Table 4

Some cognitive screening tests and other scales for measuring impact of cognitive changes

TestDomainsAdvantagesLimitations
MMSEOrientation, memory, attention, calculation, language, visuoconstructive skills and writingWidely used in clinical practice and research, and brief (not time-consuming)Poorly sensitive to executive functions
Too easy (ceiling effect) in younger patients
MoCATrail making, visuoconstructive skills, naming, memory, attention, sentence repetition, verbal fluency, abstraction and orientationSensitive to executive functions and brief (not time-consuming)Too difficult in older patients (floor effect)
ACE-ROrientation, attention, memory, verbal fluency, language and visuospatial abilityLess time-consuming with good accuracy for detecting dementiaPoorly sensitive to mild cognitive deficits
SIBSocial interaction, memory, orientation, language, attention, praxis, visuospatial ability, construction and orientation to nameCognitive screening in patients with moderate to severe dementiaPoorly sensitive in patients who score >12 on the MMSE
NARTCrystalised intelligence and estimation of vocabulary sizePremorbid cognitive ability level estimation by oral reading of phonological irregular wordsOnly feasible for languages that include many irregular words (eg, English, French)
Does not estimate current IQ
NPISeverity of neuropsychiatric symptoms and impact on the caregiverComplements cognitive tests by exploring behavioural and psychiatric featuresBased on the caregiver’s report
BADL/IADLAbility to perform instrumental (eg, house-keeping, shopping and using the telephone) or basic (eg, using the toilet and dressing) daily life activitiesImportant to assess the impact of cognitive changesPoorly sensitive to change in the early stages of dementia
  • ACE-R, Addenbrookes Cognitive Examination revised; BADL/IADL, basic and instrumental activities of daily life; MMSE, Mini-Mental state examination; MoCA, Montreal Cognitive Assessment; NART, National Adult Reading Test; NPI, neuropsychiatric inventory; SIB, severe impairment battery.