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临床表现 临床表现

Rafi Haddad1,2, Elena Tsoy3, Judith Aharon-Peretz2,4

  • 1Global Brain Health Institute, University of California, San Francisco, San Francisco, CA, USA.

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概括
此摘要是机器生成的。

基于平板电脑的认知评估工具脑健康评估 (TabCAT-BHA) 有效地识别了阿拉伯语说话的以色列人的认知障碍. 这种文化适应的工具具有很高的准确性,有助于早期检测和解决医疗保健差异.

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科学领域:

  • 神经学 神经学
  • 老年学是一门学科.
  • 公共卫生 公共卫生

背景情况:

  • 痴呆症在中东和北非是一个重大的公共卫生挑战,特别影响阿拉伯语人口.
  • 由于缺乏文化和语言适应的评估,以色列阿拉伯语人士存在认知医疗差异.
  • 需要简短的,不依赖语言的认知措施来弥合这一差距.

研究的目的:

  • 评估基于平板电脑的认知评估工具脑健康评估 (TabCAT-BHA) 的阿拉伯版本的并发有效性和区别准确性.
  • 评估TabCAT-BHA在以色列阿拉伯语老年人中检测认知障碍的实用性.

主要方法:

  • 57名认知障碍 (MCI或痴呆症) 的老年人和39名认知正常的人完成了阿拉伯语TabCAT-BHA.
  • 认知障碍的参与者还完成了标准的口语记忆,视觉记忆,视觉空间技能和处理速度的纸和笔测试.
  • 使用后勤回归,ROC曲线和皮尔森相关性来评估歧视准确性和并发有效性,并根据年龄,性别和教育进行调整.

主要成果:

  • 在检测认知障碍方面,TabCAT-BHA表现出极好的区分精度 (AUC = 0.97,灵敏度 = 0.93,特异性 = 0.79).
  • 在特定的TabCAT-BHA子测试和相应的标准认知测试 (例如,带有视觉记忆的观鸟,带有口头记忆的最爱) 之间发现了强烈的相关性.
  • 匹配子测试显示了与所有检查的认知领域的中度关联,反映了执行功能的作用.

结论:

  • 阿拉伯语TabCAT-BHA是一个有效和有效的工具,用于识别阿拉伯语说话的以色列人的认知障碍.
  • 这些发现支持使用TabCAT-BHA来解决这一群体的认知医疗差异.
  • 未来的研究将专注于完善规范,并确认其在轻度认知障碍中早期发现疾病的有用性.