PMID- 30863265 OWN - NLM STAT- MEDLINE DCOM- 20190606 LR - 20231006 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 34 IP - 9 DP - 2019 Mar 11 TI - Validation of the Korean-Everyday Cognition (K-ECog). PG - e67 LID - 10.3346/jkms.2019.34.e67 [doi] LID - e67 AB - BACKGROUND: In the early diagnosis of dementia, an important factor is the evaluation of activities of daily living. The Everyday Cognition (ECog) scale was developed to measure functional changes that are the everyday correlates of specific neuropsychological impairments. This study aimed to examine the validity of the Korean version of Everyday Cognition (K-ECog). METHODS: The participants were 268 cognitively normal older adults (NA), 151 amnestic mild cognitive impairment (aMCI), and 77 dementia of the Alzheimer's type (DAT). The Korean-Mini Mental State Examination (K-MMSE), Korean-Montreal Cognitive Assessment (K-MoCA), and Short form of the Geriatric Depression Scale (SGDS) were administered to all the participants. The K-ECog and Korean-Instrumental Activities of Daily Living (K-IADL) were rated by their informants. RESULTS: Internal consistency (Cronbach's alpha) of K-ECog global function was 0.93, and its test-retest reliability (Pearson's r) was 0.73. K-ECog was significantly correlated with K-IADL (0.66), K-MMSE (-0.38), and K-MoCA (-0.26). Confirmatory factor analysis of K-ECog yielded seven factor model that the original ECog proposed. K-ECog global score and six domain scores were significantly different across the NA, aMCI, and DAT groups. Receiver operating characteristic curve analyses showed that K-ECog effectively differentiated aMCI and DAT patients from NA, suggesting that K-ECog is as sensitive for detecting functional impairments as K-IADL. The proposed optimal cut-off score to differentiate aMCI from NA was 1.41. CONCLUSION: K-ECog is proven reliable and valid for clinical use. K-ECog can be used to distinguish very early stages of impaired ADL and cognitive impairment in the community. FAU - Song, Minji AU - Song M AUID- ORCID: 0000-0002-7687-5239 AD - Department of Psychology, College of Social Sciences, Hallym University, Chuncheon, Korea. AD - Department of Neurology, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea. FAU - Lee, Sun Hwa AU - Lee SH AUID- ORCID: 0000-0001-5998-6984 AD - Department of Neurology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. FAU - Jahng, Seungmin AU - Jahng S AUID- ORCID: 0000-0002-1392-2229 AD - Department of Psychology, College of Social Sciences, Sungkyunkwan University, Seoul, Korea. FAU - Kim, Seong Yoon AU - Kim SY AUID- ORCID: 0000-0002-1077-6289 AD - Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Kang, Yeonwook AU - Kang Y AUID- ORCID: 0000-0003-4426-9127 AD - Department of Psychology, College of Social Sciences, Hallym University, Chuncheon, Korea. AD - Department of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea. LA - eng PT - Journal Article DEP - 20190227 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 SB - IM MH - Activities of Daily Living MH - Aged MH - Aged, 80 and over MH - Area Under Curve MH - Cognitive Dysfunction/*diagnosis MH - Dementia/*diagnosis MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Neuropsychological Tests MH - ROC Curve MH - Reproducibility of Results MH - Republic of Korea PMC - PMC6406041 OTO - NOTNLM OT - Activities of Daily Living OT - Dementia OT - Everyday Cognition OT - Mild Cognitive Impairment COIS- Disclosure: The authors have no potential conflicts of interest to disclose. EDAT- 2019/03/14 06:00 MHDA- 2019/06/07 06:00 PMCR- 2019/03/11 CRDT- 2019/03/14 06:00 PHST- 2018/11/06 00:00 [received] PHST- 2019/02/11 00:00 [accepted] PHST- 2019/03/14 06:00 [entrez] PHST- 2019/03/14 06:00 [pubmed] PHST- 2019/06/07 06:00 [medline] PHST- 2019/03/11 00:00 [pmc-release] AID - 10.3346/jkms.2019.34.e67 [doi] PST - epublish SO - J Korean Med Sci. 2019 Feb 27;34(9):e67. doi: 10.3346/jkms.2019.34.e67. eCollection 2019 Mar 11.