Feliciano Leilani, Baker Jonathan C, Anderson Sarah L, Leblanc Linda A, Orchanian David M
Department of Psychology, University of Colorado, Colorado Springs, CO 80918, USA.
J Aging Res. 2011 Mar 23;2011:853624. doi: 10.4061/2011/853624.
Cognitive impairment represents a common mental health problem in community-dwelling and institutionalized older adults, and the prevalence increases with age. Multidisciplinary teams are often asked to assess cognitive and functional impairment in this population. The Cognitive Assessment of Minnesota was created by occupational therapists for this purpose and is frequently used, but has not been extensively validated. This study examined the performance of the CAM and compared it to the MMSE with 113 outpatient clinic patients over the age of 60. Subgroups were established based on scores on a depression inventory to determine if the presence of depressed mood altered the relationship between the measures. Both measures demonstrated good internal consistency. The overall correlation between the two measures was high, statistically significant and remained high regardless of depression status. We offer recommendations about the utility of each measure in screening cognitive functioning for older adults.
认知障碍是社区居住和机构养老的老年人中常见的心理健康问题，且患病率随年龄增长而增加。多学科团队经常被要求评估这一人群的认知和功能障碍。明尼苏达认知评估量表就是职业治疗师为此目的编制的，且被广泛使用，但尚未得到广泛验证。本研究对113名60岁以上门诊患者进行了认知评估量表（CAM）的性能测试，并将其与简易精神状态检查表（MMSE）进行比较。根据抑郁量表得分建立亚组，以确定抑郁情绪是否改变了测量指标之间的关系。两种测量方法均显示出良好的内部一致性。两种测量方法之间的总体相关性很高，具有统计学意义，且无论抑郁状态如何，相关性均保持较高水平。我们针对每种测量方法在筛查老年人认知功能方面的效用提出了建议。
