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Sensitivity and specificity of the CANTAB Paired Associates Learning test for identifying mild cognitive impairment
Yashar Nabizadeh, Malihe Talebi, Malihe Talebi, Elnaz Gholipour-khalili, Hamidreza Ashayeri, Mahnaz Talebi, Mahnaz Talebi, Amirreza Naseri. Acta Psychologica, 2026-08-07
Topic: Risk, prevention and care in population studies
Mild cognitive impairment (MCI) is a stage between normal cognition and dementia, and timely diagnosis of this condition offers the opportunity for effective interventions to slow down the progression to dementia. The Mini-Mental Status Exam (MMSE) and the Montreal Cognitive Assessment (MoCA) are widely used tests for MCI screening. The Cambridge Neuropsychological Test Automated Battery (CANTAB) is a computer-based cognitive battery designed to reduce the influence of language and the possibility of examiner error. This study aimed to investigate the diagnostic accuracy of CANTAB in patients with MCI. Patients with a MoCA score of 25 or less were considered to be in the MoCA-defined MCI group, which comprised 23.1% of participants (15 out of 65). The Paired Associates Learning (PAL)-mean-error-to-success had the most area under the curve in the ROC curve (0.80; 95%CI: 0.66-0.95; p-value<0.01) and optimum cut-off for MCI diagnosis was 5.8 (Sensitivity: 77%; Specificity: 74%) based on the Youden index. Although the small sample size may have influenced the results, the findings suggest that the PAL demonstrated good diagnostic accuracy for distinguishing participants with MoCA-defined MCI.
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APA 7th
Nabizadeh, Y., Talebi, M., Gholipour-khalili, E., Ashayeri, H., Talebi, M., & Naseri, A. (2026). Sensitivity and specificity of the CANTAB Paired Associates Learning test for identifying mild cognitive impairment. Acta Psychologica. https://doi.org/10.1016/j.actpsy.2026.107597
Vancouver
Nabizadeh Y, Talebi M, Gholipour-khalili E, Ashayeri H, Talebi M, Naseri A. Sensitivity and specificity of the CANTAB Paired Associates Learning test for identifying mild cognitive impairment. Acta Psychologica. 2026. doi:10.1016/j.actpsy.2026.107597. PMID: 42567065.
BibTeX
@article{nabizadeh2026-42567065,
author = {Nabizadeh, Yashar and Talebi, Malihe and Gholipour-khalili, Elnaz and Ashayeri, Hamidreza and Talebi, Mahnaz and Naseri, Amirreza},
title = {{Sensitivity and specificity of the CANTAB Paired Associates Learning test for identifying mild cognitive impairment}},
journal = {Acta Psychologica},
year = {2026},
doi = {10.1016/j.actpsy.2026.107597},
pmid = {42567065},
url = {https://doi.org/10.1016/j.actpsy.2026.107597}
}
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Key findings
- Although the small sample size may have influenced the results, the findings suggest that the PAL demonstrated good diagnostic accuracy for distinguishing participants with MoCA-defined MCI.
Why it matters
This study found that the CANTAB Paired Associates Learning test showed good diagnostic accuracy for distinguishing mild cognitive impairment, though the small sample size may have influenced the results. It is about cognitive screening, not about treating, curing, or preventing Alzheimer's disease.
New to this subject? Start with our plain-English guide: Getting a diagnosis →
Study details
- Effect size23.1%
- Evidence strengthLow
How this study scored 37/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Acta Psychologica) |
| Journal's citation record | 2 / 4 | Acta Psychologica: journal h-index 187 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.5 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 3 / 6 | Cited 4.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Amirreza Naseri: h-index 19 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Tabriz University of Medical Sciences: institution h-index 335 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 42567065) |
| Free to read | 2 / 2 | Free to read |
| Total | 37 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1016/j.actpsy.2026.107597
- PubMed: 42567065
- Original source →
- Free full text: Acta Psychologica →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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