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Neuropsychological screening tools in Italian HIV+ patients: a comparison of Montreal Cognitive Assessment (MoCA) and Mini Mental State Examination (MMSE)

Objective: Despite the progress in HIV treatments, mild forms of cognitive impairment still persist. Brief and sensitive screening tools are needed. We evaluated the accuracy of the Montreal Cognitive Assessment (MoCA) compared to the Mini Mental State Examination (MMSE) to detect cognitive impairme...

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Published in:Clinical neuropsychologist 2016-12, Vol.30 (sup1), p.1457-1468
Main Authors: Milanini, Benedetta, Ciccarelli, Nicoletta, Fabbiani, Massimiliano, Baldonero, Eleonora, Limiti, Silio, Gagliardini, Roberta, Borghetti, Alberto, D'Avino, Alessandro, Mondi, Annalisa, Colafigli, Manuela, Cauda, Roberto, Di Giambenedetto, Simona
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Language:English
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Summary:Objective: Despite the progress in HIV treatments, mild forms of cognitive impairment still persist. Brief and sensitive screening tools are needed. We evaluated the accuracy of the Montreal Cognitive Assessment (MoCA) compared to the Mini Mental State Examination (MMSE) to detect cognitive impairment in HIV-infected participants. Method: HIV-infected patients were consecutively enrolled during routine outpatient visits at a single institution. The MoCA, the MMSE, and a comprehensive neuropsychological battery were administered. Patients were considered as affected by cognitive impairment if they showed decreased cognitive function in at least two ability domains based on age and education adjusted Italian normative cut-offs. Results: Ninety-three HIV-infected participants (75% males, median age 47, all on antiretroviral therapy; 90% HIV-RNA
ISSN:1385-4046
1744-4144
DOI:10.1080/13854046.2016.1183048