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The early recognition of dementia in the elderly: A preliminary communication about a longitudinal study using the gms–agecat package (community version)
Authors:J. R. M. Copeland  C. McWilliam  M. E. Dewey  D. Forshaw  R. Shiwach  R. T. Abed  M. S. Muthu  N. Wood
Abstract:A random community sample of 1070 subjects aged over 65 was interviewed by trained non-medical interviewers using the Geriatric Mental State, community version (GMSA). A sub-sample of 126 subjects was selected so as to contain possible early cases of dementia, pseudo-dementia, and normal subjects; and re-interviewed, a mean 1 year and 23 weeks later, by a group of psychiatrists in training. The computer diagnosis AGECAT, based on GMSA applied by non-medical raters, had predicted at initial interview, nine out of twelve cases of dementia at follow-up and five out of nine borderline cases. An Organic/Depression Index may prove useful in predicting which of those cases with early organic levels will eventually develop dementia, depression or recover.
Keywords:Dementia  community  epidemiology  old age  GMS
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