Krishnan Syam, Justus Sunitha, Meluveettil Radhamani, Menon Ramshekhar N, Sarma Sankara P, Kishore Asha
Comprehensive Care Center for Movement Disorders, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Neurol India. 2015 Jan-Feb;63(1):63-7. doi: 10.4103/0028-3886.152637.
The Montreal Cognitive Assessment is a brief and easy screening tool for accurately testing cognitive dysfunction in Parkinson's disease. We tested its validity for use in non-English (Malayalam) speaking patients with Parkinson's disease.
We developed a Malayalam (a south-Indian language) version of Montreal Cognitive Assessment and applied to 70 patients with Parkinson's disease and 60 age- and education-matched healthy controls. Metric properties were assessed, and the scores were compared with the performance in validated Malayalam versions of Mini Mental Status Examination and Addenbrooke's Cognitive Examination.
The Montreal Cognitive Assessment-Malayalam showed good internal consistency and test-retest reliability and its scores correlated with Mini Mental Status Examination (patients: R = 0.70; P < 0.001; healthy controls: R = 0.26; P = 0.04) and Addenbrooke's Cognitive Examination (patients: R = 0.8; P < 0.001; healthy controls: R = 0.52; P < 0.001) scores.
This study establishes the reliability of cross-cultural adaptation of Montreal Cognitive Assessment for assessing cognition in Malayalam-speaking Parkinson's disease patients for early screening and potential future interventions for cognitive dysfunction.
蒙特利尔认知评估是一种简便的筛查工具，用于准确检测帕金森病患者的认知功能障碍。我们测试了其在非英语（马拉雅拉姆语）的帕金森病患者中的有效性。
我们开发了蒙特利尔认知评估的马拉雅拉姆语（一种南印度语言）版本，并应用于70例帕金森病患者和60例年龄及教育程度匹配的健康对照。评估了其度量属性，并将得分与经验证的马拉雅拉姆语版本的简易精神状态检查表和Addenbrooke认知检查表的表现进行比较。
蒙特利尔认知评估-马拉雅拉姆语版本显示出良好的内部一致性和重测信度，其得分与简易精神状态检查表（患者：R = 0.70；P < 0.001；健康对照：R = 0.26；P = 0.04）和Addenbrooke认知检查表（患者：R = 0.8；P < 0.001；健康对照：R = 0.52；P < 0.001）得分相关。
本研究确立了蒙特利尔认知评估跨文化适应性在评估马拉雅拉姆语帕金森病患者认知方面的可靠性，用于早期筛查以及未来对认知功能障碍的潜在干预。
