Diagnostic Accuracy of the RBANS in Mild Cognitive Impairment: Limitations on Assessing Milder Impairments

The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) has demonstrated adequate sensitivity in detecting cognitive impairment in a number of neuropsychiatric conditions, including Alzheimer's disease. However, its ability to detect milder cognitive deficits in the elder...

Full description

Saved in:
Bibliographic Details
Published in:Archives of clinical neuropsychology 2010-08, Vol.25 (5), p.429-441
Main Authors: Duff, Kevin, Hobson, Valerie L., Beglinger, Leigh J., O'Bryant, Sid E.
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Aged
Aged, 80 and over
Alzheimer Disease - complications
Analysis of Variance
Area Under Curve
Biological and medical sciences
Cognition Disorders - diagnosis
Cognition Disorders - etiology
Diagnostic accuracy
Female
Geriatric Assessment
Geriatrics
Humans
Male
Medical sciences
Mild Cognitive Impairment
Neuropsychological Tests - statistics & numerical data
Organic mental disorders. Neuropsychology
Original Empirical
Predictive Value of Tests
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Repeatable Battery for the Assessment of Neuropsychological Status
Residence Characteristics
ROC Curve
Sensitivity and Specificity
Techniques and methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) has demonstrated adequate sensitivity in detecting cognitive impairment in a number of neuropsychiatric conditions, including Alzheimer's disease. However, its ability to detect milder cognitive deficits in the elderly has not been examined. The current study examined the clinical utility of the RBANS by comparing two groups: Patients with Mild Cognitive Impairment (MCI; n = 72) and cognitively intact peers (n = 71). Significant differences were observed on the RBANS Total score, 3 of the 5 Indexes, and 6 of the 12 subtests, with individuals with MCI performing worse than the comparison participants. Specificity was very good, but sensitivity ranged from poor to moderate. Areas under the receiver operating characteristic curves for the RBANS Immediate and Delayed Memory Indexes and the Total Scale score were adequate. Although significant differences were observed between groups and the areas under the curves were adequate, the lower sensitivity values of the RBANS suggests that caution should be used when diagnosing conditions such as MCI.
ISSN:0887-6177
1873-5843
DOI:10.1093/arclin/acq045