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用于筛查轻度认知障碍的蒙特利尔认知评估量表(MoCA)匈牙利语版本

[Hungarian version of the Montreal Cognitive Assessment (MoCA) for screening mild cognitive impairment].

作者信息

Volosin Márta, Janacsek Karolina, Németh Dezső

机构信息

MTA Pszichologiai Intezet, Budapest, Hungary, E-mail:

出版信息

Psychiatr Hung. 2013;28(4):370-92.

Abstract

Mild cognitive impairment (MCI) can be considered as an intermediate stage between normal cognitive aging and dementia. Its screening is extremely important because within a year in 15-20% of cases dementia can evolve. In Hungary, the most widely used screening tool for both dementia and MCI is the Mini Mental State Examination (MMSE), which is often criticized for its poor screening sensitivity of mild dementia and MCI. To eliminate this problem, the Montreal Cognitive Assessment (MoCA) was developed, especially for screening MCI. Our study presents the first results with the Hungarian translation of MoCA. We used Beck Depression Inventory (BDI) for controlling depression. In MoCA the cutoff score between healthy and MCI persons was 24 out of 30. MoCA was more sensitive in detecting MCI than MMSE and its inner consistency was also slightly higher. Specificity of the tests to detect MCI was similar. The results on BDI were not related to either MoCA or MMSE. Our results suggest that MoCA can be a useful tool to detect cognitive decline.

摘要

轻度认知障碍(MCI)可被视为正常认知衰老与痴呆之间的中间阶段。其筛查极为重要,因为在15%至20%的病例中,痴呆可能在一年内发展而来。在匈牙利,用于痴呆和MCI筛查的最广泛使用的工具是简易精神状态检查表(MMSE),该检查表常因对轻度痴呆和MCI的筛查敏感性较差而受到批评。为消除这一问题,专门为筛查MCI开发了蒙特利尔认知评估量表(MoCA)。我们的研究展示了MoCA匈牙利语翻译版的首批结果。我们使用贝克抑郁量表(BDI)来控制抑郁情况。在MoCA中,健康人与MCI患者的临界值为30分中的24分。MoCA在检测MCI方面比MMSE更敏感,其内部一致性也略高。检测MCI的测试特异性相似。BDI的结果与MoCA或MMSE均无关。我们的结果表明,MoCA可能是检测认知衰退的有用工具。

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