解读阿登布鲁克认知检查-III在痴呆症中的分数:性能分布和临床上有意义的变化
James Carrick1,2, Sau Chi Cheung1,2,3, David Foxe1,2
1School of Psychology, The University of Sydney, Sydney, Australia.
European journal of neurology
|June 30, 2025
概括
阿登布鲁克认知检查III (ACE-III) 为痴呆症评估提供了新的绩效基准和可靠的变化得分. 在ACE-III下降5个点意味着临床上重要的认知障碍.
科学领域:
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
- 老年学是一门学科.
背景情况:
- 阿登布鲁克的认知检查-III (ACE-III) 是一个广泛使用的认知查工具.
- 建立规范性数据和可靠的变化指数对于认知衰退的准确诊断和监测至关重要.
研究的目的:
- 在大型队列中为ACE-III提供性能分值和描述频段.
- 为在痴呆症和健康人群中重复ACE-III评估建立可靠变化指数.
主要方法:
- 使用727名痴呆症参与者和157名健康对照者的数据计算了基线绩效分值和描述频段.
- 从对393名痴呆症参与者和74名健康对照者的年度评估中确定了年度变化和可靠的变化指数.
主要成果:
- 为ACE-III分数建立了五个描述性表现范围 (非常温和到非常严重).
- 在痴呆症患者群体中发现了每年 -7至 -9个点的特征性下降,根据综合征而异.
- 确定从正常范围 (88-100) 下降5点代表了ACE-III的临床重要变化的最小值.
结论:
- 这项研究为各种痴呆症综合征的ACE-III提供了有价值的参考数据.
- 这些发现有助于临床医生解释ACE-III结果并监测患者的认知变化.
相关概念视频
Alzheimer's Disease: Overview
678
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
678
Cognitive Development During Adulthood
299
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
299
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
213
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
213
Dementia
174
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
174


