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智商与简易精神状态检查表(MMSE)得分:老年住院患者中努力程度和教育程度的控制因素

IQ and scores on the Mini-Mental State Examination (MMSE): controlling for effort and education among geriatric inpatients.

作者信息

Whitney Kriscinda A, Maoz Omry, Hook Julie N, Steiner Amy R, Bieliauskas Linas A

机构信息

Psychiatry Ambulatory Care, Roudebush VA Medical Center, Indianapolis, IN 46202, USA.

出版信息

Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2007 Sep;14(5):545-52. doi: 10.1080/13825580600850934.

Abstract

The Mini-Mental State Examination (MMSE) and the Peabody Picture Vocabulary Test, Third Edition (PPVT-III) were administered to 76 Extended Care Center inpatients of a Veterans Affairs Medical Center, 56 of whom did not carry a diagnosis associated with brain impairment, and 20 of whom had a diagnosis associated with degenerative or cerebrovascular conditions. MMSE and PPVT-III scores, the latter of which estimates verbal IQ, were significantly correlated in both groups, even when controlling for the effects of education. This correlation was attenuated, but remained significant, in the face of varying levels of patient effort. The findings of this study support earlier findings, which also suggest that interpretation of "impaired" performance on the MMSE for those with IQ scores below 90 should be interpreted with caution. Average MMSE scores for Wechsler IQ classifications are provided.

摘要

对一家退伍军人事务医疗中心的76名长期护理中心住院患者进行了简易精神状态检查表(MMSE)和皮博迪图片词汇测验第三版(PPVT-III)。其中56人没有与脑损伤相关的诊断,20人有与退行性或脑血管疾病相关的诊断。MMSE和PPVT-III分数(后者用于评估言语智商)在两组中均显著相关,即使在控制教育影响的情况下也是如此。面对不同程度的患者努力程度,这种相关性虽有所减弱,但仍很显著。本研究结果支持早期研究结果,早期研究结果也表明,对于智商分数低于90的人,MMSE上“受损”表现的解读应谨慎。文中提供了韦氏智商分类的平均MMSE分数。

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