Utility of the Montreal Cognitive Assessment (MoCA) and its subset in HIV-associated neurocognitive disorder (HAND) screening

Woo Jung Kim, Nam Su Ku, Young Joon Lee, Jin Young Ahn, Sun Bean Kim, Hye Won Ahn, Kyung Wook Hong, Joon Young Song, Hee Jin Cheong, Woo Joo Kim, June Myung Kim, Kee Namkoong, Jun Yong Choi, Eosu Kim

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Abstract

Objectives: The Montreal Cognitive Assessment (MoCA) is a useful screening tool for mild cognitive impairment. We aimed to know whether the full MoCA and subsets of the full test are effective for detecting HIV-associated neurocognitive disorder (HAND). Methods: We examined the socio-demographic, clinical, functional, and neuropsychological levels of 194 HIV-infected patients. We compared total scores and scores from each cognitive domain of MoCA between patients with and without HAND. We also examined the utility of subsets of the full test using a few selective domains. The diagnostic accuracies of MoCA and subset composition were evaluated. Results: The total scores of MoCA (P<. 0.001) and scores from Trail Making Test-B (P=0.020), attention domain (P=0.005), and immediate (P=0.003) and delayed recall (P=0.002) differed between patients with and without HAND. A subset composed of Trail Making Test-B, rescored serial subtraction, and immediate/delayed recall showed a 69.2% accuracy. Conclusions: Our results suggest that the MoCA and its subsets alone are not sufficient in screening for HAND. Further studies will be needed to develop a simpler and easier screening tool for HAND based on this study.

Original languageEnglish
Pages (from-to)53-57
Number of pages5
JournalJournal of Psychosomatic Research
Volume80
DOIs
Publication statusPublished - 2016 Jan 1

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All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Kim, W. J., Ku, N. S., Lee, Y. J., Ahn, J. Y., Kim, S. B., Ahn, H. W., Hong, K. W., Song, J. Y., Cheong, H. J., Kim, W. J., Kim, J. M., Namkoong, K., Choi, J. Y., & Kim, E. (2016). Utility of the Montreal Cognitive Assessment (MoCA) and its subset in HIV-associated neurocognitive disorder (HAND) screening. Journal of Psychosomatic Research, 80, 53-57. https://doi.org/10.1016/j.jpsychores.2015.11.006