Italian version of the parkinson Neuropsychometric Dementia Assessment (PANDA): A useful instrument to detect cognitive impairments in Parkinson's disease

Riccardo Pignatti, Laura Bertella, Federica Scarpina, Alessandro Mauro, Elisa Portolani, Pasquale Calabrese

Research output: Contribution to journalArticle

Abstract

Background: Parkinson's disease (PD) is frequently characterized by cognitive and affective dysfunctions. The 'Parkinson Neuropsychometric Dementia Assessment' (PANDA) is a screening tool designed for the early detection of mild cognitive impairment as well as dementia in PD. The PANDA is already validated in German and in French. Objective: The aim of the present work was to provide normative data for the Italian-speaking population, Swiss regions included; moreover, the effectiveness of the PANDA compared to the Mini Mental State Examination (MMSE) was tested. Methods: One-hundred and eleven PD patients with and without cognitive impairment and one-hundred and three matched healthy subjects participated at this study; all patients underwent an extensive neuropsychological evaluation. Results: A PANDA total score of 13 appeared to be the most fitting cut-off with a sensitivity of 96.6% and a specificity of 82.2%; with the MMSE, the same value of sensitivity but with a specificity of 72,4% was reached only by adopting a cut-off of 28. Moreover, a PANDA range of 13-17 appeared to be suggestive for possible cognitive disturbance. Conclusions: The present work provides evidence for the effectiveness of the PANDA in evaluating cognitive deficits also in PD Italian-speaking patients, even when their pathological degree is still initial or very mild.

Original languageEnglish
Pages (from-to)151-160
Number of pages10
JournalJournal of Parkinson's Disease
Volume4
Issue number2
DOIs
Publication statusPublished - 2014

Keywords

  • cognitive impairment
  • dementia
  • neuropsychological test
  • Parkinson's disease

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Medicine(all)

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