Screening cognitive performance with the Resident Assessment Instrument for Mental Health Cognitive Performance Scale

Can J Psychiatry. 2010 Nov;55(11):736-40. doi: 10.1177/070674371005501108.

Abstract

Objective: The validity of the Cognitive Performance Scale (CPS) embedded in the Resident Assessment Instrument-Mental Health (RAI-MH) was evaluated among adult psychiatric inpatients.

Methods: The CPS is a brief measure of cognitive performance, with scores ranging from 0 (intact) to 6 (very severe impairment). The CPS scores were compared with the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) scores for 215 adult psychiatric inpatients.

Results: The CPS scores were significantly correlated with MMSE scores (r = -0.69, P < 0.001) and MoCA scores (r = -0.69, P < 0.001). Higher scores on the CPS were associated with greater functional impairment, older age, and a greater prevalence of dementia diagnoses than lower CPS scores.

Conclusions: Pilot data show the CPS is a valid screening measure of cognitive performance among adult psychiatric inpatients. Additional research is needed to replicate our study using a larger sample with more diverse mental health conditions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / epidemiology
  • Female
  • Hospitalization* / statistics & numerical data
  • Humans
  • Male
  • Mass Screening*
  • Mental Status Schedule / statistics & numerical data*
  • Middle Aged
  • Neuropsychological Tests / statistics & numerical data*
  • Ontario
  • Psychometrics / statistics & numerical data
  • Reproducibility of Results
  • Retrospective Studies