Clock-face drawing, reading and setting tests in the screening of dementia in Chinese elderly adults

J Gerontol B Psychol Sci Soc Sci. 1998 Nov;53(6):P353-7. doi: 10.1093/geronb/53b.6.p353.

Abstract

Comprehensive neuropsychological batteries focus on the subtle cognitive deficits in dementia, but a brief screening instrument is also of immense practical value. As the clock-drawing test encompasses a number of cognitive domains frequently disturbed by the dementing process, it is considered to be a suitable screening instrument for the disorder. We documented the usefulness of a new scoring method of the clock-drawing test for screening of dementia in the elderly Chinese in Hong Kong. Fifty-three demented individuals and 53 healthy elderly controls were assessed. At a cutoff score of 3/4, the sensitivity and specificity of the clock-drawing test in screening of dementia was 83% and 79%. With a composite test of clock reading and clock setting, the positive predictive value of the clock face test was 98%. This new scoring method of clock-drawing proved to be a valid measure for screening of dementia. It is applicable in non-English speaking populations and should be a useful adjunct for quick screening assessment of dementia.

MeSH terms

  • Aged
  • Analysis of Variance
  • China / ethnology
  • Cognition / physiology
  • Dementia / diagnosis*
  • Dementia / physiopathology
  • Educational Status
  • Female
  • Hong Kong
  • Humans
  • Language
  • Male
  • Mass Screening*
  • Neuropsychological Tests*
  • Predictive Value of Tests
  • Sensitivity and Specificity
  • Time