根据年龄和教育水平进行迷你精神状态考试的基于人口的规范
R M Crum1, J C Anthony, S S Bassett
1Department of Epidemiology, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.
JAMA
|May 12, 1993
概括
迷你精神状态考试 (MMSE) 的认知表现随着年龄和教育程度的下降而下降. 这些根据年龄和教育程度的MMSE分数分布对于临床解释和研究至关重要.
科学领域:
- 老年学和认知科学 认知学和认知科学
- 认知功能的流行病学.
背景情况:
- 迷你心理状态检查 (MMSE) 是评估认知功能的广泛使用的工具.
- 了解跨不同人口群体的规范性MMSE分数分布对于准确的解释至关重要.
研究的目的:
- 根据年龄和教育水平来确定迷你精神状态考试 (MMSE) 成绩的分配.
- 为MMSE得分提供基于人口的参考数据.
主要方法:
- 利用了国家心理健康研究所流行病学流域计划 (1980-1984) 的数据.
- 分析了来自五个不同的美国社区人口中的18056名成年参与者的数据.
- 计算的MMSE分数的平均,中位数和百分点分布,按年龄和教育分层分层.
主要成果:
- MMSE得分与年龄有显著的反向关系,平均得分从29分 (18-24岁) 降至25分 (80岁以上).
- 教育水平对MMSE分数产生了很大的影响,显示了较多学历 (29年或以上9年) 与较少学历 (22年至0-4年) 个体的中位数较高.
结论:
- 通过MMSE测量认知表现,随着年龄和教育程度而有显著差异.
- MMSE得分对于识别认知障碍有价值,但不应仅用于正式诊断.
- 提出的数据为临床医生和研究人员评估认知状态提供了关键的参考点.
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