在SNSB-II上,基于子测试和基于域分数的认知障碍确定之间的一致性
Yeje Ban1, Hyun Ho Lee2, Jae-Sung Lim3
1Department of Neurology, Kyung Hee University Hospital, Seoul, Korea.
Dementia and neurocognitive disorders
|February 9, 2026
概括
使用首尔神经心理查电池评估认知障碍的两种方法显示适度一致,但对记忆和执行功能的一致性较低,特别是在轻度认知障碍病例中.
科学领域:
- 神经心理学 神经心理学
- 认知科学 认知科学
- 老年学是一门学科.
背景情况:
- 临床医生通过首尔神经心理查电池,第二版,使用两种主要方法来评估认知障碍.
- 这些方法涉及分析个别子测试得分或整体认知领域得分.
- 这些方法之间的一致性可能会根据认知障碍的严重程度而有所不同.
研究的目的:
- 评估基于子测试和基于域得分的认知障碍分类之间的一致性.
- 为了检查这种一致性如何在不同水平的认知障碍,特别是临床痴呆症评级 (CDR) 阶段之间有所不同.
主要方法:
- 分析了1086名患者的数据 (平均年龄为74.27岁).
- 评估了每个认知领域的交叉表格和科恩的卡帕统计数据的一致性.
- 根据CDR水平 (0.5,1和2) 进行了子组分析.
主要成果:
- 在注意力,语言和视觉空间功能方面观察到高一致性 (84.6%-90.8%).
- 在记忆和前额/执行功能方面发现了较低的一致性 (73.6%-74.3%).
- 要求两个异常子测试提高了前额/执行功能对应度,达到90.9%;在CDR 0.5组 (65.8%) 中,记忆对应度特别低.
结论:
- 这两种评估方法之间的一致性通常对注意力,语言和视觉空间功能是好的.
- 对于记忆和前额/执行功能存在实质性的差异,特别是在轻度认知障碍患者中.
- 在诊断记忆或执行功能障碍时,应考虑子测试性能和域分数.
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