用简易精神状态检查表预测痴呆患者的日常功能能力。
Predicting everyday functional abilities of dementia patients with the Mini-Mental State Examination.
作者信息
Razani Jill, Wong Jennifer T, Dafaeeboini Natalia, Edwards-Lee Terri, Lu Po, Alessi Cathy, Josephson Karen
机构信息
Department of Psychology, California State University, Northridge, California 91330, USA.
出版信息
J Geriatr Psychiatry Neurol. 2009 Mar;22(1):62-70. doi: 10.1177/0891988708328217. Epub 2009 Feb 4.
The Mini-Mental State Examination is a widely used cognitive screening measure. The purpose of the present study was to assess how 5 specific clusters of Mini-Mental State Examination items (ie, subscores) correlate with and predict specific areas of daily functioning in dementia patients, 61 patients with varied forms of dementia were administered the Mini-Mental State Examination and an observation-based daily functional test (the Direct Assessment of Functional Status). The results revealed that the orientation and attention subscores of the Mini-Mental State Examination correlated most significantly with most functional domains. The Mini-Mental State Examination language items correlated with all but the shopping and time orientation tasks, while the Mini-Mental State Examination recall items correlated with the Direct Assessment of Functional Status time orientation and shopping tasks. Stepwise regression analyses found that among the Mini-Mental State Examination subscores, orientation was the single, best independent predictor of daily functioning.
简易精神状态检查表是一种广泛使用的认知筛查工具。本研究的目的是评估简易精神状态检查表项目的5个特定类别（即子分数）如何与痴呆患者日常功能的特定领域相关联并进行预测。对61名患有不同形式痴呆症的患者进行了简易精神状态检查表测试以及基于观察的日常功能测试（功能状态直接评估）。结果显示，简易精神状态检查表的定向和注意力子分数与大多数功能领域的相关性最为显著。简易精神状态检查表的语言项目与除购物和时间定向任务外的所有任务相关，而简易精神状态检查表的回忆项目与功能状态直接评估的时间定向和购物任务相关。逐步回归分析发现，在简易精神状态检查表的子分数中，定向是日常功能的唯一最佳独立预测指标。
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