Discriminative Effectiveness of the Senior Apperception Test with Impaired and Nonimpaired Elderly Persons

Abstract

A means was devised of assessing elderly individuals' responses to the Senior Apperception Test (SAT) that would discriminate emotionally-cognitively impaired from nonimpaired. With a matched sample of known impaired and nonimpaired nursing home residents, SAT protocols were scored on four dimensions, and the best discriminating cut-off scores established. Protocols from a second similar matched sample were tested for discriminative effectiveness of previously established criterion scores. Significant discrimination at .01 or better was obtained for all four dimensions in the predicted direction. False positives and false negatives ranged from 7 to 33%. The best predictor score was Interpersonal-relationships, the poorest was mood. This procedure with the SAT appears to be an effective screening method for impairment, and it provides additional useful clinical information.