Maryam CHEHREHGOSHA, Pedram KARIMIAN, Fatemeh MEHRAVAR, Mohammad Taghi BADELEH SHAMUSHAKI
European Journal of Geriatrics and Gerontology - 2026;8(1):7-13
Objective: To assess the prevalence of cognitive disorder in a community setting among older adults with two cognitive scales. Materials and Methods: A cross-sectional study involving 450 elderly adults from five urban and regional health facilities in Gorgan was conducted. The instruments were the demographic checklist, mini-mental state examination (MMSE), five-minute cognitive test (FCT). Statistical analysis was performed using SPSS software version 18, with a significance level set at p < 0.05. Results: The participants' mean age was 68.44 +/- 7.62. Of them, 42 percent are men and 58 percent are women. According to the MMSE, 46.70% of older adults have normal cognition, whereas 50% of them have a healthy cognitive status based on the FCT evaluation. According to the logistic regression analysis for both scales, age and gender were significant influencing factors. Furthermore, the receiver operating characteristic analysis displays the FCT's noteworthy area under the curve (0.91, p < 0.000 ). The diagnostic accuracy, sensitivity, and specificity of the FCT test were found to be 90.00%, 87.50%, and 92.86%, respectively. Conclusion: An alternative instrument to the MMSE that could be considered is the FCT, which is a valid, rapid, and reliable cognitive screening tool.
