Peters Kevin R, Graf Peter, Hayden Sherri, Feldman Howard
University of British Columbia, Vancouver, BC, Canada.
Clin Neuropsychol. 2004 May;18(2):208-28. doi: 10.1080/13854040490501394.
The primary objective of the present investigation was to characterize the neuropsychological test performance of a large sample of clinic-referred individuals diagnosed as Cognitively-Impaired-Not-Demented (CIND). Participants classified as Not-Cognitively-Impaired (NCI; n = 68) differed from CIND individuals (n = 205) on a number of demographic, clinical, and neuropsychological measures. A backward stepwise logistic regression analysis revealed that measures of learning and memory, visuoconstruction abilities, and cognitive flexibility provided the best discrimination between NCI and CIND participants. Clinical comparison data for CIND participants were generated for various demographically defined groups. The amount of inter-test scatter (highest minus lowest sample-based z-score) and the overall number of cognitive impairments (impairment being defined as performance equal to or greater than 1 standard deviation below the sample mean) in CIND individuals are reported. The results support the impression that CIND is a cognitively heterogeneous condition.
本研究的主要目的是描述大量被诊断为认知功能受损但未患痴呆症(CIND)的临床转诊个体的神经心理学测试表现。在一些人口统计学、临床和神经心理学指标上,被归类为未认知功能受损(NCI;n = 68)的参与者与CIND个体(n = 205)有所不同。向后逐步逻辑回归分析显示,学习与记忆指标、视觉构建能力和认知灵活性指标在区分NCI和CIND参与者方面表现最佳。针对不同人口统计学定义的组生成了CIND参与者的临床比较数据。报告了CIND个体的测试间离散程度(最高减去最低基于样本的z分数)以及认知障碍的总数(障碍定义为表现等于或大于低于样本均值1个标准差)。结果支持了CIND是一种认知异质性状况的观点。