Kuriansky J, Gurland B, Cowan D
Int J Aging Hum Dev. 1976;7(4):331-42. doi: 10.2190/c4w7-mf2k-m6h4-gj6m.
This paper discusses the usefulness of a battery of psychological tests administered to a group of psychiatric geriatric patients in New York and London, as an assessment of cognitive impairment. Two of the tests, the Paired Associate Learning Test, and the Digit Copying Test, were highly related to the diagnosis of organic brain syndrome or functional disorder made independently by a psychiatrist in a clinical interview. Prognostic predictions in disagreement cases were no better or no worse by psychiatric diagnosis than by psychological tests. Compared to a simple clinical test of disorientation derived from the psychiatric interview, psychological tests were more highly correlated to independent measures of patients' self-care capacity and duration of hospitalization, but equally related to psychiatric diagnosis. The verbal subtest proved to be the more useful of the psychological tests given. The logistics and difficulties of administering psychological tests to this specialized population are discussed, e.g. patients' physical limitations, communication problems; as well as efforts in this study to minimize these problems.
本文讨论了对纽约和伦敦的一组老年精神病患者进行一系列心理测试作为认知障碍评估的有用性。其中两项测试，配对联想学习测试和数字抄写测试，与精神科医生在临床访谈中独立做出的器质性脑综合征或功能性障碍的诊断高度相关。在存在分歧的病例中，通过精神科诊断做出的预后预测并不比通过心理测试更好或更差。与从精神科访谈中得出的简单定向临床测试相比，心理测试与患者自我护理能力和住院时间的独立测量更高度相关，但与精神科诊断的相关性相同。在给出的心理测试中，言语子测试被证明更有用。本文讨论了对这一特殊人群进行心理测试的后勤工作和困难，例如患者的身体限制、沟通问题；以及本研究为尽量减少这些问题所做的努力。
