PMID- 25150920 OWN - NLM STAT- MEDLINE DCOM- 20150901 LR - 20220331 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 220 IP - 1-2 DP - 2014 Dec 15 TI - Investigation of the Montreal Cognitive Assessment (MoCA) as a cognitive screener in severe mental illness. PG - 664-8 LID - S0165-1781(14)00657-X [pii] LID - 10.1016/j.psychres.2014.07.078 [doi] AB - This study examined the Montreal Cognitive Assessment (MoCA) as a neurocognitive screener and its relationship with functional outcomes in a sample of outpatients diagnosed with severe mental illness (SMI). The MoCA, Brief Assessment of Cognition in Schizophrenia (BACS), UCSD Performance-Based Skills Assessment Test-2 (UPSA-2), and Global Assessment of Functioning (GAF) were administered to 28 SMI patients and 18 non-psychiatric controls. Patients obtained significantly lower scores on the MoCA, BACS, UPSA-2, and GAF compared to non-patients. The cutoff score <26 of the MoCA resulted in favorable sensitivity (89%) but lower specificity (61%) in classification of SMI patients. The MoCA was significantly correlated with UPSA scores but not GAF scores, whereas the BACS was not significantly correlated with UPSA or GAF scores. When entered into hierarchical regression analyses, the MoCA accounted for significant variance in UPSA scores above variance accounted for by the BACS. Both the MoCA and the BACS contributed unique variance in GAF scores. Overall, the MoCA demonstrated high sensitivity as a cognitive screener in SMI. Moreover, MoCA scores were related to performance-based measures of functional capacity. CI - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved. FAU - Musso, Mandi W AU - Musso MW AD - Louisiana State University, Department of Psychology, Baton Rouge, LA, USA. Electronic address: mandimusso@gmail.com. FAU - Cohen, Alex S AU - Cohen AS AD - Louisiana State University, Department of Psychology, Baton Rouge, LA, USA. FAU - Auster, Tracey L AU - Auster TL AD - Louisiana State University, Department of Psychology, Baton Rouge, LA, USA. FAU - McGovern, Jessica E AU - McGovern JE AD - Louisiana State University, Department of Psychology, Baton Rouge, LA, USA. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20140808 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adult MH - *Cognition MH - Cognition Disorders/*diagnosis MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mood Disorders/*psychology MH - *Psychiatric Status Rating Scales MH - Psychometrics MH - *Schizophrenic Psychology MH - Sensitivity and Specificity MH - Severity of Illness Index OTO - NOTNLM OT - Bipolar disorder OT - Cognitive deficits OT - Depression OT - Functional outcomes OT - Neuropsychology OT - Schizophrenia EDAT- 2014/08/26 06:00 MHDA- 2015/09/02 06:00 CRDT- 2014/08/25 06:00 PHST- 2013/06/12 00:00 [received] PHST- 2014/07/28 00:00 [revised] PHST- 2014/07/31 00:00 [accepted] PHST- 2014/08/25 06:00 [entrez] PHST- 2014/08/26 06:00 [pubmed] PHST- 2015/09/02 06:00 [medline] AID - S0165-1781(14)00657-X [pii] AID - 10.1016/j.psychres.2014.07.078 [doi] PST - ppublish SO - Psychiatry Res. 2014 Dec 15;220(1-2):664-8. doi: 10.1016/j.psychres.2014.07.078. Epub 2014 Aug 8.