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画钟试验:是时候改变了吗?

The clock-drawing test: time for a change?

作者信息

Chan Amy, Remington Ruth, Paskavitz James, Shea Thomas B

机构信息

Center for Cellular Neurobiology and Neurodegeneration Research, Department of Biological Sciences, University of Massachusetts Lowell, Lowell, MA 01854, USA.

出版信息

Am J Alzheimers Dis Other Demen. 2008 Aug-Sep;23(4):377-81. doi: 10.1177/1533317508316680. Epub 2008 May 4.

DOI:10.1177/1533317508316680
PMID:18453645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10697372/
Abstract

Clock-drawing tests are simple and rapid screening devices for dementia. It was observed that individuals <60 years of age showed similar performance with a digital prompt (" . . .make the clock read 12:45") or an analog prompt (" . . .quarter to 1"), whereas individuals >70 years of age showed improved performance with an analog prompt. The digital prompt has routinely been used to force participants to recode the prompt via conceptualization. Differential scoring across a range of ages has likely derived from the advent and increase of digital clocks with the younger segment of the population. This implies the need for as-yet undetermined alteration in the nature of prompts to force recoding as the current younger population ages.

摘要

画钟测试是用于痴呆症的简单快速筛查工具。据观察,60岁以下的个体在数字提示(“……使时钟显示为12:45”)或模拟提示(“……差一刻到1点”)下表现相似,而70岁以上的个体在模拟提示下表现更好。数字提示通常用于迫使参与者通过概念化对提示进行重新编码。不同年龄段的差异评分可能源于数字时钟的出现和增加,年轻人群体接触数字时钟更多。这意味着随着当前年轻人群体的老龄化,需要对提示的性质进行尚未确定的改变,以迫使重新编码。

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本文引用的文献

1
Clock drawing and frontal lobe behavioral effects of memantine in Alzheimer's disease: a rater-blinded study.美金刚对阿尔茨海默病患者的画钟测试及额叶行为影响:一项评估者盲法研究
Am J Alzheimers Dis Other Demen. 2006;21(6):454-9. doi: 10.1177/1533317506294474.
2
The clock drawing test: diagnostic, functional, and neuroimaging correlates in older medically ill adults.钟表绘制测试:老年内科疾病患者的诊断、功能及神经影像学关联
J Neuropsychiatry Clin Neurosci. 2005 Fall;17(4):533-40. doi: 10.1176/jnp.17.4.533.
3
Images in psychosomatic medicine: the clock-drawing test.心身医学中的影像:画钟试验
Psychosomatics. 2005 Jan-Feb;46(1):77-8. doi: 10.1176/appi.psy.46.1.77.
4
Validity of the Clock-Drawing Test as a screening tool for cognitive impairment in the elderly.钟表绘制测试作为老年人认知障碍筛查工具的有效性。
Am J Epidemiol. 2004 Oct 15;160(8):797-807. doi: 10.1093/aje/kwh288.
5
Clock drawing, clock reading, clock setting, and judgment of clock faces in elderly people with dementia and depression.痴呆和抑郁老年人的时钟绘制、时钟读数、时钟设置及钟面判断
J Am Geriatr Soc. 2004 Jul;52(7):1146-50. doi: 10.1111/j.1532-5415.2004.52313.x.
6
Further analyses of clock drawings among demented and nondemented older subjects.对患有痴呆症和未患痴呆症的老年受试者的时钟绘图进行进一步分析。
Arch Clin Neuropsychol. 1996;11(3):193-205.
7
Screening for dementia of the alzheimer type in the community: the utility of the Clock Drawing Test.社区中阿尔茨海默病型痴呆的筛查:画钟试验的效用。
Arch Clin Neuropsychol. 1996;11(6):529-39.
8
The value of clock drawing in identifying executive cognitive dysfunction in people with a normal Mini-Mental State Examination score.在简易精神状态检查表得分正常的人群中,画钟测试在识别执行认知功能障碍方面的价值。
CMAJ. 2002 Oct 15;167(8):859-64.
9
The clock drawing test and questionable dementia: reliability and validity.钟表绘制测试与可疑痴呆:可靠性与有效性
Int J Geriatr Psychiatry. 2002 Nov;17(11):1048-54. doi: 10.1002/gps.747.
10
A comparison of scoring protocols on the Clock Drawing Test in relation to ease of use, diagnostic group, and correlations with Mini-Mental State Examination.关于钟表绘制测试中评分协议在易用性、诊断组以及与简易精神状态检查表相关性方面的比较。
J Am Geriatr Soc. 2002 Jan;50(1):169-73. doi: 10.1046/j.1532-5415.2002.50024.x.