Fogel B S
Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island.
Int Psychogeriatr. 1991 Winter;3(2):273-88. doi: 10.1017/s1041610291000728.
Ceiling effects limit the utility of many established brief cognitive screening tests for detecting and measuring mild delirious states and prodromal disorders. The High Sensitivity Cognitive Screen (HSCS) (Faust & Fogel, 1989), a bedside test taking approximately 25 minutes to administer, may overcome this limitation. The test consists of a selection of moderately difficult items testing six major domains of neuropsychological performance: memory, language, attention/concentration, visual/motor, spatial, and self-regulation and planning. Reliability is adequate, and two separate concurrent validity studies show accuracy rates of 93% and 87% in classifying the overall result of comprehensive neuropsychological testing. HSCS performance is highly correlated with EEG results in medical psychiatric inpatients, and with functional status in HIV-infected community-dwelling subjects. The brevity and convenience of the HSCS and related instruments make them particularly useful in studies of elderly and chronically ill subjects.
天花板效应限制了许多既定的简短认知筛查测试在检测和测量轻度谵妄状态及前驱疾病方面的效用。高灵敏度认知筛查（HSCS）（福斯特和福格尔，1989年）是一项床边测试，实施起来大约需要25分钟，可能会克服这一限制。该测试由一系列中等难度的项目组成，测试神经心理表现的六个主要领域：记忆、语言、注意力/专注力、视觉/运动、空间以及自我调节和规划。可靠性足够，两项独立的同时效度研究表明，在对综合神经心理测试的总体结果进行分类时，准确率分别为93%和87%。在医学精神病住院患者中，HSCS表现与脑电图结果高度相关，在感染HIV的社区居住受试者中，与功能状态高度相关。HSCS及相关工具的简洁性和便利性使其在老年和慢性病患者的研究中特别有用。
