美国老年印第安人在简易精神状态检查表和马蒂斯痴呆评定量表上的表现。
Performance on the Mini-Mental State Examination and Mattis Dementia Rating Scale among older American Indians.
作者信息
Jervis Lori L, Beals Janette, Fickenscher Alexandra, Arciniegas David B
机构信息
American Indian and Alaska Native Programs, Department of Psychiatry, University of Colorado at Denver and Health Sciences Center School of Medicine, Denver, CO, USA.
出版信息
J Neuropsychiatry Clin Neurosci. 2007 Spring;19(2):173-8. doi: 10.1176/jnp.2007.19.2.173.
Optimal methods for assessing cognitive impairment among older American Indians have not been established. This study sought to examine the cultural relevance and performance of two common cognitive screening measures, the Mini-Mental State Examination (MMSE) and Mattis Dementia Rating Scale (MDRS), in one American Indian population. One hundred forty American Indians ages 60 to 89 were assessed; nearly 11% scored more than 2 standard deviation points below performance expectations on the MMSE, as did 27% to 81% on the MDRS. Complex relationships were found between gender, health conditions (with possible effects on cognitive functioning), and MMSE and MDRS scores. The authors discuss implications and future directions.
尚未确定评估美国印第安老年人认知障碍的最佳方法。本研究旨在检验两种常见认知筛查量表，即简易精神状态检查表（MMSE）和马蒂斯痴呆评定量表（MDRS）在一个美国印第安人群中的文化相关性和表现。对140名年龄在60至89岁之间的美国印第安人进行了评估；近11%的人在MMSE上的得分比预期表现低2个标准差以上，在MDRS上这一比例为27%至81%。研究发现性别、健康状况（可能对认知功能有影响）与MMSE和MDRS得分之间存在复杂关系。作者讨论了研究的意义和未来方向。
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