BCSE has diagnostic utility as a cognitive screening measure in a mixed clinical sample and is more sensitive at detecting cognitive impairment, particularly milder levels, than the MMSE.
authors.affiliation: Psychology Service at South Texas Veterans Health Care System and Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA hilsabeck@uthscsa.edu.
authors.forename: Robin C
authors.initials: RC
authors.lastname: Hilsabeck
authors.affiliation: Pearson, Inc., San Antonio, TX, USA.
authors.forename: James A
authors.initials: JA
authors.lastname: Holdnack
authors.affiliation: Departments of Psychiatry and Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: C Munro
authors.initials: CM
authors.lastname: Cullum
authors.affiliation: Pearson, Inc., San Antonio, TX, USA.
authors.forename: Lisa Whipple
authors.initials: LW
authors.lastname: Drozdick
authors.affiliation: Psychology Department, West Virginia University, Morgantown, WV, USA.
authors.forename: Barry
authors.initials: B
authors.lastname: Edelstein
authors.affiliation: Psychology Department, West Virginia University, Morgantown, WV, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Fiske
authors.affiliation: Departments of Psychiatry and Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Lacritz
authors.affiliation: Psychology Service, South Texas Veterans Health Care System, San Antonio, TX, USA.
authors.forename: Karin J M
authors.initials: KJ
authors.lastname: McCoy
authors.affiliation: Pearson, Inc., San Antonio, TX, USA.
authors.forename: Dustin
authors.initials: D
authors.lastname: Wahlstrom
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000175:diagnosis*; D003704:Dementia / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000592:standards*; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D012680:Sensitivity and Specificity; D055815:Young Adult
keywords: Cognitive screening; Dementia; Mild cognitive impairment