临床表现 临床表现
Isabell Ballasch1, Josef Kessler1, Oezguer A Onur1
1University Hospital Cologne, Cologne, North Rhine-Westphalia, Germany.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
新的基于图像的工具KINO-MCI有效地选疑似痴呆症或轻度认知障碍 (MCI) 患者的认知和日常生活困难. 它提供了传统评估的低语言替代方案,证明了可靠和有效.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 心理学 心理学 心理学
背景情况:
- 主观认知缺陷和日常生活活动 (ADL) 对于诊断神经认知障碍至关重要.
- 传统的评估工具往往具有高的语言要求,对语言障碍或有限的识字能力的个人构成挑战.
- 现有的工具已经过时,不考虑数字媒体的使用情况.
研究的目的:
- 开发一个查问卷,对认知和ADL的主观变化提出最小的语言要求.
- 创建一个基于图像的工具,以克服传统语言沉重评估的局限性.
主要方法:
- 开发了科隆工具,用于对主观认知障碍和ADL (KINO-MCI) 的非语言评估,这是一个基于图像的工具.
- 评估了认知和ADL的主观变化,在9个领域使用0-4级,包括48个项目.
- 在研究中包括可用性/可行性问卷,神经心理测试和基于语言的问卷.
主要成果:
- 在261个对照组和45名神经病患者中评估了KINO-MCI;患者在大多数领域报告了显著更大的困难.
- 在图形,内容,说明和完成时间方面,KINO-MCI显示了高用户满意度.
- 该仪器与基于语言的问卷和外部报告显示出显著的相关性,表明良好的融合有效性,内部一致性 (克朗巴赫α = .82),以及重复测试可靠性 (.43-.78).
结论:
- 基于图像的KINO-MCI对于评估主观认知和ADL缺陷是有效的,与基于语言的工具相似.
- 基诺-MCI具有高可靠性和有效性,有助于诊断轻度认知障碍 (MCI) 和痴呆症.
- 这种工具对具有语言障碍或障碍的个人尤其有益,提高了诊断的可访问性.
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