Journal of Aging Research skills including: attention span (distractibility), orientation, recent and remote memory, basic language (register, process, and respond to information), mathematical and practical (monetary) skills. It also assesses temporal awareness, visual memory and sequencing, auditory memory and sequencing, discrimination skills (object identiﬁcation and matching), mental ﬂexibility, and safety and judgment. The maximum total score that can be obtained is 80. Very little data exits on the psychometric properties of the CAM outside from what is found within the examiner’s manual. Rustad and DeGroot indicate an interrater alpha of 0.90, adequate test- retest reliability, and good concurrent validity for level of impairment when compared against professional clinical judgment by occupational therapists [23]. This measure was administered on Day 2 in the clinic by an occupational therapist and an occupational therapy student trained in CAM administration and scoring. The GDS-SF is a 15-item depression inventory speciﬁ- cally designed for use with older adults [15]. High scores indicate greater severity of depressive symptoms. This depression inventory has a maximum score of 15, with scores higher than ﬁve considered to be indicative of depression. The items assess overall mood, changes in energy and activity level, and attitudes about the future. The GDS-SF, also called the GDS-15, was found to be as good as the longer version of the GDS for assessing depression among older adults with dementia [24]. This measure was administered on Day 1 in the home setting by one member of a three to four person team trained in administration and scoring. The team consisted of an occupational therapist, nurse, pharmacist, or psychologist and students from one of those disciplines (i.e., 1-2 professionals and 2 students per team). 2.3. Analyses. Pearson Product Moment Correlations were calculated for total scores of the two cognitive measures (CAM and MMSE) to determine the overall level of agree- ment of these screening measures for a group of older adults. Subgroups were established based on the presence or absence of depressive symptoms to determine whether the presence of depressed mood, as measured by the GDS- SF, diﬀerentially altered the relationship between the two measures. t-tests were conducted comparing participants with depressed mood to participants without depressed mood using the scores on the GDS-SF. The nondepressive symptom group (NON) consisted of those with GDS scores of 0–4. The depressive symptom group (DEP) consisted of GDS scores of 5–15. The Pearson Product Moment correlation described above was computed for each group and coeﬃcients were then compared using Fisher’s Z trans- formation and examined for signiﬁcant group diﬀerences. Sub analyses were conducted to examine areas similarly measured in both screening instruments. The two cognitive measures were examined for items that sampled the same basic skills (i.e., recall and orientation) (refer to Table 1). The strength of the relationship between these subscales for both measures was examined using Pearson Correlation Coeﬃcients and a Fisher’s Z was then conducted to analyze for signiﬁcant diﬀerences. Then, the two groups identiﬁed earlier as DEP and NON were compared for the association Table 1: Speciﬁc items used for sub analyses. 3 MMSE Orientation What is the date? What is the month? What is the year? What day is it? What season are we in? What state are we in? What city? What county? CAM Orientation What is today’s date, including month, date, and year? Is it morning, afternoon, or evening right now? What season are we in now? Where are you now? What is the name of this place? What ﬂoor are we on? Recall A while ago I asked you about 3 items, do you recall what they were? Apple, penny, table What happened to bring you into the hospital? Recall Tell me the three words I told you earlier? Plant, clock, rug of depressive symptomology through examinations of these two groups on each of these subscales using the same statistical procedures. Additionally, a reliability coeﬃcient was run on each of the two cognitive measures to provide an index of each measure’s reliability in this population. A Cronbach’s alpha was conducted on both the total scores of each measure and on the orientation subsection to provide an index of internal consistency. It was not possible to conduct a Cronbach’s alpha on the recall subsection due to the fact that both measures only have one score/subscore available for the recall section. According to convention, α of .70 or higher is considered to be acceptable/good within the social sciences. 3. Results A Cronbach’s alpha was calculated for total scores of the cognitive measures and for the orientation subsection. The MMSE was found to have good internal consistency α = .79 for total score and .82 for orientation. The CAM also performed well, yielding an α = .87 for the total score and α = .76 for orientation. Descriptive statistics for both measures are depicted in Table 2. Pearson Product Moment Correlation was calculated for total scores for 103 participants on the two cognitive measures with r = .74, P < .01, indicating a strong correlation. The depressive symptom group (DEP) consisted of 36 older adults (11 men and 25 women; Mage = 76.9, SD = 9.6, and 52.2% with 12+ years of education). The nondepressive symptom (NON) group consisted of 67 older adults (12 men and 55 women, Mage = 83.1, SD = 6.7, and 45.6% with 12+ years of education). Analyses on the two measures among each subgroup (i.e., DEP and NON) yielded an r = .72, P < .01 for NON and r = .79, P < .01 for DEP.