Division of Geriatrics, Department of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.
Department of Neurology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.
J Am Geriatr Soc. 2018 Aug;66(8):1598-1602. doi: 10.1111/jgs.15422. Epub 2018 May 29.
To describe the psychometric properties of the Picture-based Memory Impairment Screen (PMIS) in a multidisciplinary memory disorder center serving an ethnically and educationally diverse community.
Cross-sectional cohort study.
Montefiore Center for Aging Brain (CAB) PARTICIPANTS: Individuals with cognitive complaints (N=405; average age 76±10, 66% female).
A geriatrician or neurologist administered the PMIS, and a neuropsychologist administered the Blessed Information, Memory, and Concentration (BIMC) test and determined whether participants had dementia, mild cognitive impairment (MCI), or subjective cognitive complaints (SCC).
Mean PMIS scores were 4.0±2.6 in participants with dementia (n=194), 6.8±1.5 in those with MCI (n= 155), and 7.0±1.8 in those with SCC (n= 56) (p<.001). PMIS scores showed similar significant linear trends when analyzed according to ethnicity, education, sex, and language. The PMIS was negatively correlated with BIMC score (p<.001). The PMIS had positive predictive value of 77%, negative predictive value of 73%, sensitivity of 68%, and specificity of 81% to detect all-cause dementia in this population of individuals with cognitive complaints.
The PMIS is a quick, valid screening tool to identify cognitive impairment in individuals with cognitive complaints that accounts for cultural and educational differences.
描述多学科记忆障碍中心用于服务种族和教育背景多样化社区的基于图片的记忆障碍筛查（PMIS）的心理测量学特性。
横断面队列研究。
Montefiore 衰老大脑中心（CAB）
有认知主诉的个体（N=405；平均年龄 76±10，66%为女性）。
老年病医生或神经科医生进行 PMIS 测试，神经心理学家进行 Blessed 信息、记忆和注意力（BIMC）测试，并确定参与者是否患有痴呆、轻度认知障碍（MCI）或主观认知主诉（SCC）。
痴呆组（n=194）的 PMIS 平均得分为 4.0±2.6，MCI 组（n=155）的得分为 6.8±1.5，SCC 组（n=56）的得分为 7.0±1.8（p<.001）。当根据种族、教育、性别和语言进行分析时，PMIS 得分显示出类似的显著线性趋势。PMIS 与 BIMC 得分呈负相关（p<.001）。PMIS 在该认知主诉人群中对所有原因痴呆的阳性预测值为 77%，阴性预测值为 73%，敏感性为 68%，特异性为 81%。
PMIS 是一种快速、有效的筛查工具，可用于识别有认知主诉的个体的认知障碍，同时考虑到文化和教育差异。
