评估参加初级医疗保健中心的老年人主观认知衰退:应该问什么问题?
Matías Molina-Donoso1,2, Teresa Parrao1,3, Céline Meillon2
1Gerosciences Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Journal of clinical and experimental neuropsychology
|July 5, 2023
概括
一个问题",你觉得你的记忆力有没有变得更糟? ",有效地选老年人主观认知衰退 (SCD). 这种简单的查工具可以帮助识别在例行检查期间经历认知变化的个人.
科学领域:
- 老年学是一门学科.
- 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:
- 主观认知衰退 (SCD) 是自我报告的认知功能下降,而没有客观损伤.
- 目前评估SCD的方法缺乏共识,需要更简单的选工具.
- 确定了11个经常使用的问题,用于SCD评估的潜在用途.
研究的目的:
- 为了确定主观认知衰退 (SCD) 的单一,简单的查问题.
- 通过物品响应理论 (IRT) 评估11个常见的SCD相关问题的贡献和区分能力.
主要方法:
- 来自智利圣地亚哥的初级保健中心的189名65岁以上的参与者完成了11个SCD问题.
- 参与者接受了认知和功能评估,包括MMSE,FCSRT,Pfeffer尺度和GDS.
- 使用物件响应理论 (IRT) 分析来评估每个问题的有效性.
主要成果:
- "你觉得你的记忆力有没有变得更糟?"这个问题. 通过IRT.被确定为最有贡献和歧视性的.
- 报告记忆恶化的参与者在老年抑郁量表 (GDS) 上得分更高.
- 在这个问题和MMSE,FCSRT或Pfeffer功能尺度得分之间没有发现显著的关联.
结论:
- "你觉得你的记忆力有没有变得更糟?"这个问题. 作为SCD的简单代理,显示出承诺.
- 这个问题可以整合到例行医疗检查中,以早期识别认知问题.
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