The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive Impairment

Objective. To study the Tree-Drawing Test in a group of demented patients and compare it with a group of mild cognitively impaired patients (MCI) and controls. Methods. Consecutive outpatients were classified as affected by dementia (Alzheimer’s disease (AD), frontotemporal dementia (FTD), and vascu...

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Main Authors: Michelangelo Stanzani Maserati, Corrado Matacena, Luisa Sambati, Federico Oppi, Roberto Poda, Maddalena De Matteis, Roberto Gallassi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2015/534681
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author Michelangelo Stanzani Maserati
Corrado Matacena
Luisa Sambati
Federico Oppi
Roberto Poda
Maddalena De Matteis
Roberto Gallassi
author_facet Michelangelo Stanzani Maserati
Corrado Matacena
Luisa Sambati
Federico Oppi
Roberto Poda
Maddalena De Matteis
Roberto Gallassi
author_sort Michelangelo Stanzani Maserati
collection DOAJ
description Objective. To study the Tree-Drawing Test in a group of demented patients and compare it with a group of mild cognitively impaired patients (MCI) and controls. Methods. Consecutive outpatients were classified as affected by dementia (Alzheimer’s disease (AD), frontotemporal dementia (FTD), and vascular dementia (VD)) or by MCI. Patients and controls underwent the Tree-Drawing Test and MMSE. Results. 118 AD, 19 FTD, 46 VD, and 132 MCI patients and 90 controls were enrolled. AD patients draw trees globally smaller than other patients and controls. FTD patients draw trees with a wider space occupation than AD and MCI patients but smaller than controls as well as VD patients. Trees drawn by MCI patients are intermediate in size between AD patients and controls. The trunk-to-crown ratio of trees drawn by cognitive impaired patients is greater than controls while the tree size-relative-to-page space index is significantly smaller. The tree size-relative-to-page space index of trees drawn by AD patients is smaller than that of the other cognitively impaired patients. Tree height and the trunk-to-crown ratio are independent predictors of cognitive impairment. Conclusions. Trees drawn by cognitively impaired patients are different from those drawn by healthy subjects with a progressive differentiation from mild to more relevant degrees of cognitive impairment.
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spelling doaj-art-4e4a4445f4b94f07bb66842a76c9e9222025-02-03T01:20:48ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/534681534681The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive ImpairmentMichelangelo Stanzani Maserati0Corrado Matacena1Luisa Sambati2Federico Oppi3Roberto Poda4Maddalena De Matteis5Roberto Gallassi6IRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, ItalyGeneral Hospital of Imola, Cognitive Disorders Center, Imola, 40026 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, ItalyDipartimento di Scienze Biomediche e NeuroMotorie, Università di Bologna, 40123 Bologna, ItalyDipartimento di Scienze Biomediche e NeuroMotorie, Università di Bologna, 40123 Bologna, ItalyObjective. To study the Tree-Drawing Test in a group of demented patients and compare it with a group of mild cognitively impaired patients (MCI) and controls. Methods. Consecutive outpatients were classified as affected by dementia (Alzheimer’s disease (AD), frontotemporal dementia (FTD), and vascular dementia (VD)) or by MCI. Patients and controls underwent the Tree-Drawing Test and MMSE. Results. 118 AD, 19 FTD, 46 VD, and 132 MCI patients and 90 controls were enrolled. AD patients draw trees globally smaller than other patients and controls. FTD patients draw trees with a wider space occupation than AD and MCI patients but smaller than controls as well as VD patients. Trees drawn by MCI patients are intermediate in size between AD patients and controls. The trunk-to-crown ratio of trees drawn by cognitive impaired patients is greater than controls while the tree size-relative-to-page space index is significantly smaller. The tree size-relative-to-page space index of trees drawn by AD patients is smaller than that of the other cognitively impaired patients. Tree height and the trunk-to-crown ratio are independent predictors of cognitive impairment. Conclusions. Trees drawn by cognitively impaired patients are different from those drawn by healthy subjects with a progressive differentiation from mild to more relevant degrees of cognitive impairment.http://dx.doi.org/10.1155/2015/534681
spellingShingle Michelangelo Stanzani Maserati
Corrado Matacena
Luisa Sambati
Federico Oppi
Roberto Poda
Maddalena De Matteis
Roberto Gallassi
The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive Impairment
Behavioural Neurology
title The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive Impairment
title_full The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive Impairment
title_fullStr The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive Impairment
title_full_unstemmed The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive Impairment
title_short The Tree-Drawing Test (Koch’s Baum Test): A Useful Aid to Diagnose Cognitive Impairment
title_sort tree drawing test koch s baum test a useful aid to diagnose cognitive impairment
url http://dx.doi.org/10.1155/2015/534681
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