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评估老年人的认知能力:将蒙特利尔认知评估量表(MoCA)与一种新型的执行功能计算机化测试组合进行比较。

Assessing Capacity in the Elderly: Comparing the MoCA with a Novel Computerized Battery of Executive Function.

作者信息

Brenkel Megan, Shulman Kenneth, Hazan Elias, Herrmann Nathan, Owen Adrian M

机构信息

Department of Psychiatry, Sunnybrook Research Institute, Toronto, Ontario, Canada.

The Brain and Mind Institute, Department of Psychology, Faculty of Social Sciences, The University of Western Ontario, London, Ontario, Canada.

出版信息

Dement Geriatr Cogn Dis Extra. 2017 Jul 18;7(2):249-256. doi: 10.1159/000478008. eCollection 2017 May-Aug.

Abstract

BACKGROUND/AIMS: Clinicians are increasingly being asked to provide their opinion on the decision-making capacity of older adults, while validated and widely available tools are lacking. We sought to identify an online cognitive screening tool for assessing mental capacity through the measurement of executive function.

METHODS

A mixed elderly sample of 45 individuals, aged 65 years and older, were screened with the Montreal Cognitive Assessment (MoCA) and the modified Cambridge Brain Sciences Battery.

RESULTS

Two computerized tests from the Cambridge Brain Sciences Battery were shown to provide information over and above that obtained with a standard cognitive screening tool, correctly sorting the majority of individuals with borderline MoCA scores.

CONCLUSIONS

The brief computerized battery should be used in conjunction with standard tests such as the MoCA in order to differentiate cognitively intact from cognitively impaired older adults.

摘要

背景/目的:临床医生越来越多地被要求就老年人的决策能力发表意见,但目前缺乏经过验证且广泛可用的工具。我们试图通过测量执行功能来确定一种用于评估心理能力的在线认知筛查工具。

方法

对45名65岁及以上的老年混合样本进行蒙特利尔认知评估(MoCA)和改良的剑桥脑科学测试组合筛查。

结果

剑桥脑科学测试组合中的两项计算机化测试显示,其提供的信息超出了标准认知筛查工具所获得的信息,能够正确区分大多数MoCA分数处于临界值的个体。

结论

简短的计算机化测试组合应与MoCA等标准测试结合使用,以区分认知功能正常和认知功能受损的老年人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9af4/5567119/fd444b9de2e8/dee-0007-0249-g01.jpg

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