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      Effects of Sociodemographic Variables and Depressive Symptoms on MoCA Test Performance in Native Germans and Turkish Migrants in Germany

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          Abstract

          The validity of the Montreal Cognitive Assessment (MoCA) in migrants is questionable, as sociodemographic factors and the migration process may influence performance. Our aim was to evaluate possible predictors (age, education, sex, depression, and migration) of MoCA results in Turkish migrants and Germans living in Germany. Linear regression models were conducted with a German ( n = 419), a Turkish ( n = 133), and an overall sample. All predictor analyses reached statistical significance. For the German sample, age, sex, education, and depression were significant predictors, whereas education was the only predictor for Turkish migrants. For the overall sample, having no migration background and higher education were significant predictors. Migration background and education had an impact on MoCA performance in a sample of German and Turkish individuals living in Germany. Thus, culture-specific normative data for the MoCA are needed, and the development of culture-sensitive cognitive screening tools is encouraged.

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          Most cited references53

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          The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.

          To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Validation study. A community clinic and an academic center. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.
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            Development and validation of a geriatric depression screening scale: A preliminary report

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              GPOWER: A general power analysis program

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                Author and article information

                Contributors
                Role: Academic Editor
                Role: Academic Editor
                Role: Academic Editor
                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                11 June 2021
                June 2021
                : 18
                : 12
                : 6335
                Affiliations
                [1 ]Neuropsychology and Gender Studies & Center for Neuropsychological Diagnostics and Intervention (CeNDI), Department of Medical Psychology, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 50937 Cologne, Germany; goerkem.anapa@ 123456gmail.com (G.A.); uemran.seven@ 123456uk-koeln.de (Ü.S.S.); hannah.liebermann-jordanidis1@ 123456uk-koeln.de (H.L.-J.)
                [2 ]Department of Neurology, University Medicine Greifswald, 17489 Greifswald, Germany; mandy.roheger@ 123456med.uni-greifswald.de
                [3 ]Department of Neurology, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 50937 Cologne, Germany; oezguer.onur@ 123456uk-koeln.de (O.A.O.); josef.kessler@ 123456uk-koeln.de (J.K.)
                Author notes
                [* ]Correspondence: elke.kalbe@ 123456uk-koeln.de ; Tel.: +49-221-478-6669; Fax: +49-221-478-3420
                Author information
                https://orcid.org/0000-0002-6015-3194
                Article
                ijerph-18-06335
                10.3390/ijerph18126335
                8296159
                34208085
                2870ea57-ba13-4783-a280-939f40b03d67
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( https://creativecommons.org/licenses/by/4.0/).

                History
                : 04 April 2021
                : 07 June 2021
                Categories
                Article

                Public health
                montreal cognitive assessment (moca),cognition,turkish migrants,predictors
                Public health
                montreal cognitive assessment (moca), cognition, turkish migrants, predictors

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