Chan Sau Man Sandra, Chiu Fung Kum Helen, Lam Chiu Wa Linda
Department of Psychiatry, The Chinese University of Hong Kong.
Int J Geriatr Psychiatry. 2006 Jun;21(6):535-41. doi: 10.1002/gps.1521.
This study is designed to pilot test the feasibility and correlational properties of the adapted Chinese version of Executive Interview (C-EXIT25) to other cognitive measures in a psychogeriatric population in Hong Kong Chinese.
Eighty-five community dwelling elders from different levels of residential care facilities were assessed with C-EXIT25, Cantonese version of Mini-Mental State Examination (C-MMSE), Chinese version of Mattis Dementia Rating Scale (CDRS) and Nelson's Modified Card Sorting Test (MCST).
The C-EXIT25 has high internal consistency (Cronbach's alpha = 0.7995) and inter-rater reliability (r = 0.91). The C-EXIT25 has superior correlational property to performance indices of MCST than the C-MMSE and CDRS, after adjusting for age, gender and educational level. It also discriminates among subjects at different stages on Clinical Dementia Rating.
The C-EXIT25 is a potentially feasible and valid bedside tool for assessment of executive cognitive functions in the psychogeriatric population in Hong Kong Chinese.
本研究旨在对适用于香港华人老年精神病患者的中文版执行功能访谈（C-EXIT25）与其他认知测量方法的可行性及相关性进行预试验。
对来自不同级别住宿护理机构的85名社区居住老年人进行了C-EXIT25、粤语版简易精神状态检查表（C-MMSE）、中文版马蒂斯痴呆评定量表（CDRS）和尼尔森改良卡片分类测试（MCST）评估。
C-EXIT25具有较高的内部一致性（克朗巴哈系数α=0.7995）和评分者间信度（r=0.91）。在调整年龄、性别和教育水平后，C-EXIT25与MCST表现指标的相关性优于C-MMSE和CDRS。它还能区分不同临床痴呆评定阶段的受试者。
C-EXIT25是一种潜在可行且有效的床边工具，可用于评估香港华人老年精神病患者的执行认知功能。
