# Comparative Analysis of MoCA and DigiMoCA Test Results: A Pilot Study
## 5 Conclusions  
Our findings suggest that the DigiMoCA provides a more detailed assessment of cognitive performance across various domains, including attention, memory, executive function, visuospatial skills, and language. Notably, individuals who participated in this study with depressive symptoms showed significant impairments in tasks such as forward numbers, attention, and clock drawing compared to the healthy control group. Furthermore, a progressive decline in cognitive abilities was observed with increasing levels of depressive symptoms and MCI, affecting all cognitive domains assessed. The results indicate that depressive symptoms are associated with poorer performances in visuospatial skills, attention, language, and memory. Importantly, individuals with both depressive symptoms and MCI demonstrated significantly worse performances in memory and orientation than those with only MCI, and also showed poorer performances in visuospatial skills, identification, attention, and memory compared to those with only depressive symptoms. These findings suggest that the DigiMoCA is a useful tool for uncovering nuanced cognitive deficits linked to depressive symptoms and MCI that the original MoCA might not detect. In any case, this study highlights the importance of integrating advanced digital tools in cognitive assessment to facilitate the early identification of cognitive and depressive conditions and to inspire the development of more effective, personalised interventions. To sum up, there is initial evidence that the DigiMoCA may contribute to enhancing our understanding of the complex interplay between depression and cognitive decline, providing a comprehensive approach to cognitive assessment. Conceptualisation, C.B.-C., M.G.-C., C.D.-D. and M.P.-L.; methodology, N.L.-P., [PERSON]-L. and I.O.-G.; software, N.L.-P.; validation, C.B.-C., [PERSON]-C., [PERSON]-D. and [PERSON]-L.; formal analysis, N.L.-P., C.B.-C., [PERSON]-C., [PERSON]-D. and [PERSON]-L.; investigation, all authors; resources,L.A.-R. and M.J.F.-I. ; data curation, N.L.-P.; writing--original draft preparation, N.L.-P. and M.J.F.-I. ; writing--review and editing, all authors; visualisation, N.L.-P., M.J.F.-I. and I.O.-G.; supervision, L.A.-R.; project administration, L.A.-R.; funding acquisition, L.A.-R. All authors have read and agreed to the published version of the manuscript. This research was primarily supported by the Spanish Ministry of Economy, Industry and Competitiveness Grant PID2020-115137 RB-I00 funded by MCIN/AEI/10.13039/501100011033. Xunta de Galicia partially funded this work through grant GPC-ED431B 2023/37. This study was conducted in accordance with the Declaration of Helsinki and approved by the Research Ethics Committee of Galicia, Spain (protocol code 2023/503), approved on 23 January 2024. Informed Consent Statement: Informed consent was obtained from all subjects involved in this study. The raw data utilised in this study are available upon request to the corresponding author. The data are not publicly available due to privacy. The authors would like to thank the staff of the Parque de Castrelos and Os Cortizos daycare centers for their collaboration, particularly [PERSON], [PERSON], [PERSON], and [PERSON]. Finally, the expresses most sincere gratitude to all participants, the elderly users, caretakers, and family members of Parque de Castrelos and Os Cortizos because, as they themselves pointed out, this research is late for them, but not for their children. The authors declare no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. The following abbreviations are used in this manuscript: