Pfeiffer E
J Am Geriatr Soc. 1975 Oct;23(10):433-41. doi: 10.1111/j.1532-5415.1975.tb00927.x.
Clinicians whose practice includes elderly patients need a short, reliable instrument to detect the presence of intellectual impairment and to determine the degree. A 10-item Short Portable Mental Status Questionnaire (SPMSQ), easily administered by any clinician in the office or in a hospital, has been designed, tested, standardized and validated. The standardization and validation procedure included administering the test to 997 elderly persons residing in the community, to 141 elderly persons referred for psychiatric and other health and social problems to a multipurpose clinic, and to 102 elderly persons living in institutions such as nursing homes, homes for the aged, or state mental hospitals. It was found that educational level and race had to be taken into account in scoring individual performance. On the basis of the large community population, standards of performance were established for: 1) intact mental functioning, 2) borderline or mild organic impairment, 3) definite but moderate organic impairment, and 4) severe organic impairment. In the 141 clinic patients, the SPMSQ scores were correlated with the clinical diagnoses. There was a high level of agreement between the clinical diagnosis of organic brain syndrome and the SPMSQ scores that indicated moderate or severe organic impairment.
临床工作涉及老年患者的医生需要一种简短、可靠的工具来检测智力障碍的存在并确定其程度。一种由10个项目组成的简易便携式精神状态问卷（SPMSQ）已设计完成，并经过测试、标准化和验证，任何临床医生都可在办公室或医院轻松使用。标准化和验证过程包括对997名居住在社区的老年人、141名因精神疾病及其他健康和社会问题被转诊至综合诊所的老年人，以及102名居住在养老院、老年之家或州立精神病院等机构的老年人进行测试。结果发现，在对个体表现进行评分时必须考虑教育水平和种族因素。基于庞大的社区人口，确立了以下表现标准：1）精神功能完好；2）临界或轻度器质性损害；3）明确但中度器质性损害；4）严重器质性损害。在141名门诊患者中，SPMSQ评分与临床诊断相关。器质性脑综合征的临床诊断与表明中度或重度器质性损害的SPMSQ评分之间存在高度一致性。
