{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:47:09Z","timestamp":1760244429926,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T00:00:00Z","timestamp":1669334400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sciences"],"abstract":"<jats:p>Background: Nowadays, controversy exists regarding the stage of cognitive decline and\/or dementia where voting capacity is diminished. Aim: To evaluate whether general cognitive status in advancing age predicts voting capacity in its specific aspects. Methods: The study sample comprised 391 people: 88 cognitively healthy older adults (CH), 150 people with Mild Cognitive Impairment (MCI), and 153 people with Alzheimer\u2019s disease dementia (ADD). The assessment included CAT-V for the voting capacity and Mini Mental State Examination (MMSE) for general cognitive ability. ANOVAs and ROC curves were the tools of statistical analysis towards (a) indicating under which MMSE rate participants are incapable of voting and (b) whether the CAT-V total score can discriminate people with dementia (PwADD) from people without dementia (PwtD). Results: Out of the six CAT-V questions, one question was associated with a low MMSE cutoff score (19.50), having excellent sensitivity (92.5%) and specificity (77.20%), whilst the other five questions presented a higher MMSE cutoff score, with a good sensitivity (78.4% to 87.6%) and specificity (75.3% to 81.7%), indicating that voting difficulties are associated with cognitive status. Secondarily, the total CAT-V score discriminates PwADD from PwtD of 51\u201365 years (sensitivity 93.2%\/specificity 100%\u2014excellent), PwADD from PwtD of 66\u201375 years (sensitivity 73.3%\/specificity 97.1%\u2014good), PwADD from PwtD of 76\u201385 years (sensitivity 92.2%\/specificity 64.7%\u2014good), whilst for 86\u201395 years, a cutoff of 9.5 resulted in perfect sensitivity and specificity (100%). Conclusion: According to MMSE, PwADD have no full voting competence, whilst PwtD seem to have intact voting capacity. The calculated cut-off scores indicate that only people who score more than 28 points on the MMSE have voting capacity.<\/jats:p>","DOI":"10.3390\/brainsci12121614","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T02:05:37Z","timestamp":1669341937000},"page":"1614","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining Voting Capacity in Older Adults with and without Cognitive Decline"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2959-8395","authenticated-orcid":false,"given":"Eleni","family":"Poptsi","sequence":"first","affiliation":[{"name":"Laboratory of Psychology, Department of Cognitive and Experimental Psychology, Faculty of Philosophy, School of Psychology, Aristotle University of Thessaloniki (AUTh), 54124 Thessaloniki, Greece"},{"name":"Lab of Neurodegenerative Diseases, Center for Interdisciplinary Research and Innovation, Aristotle University of Thessaloniki (CIRI\u2014AUTh), 54124 Thessaloniki, Greece"},{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0527-7143","authenticated-orcid":false,"given":"Despina","family":"Moraitou","sequence":"additional","affiliation":[{"name":"Laboratory of Psychology, Department of Cognitive and Experimental Psychology, Faculty of Philosophy, School of Psychology, Aristotle University of Thessaloniki (AUTh), 54124 Thessaloniki, Greece"},{"name":"Lab of Neurodegenerative Diseases, Center for Interdisciplinary Research and Innovation, Aristotle University of Thessaloniki (CIRI\u2014AUTh), 54124 Thessaloniki, Greece"},{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5972-8616","authenticated-orcid":false,"given":"Marianna","family":"Tsatali","sequence":"additional","affiliation":[{"name":"Lab of Neurodegenerative Diseases, Center for Interdisciplinary Research and Innovation, Aristotle University of Thessaloniki (CIRI\u2014AUTh), 54124 Thessaloniki, Greece"},{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"},{"name":"Department of Psychology, School of Humanities and Social Sciences, University of Western Macedonia, 50100 Kozani, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Papaliagkas","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, International Hellenic University, 57001 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Tzanakaki-Melissari","sequence":"additional","affiliation":[{"name":"Institute of Research and Education of Psychiatric and Dementia Patient\u2019s, 73100 Chania, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elia","family":"Kyriakoulaki","sequence":"additional","affiliation":[{"name":"Institute of Research and Education of Psychiatric and Dementia Patient\u2019s, 73100 Chania, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fotini","family":"Kounti","sequence":"additional","affiliation":[{"name":"Heraklion Association of Alzheimer\u2019s Disease and Healthy Aging \u201cALLILENGII\u201d, 71201 Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nefeli","family":"Markou","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Despina","family":"Liapi","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Batsila","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fani","family":"Ouzouni","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Vasiloglou","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2072-8010","authenticated-orcid":false,"given":"Magda","family":"Tsolaki","sequence":"additional","affiliation":[{"name":"Laboratory of Psychology, Department of Cognitive and Experimental Psychology, Faculty of Philosophy, School of Psychology, Aristotle University of Thessaloniki (AUTh), 54124 Thessaloniki, Greece"},{"name":"Lab of Neurodegenerative Diseases, Center for Interdisciplinary Research and Innovation, Aristotle University of Thessaloniki (CIRI\u2014AUTh), 54124 Thessaloniki, Greece"},{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece"},{"name":"Heraklion Association of Alzheimer\u2019s Disease and Healthy Aging \u201cALLILENGII\u201d, 71201 Heraklion, Greece"},{"name":"1st Department of Neurology, Medical School, Aristotle University of Thessaloniki (AUTh), 54124 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1093\/oxfordjournals.pubjof.a029929","article-title":"The Last Suffrage Movement: Voting Rights for Persons with Cognitive and Emotional Disabilities","volume":"27","author":"Schriner","year":"1997","journal-title":"Publius J. 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