Sánchez-Ayéndez Melba, Cabán Carlos A, Fernández Leticia, Rosich Walter, Dávila Ana L, Larriuz María Celeste, Hernández Johan, García Guruxarri Alberto, Palloni Alberto
Escuela Graduada de Salud Pública, Universidad de Puerto Rico, PO Box 365067, San Juan, Puerto Rico 00936-5067.
P R Health Sci J. 2003 Dec;22(4):377-83.
During the last ten years there has been an interest for determining the prevalence and incidence of dementia among older adults and for cognitive tests that do to discriminate by level of education. This article revolves around the validation of a minimental exam, the Cabán minimental, to measure the cognitive capacity of Spanish-speaking adults 60 years of age and older; a test that is not affected by level of education. The factors measured in the Cabán minimental are: orientation, visual and motor coordination, learning, recent memory and abstraction. The validation process underwent two phases. During the first one, the Cabán test was subjected to construct validation and internal and predictive consistency tests. The second stage comprised a comparison between the Cabán and Folstein minimentals. The Cabán showed a statistically significant difference to discriminate for subjects with dementia. Results also suggest that the Cabán is not as much affected as the Folstein by differences in education.
在过去十年中,人们对确定老年人痴呆症的患病率和发病率以及不受教育程度影响的认知测试产生了兴趣。本文围绕一种简易精神状态检查——卡班简易精神状态检查展开,该检查用于测量60岁及以上讲西班牙语成年人的认知能力,这是一种不受教育程度影响的测试。卡班简易精神状态检查所测量的因素包括:定向、视觉和运动协调、学习、近期记忆和抽象能力。验证过程分为两个阶段。在第一阶段,对卡班测试进行了结构效度验证以及内部一致性和预测一致性测试。第二阶段是卡班简易精神状态检查与福尔斯坦简易精神状态检查之间的比较。卡班简易精神状态检查在区分痴呆症患者方面显示出统计学上的显著差异。结果还表明,与福尔斯坦简易精神状态检查相比,卡班简易精神状态检查受教育程度差异的影响较小。