Journal of military, veteran and family health · 2023
Montreal Cognitive Assessment scores of Veterans and Canadian Armed Forces personnel seeking mental health treatment.
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King Lisa, Deda Erisa, Ketcheson Felicia, Levine Amanda R, Cyr Kate St, Carr Jason A
Аннотация
INTRODUCTION: The Montreal Cognitive Assessment (MoCA) is a widely used screening tool for mild cognitive impairment and is often used by health care providers working with Canadian Veterans for assessment of pension adjudication purposes. However, MoCA research with Veterans is limited. This study aimed to support clinical interpretation of the MoCA by describing test performance among 208 Canadian Armed Forces (CAF) personnel and Veterans seeking mental health treatment.
METHODS: Participants were Veterans (n = 189; 90.9%) and serving CAF personnel (n = 19; 9.1%) presenting to an operational stress injury (OSI) clinic for mental health assessment and treatment. MoCA data were depicted via histogram and cumulative frequency plot. Pearson correlations were used to explore the relation between total MoCA score and severity of depressive and posttraumatic stress disorder (PTSD) symptoms, level of education, and age.
RESULTS: Average MoCA score (mean = 25.9, SD = 2.3) was just below the recommended clinical cut-off score of 26, and scores between 23 and 26 were relatively common, with a notable decline in frequency of scores less than 23. MoCA performance was significantly correlated with the PTSD Checklist for DSM-5 severity (r = -0.190, 95% CI, -0.32 to -0.054 , p = 0.007), Patient Health Questionnaire 9 severity (r = -0.171, 95% CI, -0.3 to -0.035, p = 0.014), and level of education (r = 0.273, 95% CI, 0.14-0.39, p < 0.001).
DISCUSSION: Results suggest that MoCA scores below the published cut-off of 26 are frequent in this population, especially for more severely symptomatic clients or those with fewer years of education.
METHODS: Participants were Veterans (n = 189; 90.9%) and serving CAF personnel (n = 19; 9.1%) presenting to an operational stress injury (OSI) clinic for mental health assessment and treatment. MoCA data were depicted via histogram and cumulative frequency plot. Pearson correlations were used to explore the relation between total MoCA score and severity of depressive and posttraumatic stress disorder (PTSD) symptoms, level of education, and age.
RESULTS: Average MoCA score (mean = 25.9, SD = 2.3) was just below the recommended clinical cut-off score of 26, and scores between 23 and 26 were relatively common, with a notable decline in frequency of scores less than 23. MoCA performance was significantly correlated with the PTSD Checklist for DSM-5 severity (r = -0.190, 95% CI, -0.32 to -0.054 , p = 0.007), Patient Health Questionnaire 9 severity (r = -0.171, 95% CI, -0.3 to -0.035, p = 0.014), and level of education (r = 0.273, 95% CI, 0.14-0.39, p < 0.001).
DISCUSSION: Results suggest that MoCA scores below the published cut-off of 26 are frequent in this population, especially for more severely symptomatic clients or those with fewer years of education.