Kuske Bettina, Wolff Christian, Gövert Uwe, Müller Sandra Verena
Faculty of Social Work, Ostfalia University of Applied Sciences, Wolfenbüttel, Germany.
J Appl Res Intellect Disabil. 2017 Dec;30 Suppl 1:49-57. doi: 10.1111/jar.12347. Epub 2017 Mar 23.
This study investigated the application of a newly developed neuropsychological assessment, the Wolfenbütteler Dementia Test for Individuals with Intellectual Disabilities (WDTIM) in combination with the Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID).
The instruments were evaluated in a prospective 2-year follow-up study. A total of 102 people with an intellectual disability were assessed at 6-month intervals. Data were analysed using qualitative and statistical analyses.
Four groups of individuals emerged from the analysis: (1) confirmed suspicion, (2) no suspicion, (3) questionable suspicion and (4) early suspicion. Significant differences were found between groups 1 and 2. The WDTIM could be administered to 90%-100% of all participants exhibiting mild-to-moderate intellectual disability and to 50% with severe intellectual disability .
The WDTIM was shown to have good applicability to people with mild-to-moderate intellectual disability and to be appropriate for detecting cognitive changes. Using the two instruments in combination achieved greater accuracy in reinforcing a dementia suspicion than did using the DSQIID alone.
本研究调查了一种新开发的神经心理学评估工具——针对智障人士的沃尔芬比特尔痴呆测试（WDTIM）与智障人士痴呆筛查问卷（DSQIID）联合使用的情况。
在一项为期2年的前瞻性随访研究中对这些工具进行评估。共有102名智障人士每隔6个月接受一次评估。使用定性和统计分析方法对数据进行分析。
分析得出四组个体：（1）确诊疑似组，（2）无疑似组，（3）可疑疑似组，（4）早期疑似组。在第1组和第2组之间发现了显著差异。WDTIM可用于90%-100%表现出轻度至中度智障的所有参与者，以及50%重度智障参与者。
结果表明，WDTIM对轻度至中度智障人士具有良好的适用性，适合检测认知变化。与单独使用DSQIID相比，联合使用这两种工具在强化痴呆疑似诊断方面具有更高的准确性。
