Koch H J, Gürtler K, Szecsey A
University Clinic of Psychiatry, Department of Gerontopsychiatry Universitätsstrasse 84, D-93053 Regensburg, Germany.
Nagoya J Med Sci. 2005 Jun;67(3-4):93-9.
The objective of our study was to assess the correlation of routine neuropsychological test results in elderly patients referred to a gerontopsychiatric ward. MMSEs, Clocktests (CT) and SKTs were performed in 94 patients (Age: Median = 74 ys, Range = 54-89 ys; 64 f, 30 m; MMSE < 25:45 and MMSE > 25:37) with mild to moderate dementia and evaluated retrospectively. Linear and multiple regression was used. The scores of all 3 tests used were reciprocally correlated (p < 0.05). Multiple regression analysis showed a maximum correlation of 0.87 and marked standardized beta values, if SKT was chosen as dependent variable. In conclusion, results of SKT, CT or MMSE in patients with dementia showed marked pairwise or multiple correlations and therefore it is not necessary to include more than two reliable tests in clinical psychogeriatric studies.
我们研究的目的是评估转诊至老年精神科病房的老年患者常规神经心理学测试结果之间的相关性。对94例(年龄:中位数=74岁,范围=54 - 89岁;女性64例,男性30例;简易精神状态检查表(MMSE)评分<25分:45例,MMSE评分>25分:37例)轻度至中度痴呆患者进行了MMSE、画钟试验(CT)和短程认知筛查量表(SKT)测试,并进行回顾性评估。采用线性回归和多元回归分析。所使用的所有3项测试的分数相互关联(p<0.05)。多元回归分析显示,如果选择SKT作为因变量,最大相关性为0.87,且标准化β值显著。总之,痴呆患者的SKT、CT或MMSE结果显示出显著的两两或多重相关性,因此在临床老年精神病学研究中无需纳入超过两项可靠的测试。