Utility of the Montreal Cognitive Assessment (MoCA) and its subset in HIV-associated neurocognitive disorder (HAND) screening

Abstract Objectives The Montreal Cognitive Assessment (MoCA) is a useful screening tool for mild cognitive impairment. We aimed to know whether the full MoCA and subsets of the full test are effective for detecting HIV-associated neurocognitive disorder (HAND). Methods We examined the socio-demograp...

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Bibliographic Details
Published in:Journal of psychosomatic research 2016-01, Vol.80, p.53-57
Main Authors: Kim, Woo Jung, Ku, Nam Su, Lee, Young-Joon, Ahn, Jin Young, Kim, Sun Bean, Ahn, Hye-Won, Hong, Kyung-Wook, Song, Joon Young, Cheong, Hee Jin, Kim, Woo Joo, Kim, June Myung, Namkoong, Kee, Choi, Jun Yong, Kim, Eosu
Format: Article
Language:English
Subjects:
Adult
AIDS Dementia Complex - diagnosis
AIDS Dementia Complex - psychology
Attention
Cognition Disorders - diagnosis
Cognition Disorders - etiology
Cognition Disorders - psychology
Executive Function
Female
HIV Infections - psychology
HIV-associated neurocognitive disorder
Human immunodeficiency virus
Humans
Language Tests
Male
Mass Screening
Memory, Short-Term
Mental Recall
Middle Aged
Montreal Cognitive Assessment
Neuropsychological test
Neuropsychological Tests
Psychiatry
Reproducibility of Results
Screening method
Socioeconomic Factors
Trail Making Test
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Summary:Abstract Objectives The Montreal Cognitive Assessment (MoCA) is a useful screening tool for mild cognitive impairment. We aimed to know whether the full MoCA and subsets of the full test are effective for detecting HIV-associated neurocognitive disorder (HAND). Methods We examined the socio-demographic, clinical, functional, and neuropsychological levels of 194 HIV-infected patients. We compared total scores and scores from each cognitive domain of MoCA between patients with and without HAND. We also examined the utility of subsets of the full test using a few selective domains. The diagnostic accuracies of MoCA and subset composition were evaluated. Results The total scores of MoCA ( P < 0.001) and scores from Trail Making Test-B ( P = 0.020), attention domain ( P = 0.005), and immediate ( P = 0.003) and delayed recall ( P = 0.002) differed between patients with and without HAND. A subset composed of Trail Making Test-B, rescored serial subtraction, and immediate/delayed recall showed a 69.2% accuracy. Conclusions Our results suggest that the MoCA and its subsets alone are not sufficient in screening for HAND. Further studies will be needed to develop a simpler and easier screening tool for HAND based on this study.
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2015.11.006