在不同人群中对中风后神经认知障碍的查:系统性审查
Shonimá G Gangaram-Panday1,2, Yanyao Zhou3, Céline R Gillebert1,4
1Brain and Cognition, Leuven Brain Institute, KU Leuven, Leuven, Belgium.
The Clinical neuropsychologist
|July 22, 2023
概括
像迷你精神状态检查 (MMSE) 和蒙特利尔认知评估 (MoCA) 这样的认知查工具显示出在中风后诊断神经认知障碍 (NCD) 的前景. 然而,适应对于各种人群来说至关重要,以确保精确诊断中风后非传染性疾病.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 脑神经认知障碍 (NCD) 在中风后很常见,但对于许多人群来说,验证的查工具很少.
- 现有的认知屏幕,包括迷你心理状态检查 (MMSE),蒙特利尔认知评估 (MoCA) 和牛津认知屏幕 (OCS),往往缺乏文化适应.
- 本综述评估了MMSE,MoCA和OCS在不同中风患者群体中诊断NCD的适用性.
研究的目的:
- 审查MMSE,MoCA和OCS在不同中风群体中诊断NCD的适当性.
- 评估调整和评分调整对诊断准确性的影响.
- 识别文化多元化的中风幸存者的研究缺口.
主要方法:
- 在四个数据库中对诊断准确性研究进行系统的文献搜索.
- 对MMSE,MoCA和OCS的翻译,改编,得分调整和截止值进行比较.
- 在西方 (WEIRD) 和非西方人口中分析研究结果.
主要成果:
- 对非西方,南美,非洲和非中国亚洲人群的研究有限.
- 这三种测试 (MMSE,MoCA,OCS) 都需要适应较少的WEIRD群体和非拉丁语语言.
- 调整后的分数和切断值提高了诊断准确度,MoCA在较少的WEIRD组中显示了较低的最佳切断值.
结论:
- MMSE,MoCA和OCS对于检测中风后的NCD是有价值的,但需要文化和语言调整才能获得最佳表现.
- 显著需要在代表性不足,文化多样化的群体中进行更多的诊断准确性研究.
- 未来的研究必须详细说明样本的文化特征,以更好地理解这些认知查工具的概括性.
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