公共卫生 公共卫生
Elizabeth Guerrero-Berroa1,2, Kim Love3, Ruby S C Phillips1
1Lehman College, City University of New York, Bronx, NY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
蒙特利尔认知评估 (MoCA) 可能会过度诊断老年非洲裔美国人的认知障碍. 迷你心理状态检查 (MMSE) 可能是这个人群更可靠的查工具.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 蒙特利尔认知评估 (MoCA) 是一种广泛使用的认知查工具.
- 非洲裔美国人可能会在MoCA中出现更高的虚假阳性率,导致误诊.
- 有限的研究比较了MoCA和Mini-Mental State Examination (MMSE) 在非常老,社区居住的非洲裔美国人中.
研究的目的:
- 为了检查非常老的非洲裔美国人的MoCA表现.
- 为了比较MoCA的表现与这个人口中的MMSE.
- 评估年龄和教育对MoCA和MMSE分数的影响.
主要方法:
- 该研究包括31名社区居民,非常老的成年人,他们认为自己是没有痴呆症的黑人/非洲裔美国人.
- 收集和分析了人口统计数据,MoCA和MMSE得分.
- 计算了MoCA,MMSE,年龄和教育之间的相关性,并调整了人口统计数据.
主要成果:
- 样本 (n=29) 的平均年龄为81.7岁,平均学历为14.6年.
- 平均MoCA得分为22.2 (SD=4.0),平均MMSE得分为27.2 (SD=2.1). 平均得分为27.2 (SD=2.1). 平均得分为27.2 (SD=2.1).
- 较高的MoCA分数与较年轻的年龄和高等教育相关,与MMSE分数不同. 摩卡和MMSE得分有显著的相关性.
结论:
- 与MMSE相比,老年非洲裔美国人在MoCA的表现更差,特别是那些不到高中教育的人.
- 需要对MoCA和MMSE进行仔细的解释,以尽量减少该人群中的错误阳性.
- 在开发出更好的工具之前,MMSE可能是非常老的非洲裔美国人更适合的查工具.
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