Lawrence J, Davidoff D, Katt-Lloyd D, Auerbach M, Hennen J
Department of Geriatric Psychiatry, McLean Hospital, Belmont, MA 02478, USA.
Am J Geriatr Psychiatry. 2001 Summer;9(3):205-11.
The authors examined the effectiveness of a voluntary memory impairment-screening program for community-dwelling older persons, assessing three factors: appropriateness of screening instrument, reliability of complaints of cognitive difficulties, and adherence to screening recommendations. Two cognitive screening instruments, the Mini-Mental State Exam (MMSE) and the Seven-Minute Screen (7MS) were compared in 59 participants. Twenty-nine percent showed signs of impairment on the 7MS. Results suggested that the 7MS and the MMSE may have different sensitivities and specificities for the detection of early dementia. Failure on the 7MS was not predicted by cognitive or functional complaints. The study identified and addressed factors affecting compliance with screening recommendations.
作者研究了一项针对社区居住老年人的自愿性记忆障碍筛查项目的有效性，评估了三个因素：筛查工具的适用性、认知困难主诉的可靠性以及对筛查建议的依从性。在59名参与者中比较了两种认知筛查工具，简易精神状态检查表（MMSE）和七分钟筛查量表（7MS）。29%的参与者在7MS上显示出损伤迹象。结果表明，7MS和MMSE在早期痴呆症检测方面可能具有不同的敏感性和特异性。认知或功能主诉无法预测7MS筛查失败。该研究识别并解决了影响筛查建议依从性的因素。
