在特赦和健康的老年人中比较四个痴呆症测试的诊断价值
Fatemah Khamseh1, Gholamreza Hadjati1, Hossein Nahvinejad2
1Iranian Association of Alzheimer's Disease, Tehran, Iran.
Basic and clinical neuroscience
|June 22, 2023
概括
迷你心理状态检查 (MMSE) 和修改后的波斯语测试 (NBCSS) 显示,与其他常见的查工具相比,在识别老年人的神经认知障碍方面,诊断准确度更高.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 神经认知障碍 (NCD) 在老年人群中构成了重大挑战.
- 准确和早期诊断对于有效的管理和干预至关重要.
- 存在多种查工具,但它们在不同人群中的比较诊断价值需要进行调查.
研究的目的:
- 评估和比较四个不同的调查问卷的诊断准确度,以检测老年人NCD.
- 确定哪些查工具在区分健康的老年人与认知障碍的老年人中最有效.
主要方法:
- 这项研究涉及99名居住在德黑兰的识字老年参与者 (60岁以上).
- 管理四种认知评估工具:功能评估分期工具 (FAST),缩短精神测试得分 (AMTS),迷你精神状态检查 (MMSE) 和修改的波斯语测试 (NBCSS).
- 由盲人专家进行神经心理评估,以确定认知状态.
主要成果:
- 该研究包括39名健康个人和60名患有各种非传染性疾病 (轻度阿尔茨海默氏症,失忆性MCI,痴呆症) 的个人.
- 区分健康和受损个体的ROC曲线下的面积 (AUC) 在MMSE (0.734) 和NBCSS (0.751) 中最高.
- 在这个队列中,FAST (0.692) 和AMTS (0.629) 的诊断能力较低.
结论:
- 迷你精神状态检查 (MMSE) 和修改的波斯语测试 (NBCSS) 与FAST和AMTS相比,在老年人中对非传染性疾病的诊断性能优越.
- 这些发现表明,MMSE和NBCSS是对老年人认知障碍的初步查有价值的工具.
- 进一步的研究可能会探索这些工具在更广泛,更多样化的老年人群中的实用性.
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