The relationship between the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and olfaction in patients referred for a dementia evaluation.

The current study examined the relationship between a standardized dementia battery (Repeatable Battery for the Assessment of Neuropsychological Status [RBANS]) and a test of olfactory discrimination (University of Pennsylvania Smell Identification Test [UPSIT]) in a heterogeneous sample of patients referred for a dementia assessment (N = 103). Significant moderate correlations were found between the UPSIT and each of the RBANS indexes, with the strongest correlation for Total Scale score, followed by the Delayed Memory Index and the Language Index. Significant moderate correlations were also found between the UPSIT and 11 of the 12 subtests of the RBANS. While the major RBANS indexes demonstrated significant correlations with education and the Wechsler Test of Adult Reading, a measure of premorbid IQ, the UPSIT did not. This suggests the UPSIT may be sensitive to decline in dementia and largely unaffected by premorbid cognitive functioning. As a result, the UPSIT may provide neuropsychologists with an efficient, cost-effective, and sensitive supplement to a standard dementia battery.

Dichotomous scoring of Trails B in patients referred for a dementia evaluation.

The Trail Making Test is a popular neuropsychological test and its interpretation has traditionally used time-based scores. This study examined an alternative approach to scoring that is simply based on the examinees' ability to complete the test. If an examinee is able to complete Trails B successfully, they are coded as "completers"; if not, they are coded as "noncompleters." To assess this approach to scoring Trails B, the performance of 97 diagnostically heterogeneous individuals referred for a dementia evaluation was examined. In this sample, 55 individuals successfully completed Trails B and 42 individuals were unable to complete it. Point-biserial correlations indicated a moderate-to-strong association (r(pb)=.73) between the Trails B completion variable and the Total Scale score of the Repeatable Battery for the Assessment of Neurological Status (RBANS), which was larger than the correlation between the Trails B time-based score and the RBANS Total Scale score (r(pb)=.60). As a screen for dementia status, Trails B completion showed a sensitivity of 69% and a specificity of 100% in this sample. These results suggest that dichotomous scoring of Trails B might provide a brief and clinically useful measure of dementia status.

Correlation between the Bicycle Drawing Task and neuropsychological variables in patients referred for a dementia evaluation.

The objective of this study was to examine the relationship between the Bicycle Drawing Task and a number of neuropsychological variables, including the Repeatable Battery for the Assessment of Neuropsychological Status, in a heterogeneous group of older adults referred for a dementia evaluation. The sample consisted of 91 participants with a mean age of 77.0 yr. (SD = 6.4). The correlations between scores on the Bicycle Drawing Task and the Repeatable Battery for the Assessment of Neuropsychological Status and supplemental cognitive measures were generally in the moderate range. The Bicycle Drawing Task was not significantly related to premorbid IQ or education. As a neuropsychological measure, the task is brief, easily explained, easily scored, and well-tolerated by patients. Results suggest the Bicycle Drawing Task may be a useful screening procedure for cognitive impairment that is not significantly related to education or premorbid ability.