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认知障碍问卷 (CIMP-QUEST):在 MCI 和痴呆症中报告的症状分布。

Cognitive Impairment Questionnaire (CIMP-QUEST): reported topographic symptoms in MCI and dementia.

机构信息

Central Hospital, Karlstad, Sweden.

出版信息

Acta Neurol Scand. 2010 Jun;121(6):384-91. doi: 10.1111/j.1600-0404.2009.01312.x. Epub 2010 Jan 6.

DOI:10.1111/j.1600-0404.2009.01312.x
PMID:20055769
Abstract

OBJECTIVE

The Cognitive Impairment Questionnaire (CIMP-QUEST) is an instrument based on information obtained by key informants to identify symptoms of dementia and dementia-like disorders. The questionnaire consists of three subscales reflecting impairment in parietal-temporal (PT), frontal (F) and subcortical (SC) brain regions. The questionnaire includes a memory scale and lists non-cognitive symptoms. The reliability and validity of the questionnaire were examined in 131 patients with mild cognitive impairment (MCI) or mild dementia at a university-based memory unit.

METHODS/RESULTS: Cronbach alpha for all subscales was calculated at r = 0.90. Factor analysis supported the tri-dimensionality of CIMP-QUEST's brain region-oriented construct. Test-retest reliability for a subgroup of cognitively stable MCI-patients (n = 25) was found to be r = 0.83 (P = 0.0005). The correlation between the score on the cognitive subscales (PT + F + M) and Informant Questionnaire on Cognitive Decline in the Elderly was r = 0.83 (P = 0.0005, n = 123). The memory subscale correlated significantly with episodic memory tests, the PT subscale with visuospatial and language-oriented tests, and the SC and F subscales with tests of attention, psychomotor tempo and executive function.

CONCLUSIONS

CIMP-QUEST has high reliability and validity, and provides information about cognitive impairment and brain region-oriented symptomatology in patients with MCI and mild dementia.

摘要

目的

认知障碍问卷(CIMP-QUEST)是一种基于主要知情人提供的信息来识别痴呆和类似痴呆障碍症状的工具。该问卷由三个分量表组成,反映了顶颞(PT)、额叶(F)和皮质下(SC)脑区的损伤。问卷包括一个记忆量表和列出了非认知症状。该问卷的可靠性和有效性在一个以大学为基础的记忆单位的 131 名轻度认知障碍(MCI)或轻度痴呆患者中进行了检验。

方法/结果:所有分量表的克朗巴赫α系数均为 r = 0.90。因子分析支持 CIMP-QUEST 脑区定向结构的三维性。对认知稳定的 MCI 患者亚组(n = 25)进行了测试-重测信度检验,发现 r = 0.83(P = 0.0005)。认知分量表(PT + F + M)的得分与认知下降知情者问卷之间的相关性为 r = 0.83(P = 0.0005,n = 123)。记忆分量表与情景记忆测试显著相关,PT 分量表与视觉空间和语言导向测试相关,SC 和 F 分量表与注意力、心理运动速度和执行功能测试相关。

结论

CIMP-QUEST 具有较高的可靠性和有效性,为 MCI 和轻度痴呆患者提供了认知障碍和脑区定向症状的信息。

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