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作为痴呆筛查工具的画钟试验与简易精神状态检查表:一项临床比较

The Clock Drawing Test versus Mini-mental Status Examination as a Screening Tool for Dementia: A Clinical Comparison.

作者信息

Palsetia Delnaz, Rao G Prasad, Tiwari Sarvada C, Lodha Pragya, De Sousa Avinash

机构信息

Department of Psychiatry, Asha Hospital, Hyderabad, Telangana, India.

Department of Geriatric Mental Health, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Indian J Psychol Med. 2018 Jan-Feb;40(1):1-10. doi: 10.4103/IJPSYM.IJPSYM_244_17.

Abstract

There is a growing incidence of dementia patients in the community, and with this growth, there is need for rapid, valid, and easily administrable tests for the screening of dementia and mild cognitive impairment in the community. This review looks at the two most commonly used tests in dementia screening, namely, the clock drawing test (CDT) and the mini-mental status examination (MMSE). Both these tests have been used in dementia screening over the past three decades and have been the subject of scrutiny of various studies, reviews, and meta-analysis. Both these tests are analyzed on their ability to assess dementia and screen for it in the community, general practice and general hospital settings. The methods of administration and scoring of each test are discussed, and their advantages and disadvantages are explained. There is also a direct comparison made between the MMSE and CDT in dementia screening. Future research needs with these tests are also elucidated.

摘要

社区中痴呆症患者的发病率日益上升,随着这一增长,需要快速、有效且易于实施的测试,用于在社区中筛查痴呆症和轻度认知障碍。本综述探讨了痴呆症筛查中最常用的两项测试,即画钟试验(CDT)和简易精神状态检查表(MMSE)。在过去三十年中,这两项测试均已用于痴呆症筛查,并成为各种研究、综述和荟萃分析的审查对象。对这两项测试在社区、全科医疗和综合医院环境中评估痴呆症及进行筛查的能力进行了分析。讨论了每项测试的实施方法和评分方式,并解释了它们的优缺点。还对MMSE和CDT在痴呆症筛查中的情况进行了直接比较。阐明了这些测试未来的研究需求。

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