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福斯丁简易精神状态检查表是一项失语症测试吗?

Is the Folstein's Mini-Mental test an aphasia test?

作者信息

Vigliecca Nora Silvana, Peñalva Marisa Carola, Molina Silvia Cristina, Voos Javier Alfredo, Vigliecca Marcelo Rinaldo

机构信息

Consejo Nacional de Investigaciones Científicas y Técnicas de la Argentina (CONICET), Servicio de Neurología y Neurocirugía del Hospital Córdoba and Centro de Investigaciones de la Facultad de Filosofía y Humanidades (CIFFyH), Universidad Nacional de Córdoba (UNC), Córdoba, Argentina.

出版信息

Appl Neuropsychol Adult. 2012;19(3):221-8. doi: 10.1080/09084282.2011.643962. Epub 2012 Jul 24.

DOI:10.1080/09084282.2011.643962
PMID:23373608
Abstract

The Mini-Mental State Examination (MMSE) is recognized as a valid screening for dementia. It consists of 29 verbal items from a total of 30. The Brief Aphasia Evaluation (BAE) includes 10 aphasia and 12 orientation items, which are similar to most of the MMSE items. It was studied whether those BAE items (MMSE-like): (a) correlate with the rest of the BAE items (BAE-rest), and (b) differentiate patients with left cerebral lesions (LC) from both patients with right cerebral lesions (RC) and healthy participants (HP). A sample of 109 right-handed volunteers (38 HP, 37 LC, and 34 RC) was studied. The three groups were matched according to gender, age, and education. Patients were similar in multiple variables. The correlation between MMSE-like and BAE-rest was .90. MMSE-like showed a sensitivity and specificity of .81 or above to identify the LC from the other two groups. There is a risk for misdiagnosing aphasia as dementia with the MMSE.

摘要

简易精神状态检查表(MMSE)被公认为是一种有效的痴呆筛查工具。它由总共30个项目中的29个言语项目组成。简易失语症评估(BAE)包括10个失语症项目和12个定向项目,其中大部分与MMSE项目相似。研究了这些BAE项目(类MMSE项目):(a)是否与BAE的其他项目(BAE其余项目)相关,以及(b)能否区分左侧脑损伤(LC)患者与右侧脑损伤(RC)患者及健康参与者(HP)。对109名右利手志愿者样本(38名HP、37名LC和34名RC)进行了研究。三组在性别、年龄和教育程度方面进行了匹配。患者在多个变量上相似。类MMSE项目与BAE其余项目之间的相关性为0.90。类MMSE项目在从其他两组中识别出LC患者方面显示出0.81及以上的敏感性和特异性。使用MMSE存在将失语症误诊为痴呆症的风险。

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