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NEUROLOGY 1988;38:900
© 1988 American Academy of Neurology

Screening for dementia by memory testing

E. Grober, PhD, H. Buschke, MD, H. Crystal, MD, S. Bang, MA and R. Dresner, RN,C

From the Saul R. Korey Department of Neurology and the Rose F. Kennedy Center for Mental Retardation and Human Development, Albert Einstein College of Medicine, Bronx, NY.

Enhanced cued recall provides a simple and clinically useful memory test for identifying dementia in the elderly. Because this test induces semantic processing and coordinates encoding and retrieval for maximum recall, genuine memory deficits due to impairment of specific memory processes can be distinguished from apparent memory deficits due to use of inefficient strategies or impairment of other cognitive processes. Since genuine memory deficits in the elderly are usually associated with dementia, their identification is highly predictive of clinical dementia. The present study validates the use of enhanced cued recall as a screening test for dementia in 70 aged subjects. All but one person with a pure amnesia were correctly classified. Enhanced cued recall correctly classified 97% of the 120 subjects in this and the previous study. Enhanced cued recall shows learning not revealed by free recall, providing more accurate measurement of memory, and distinguishes demented from nondemented elderly more accurately than either free recall or recognition.

Address correspondence and reprint requests to Dr. Grober, Department of Neurology, Albert Einstein College of Medicine, Van Etten Hospital, Room 319, 1300 Morris Park Avenue, Bronx, NY 10461.

Supported in part by USPHS grants AG 03949, AG 04623, HD 01799, and NS 19234.

Presented in part at the thirty-ninth annual meeting of the American Academy of Neurology, New York, NY, April 1987.




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