Institute of Social Science Survey, Peking University, Beijing, China.
Dementia Care & Research Center, Beijing Dementia Key Lab, Peking University Institute of Mental Health (Sixth Hospital), National Clinical Research Center for Mental Health, Key Laboratory of Mental Health, National Health Commission, Beijing, China.
Int Psychogeriatr. 2019 Dec;31(12):1709-1719. doi: 10.1017/S1041610219000693. Epub 2019 Jul 16.
OBJECTIVE: To compare and validate neurocognitive tests in the Harmonized Cognitive Assessment Protocol (HCAP) for the China Health and Retirement Longitudinal Study (CHARLS), and to identify appropriate tests to be administered in future waves of CHARLS. METHODS: We recruited 825 individuals from the CHARLS sample and 766 subjects from hospitals in six provinces and cities in China. All participants were administered the HCAP-neurocognitive tests, and their informants were interviewed regarding the respondents' functional status. Trained clinicians administered the Clinical Dementia Rating scale (CDR) to assess the respondents' cognitive status independently. RESULTS: The testing protocol took an average of 58 minutes to complete. Refusal rates for tests of general cognition, episodic memory, and language were less than 10%. All neurocognitive test scores significantly correlated with the CDR global score (correlation coefficients ranged from 0.139 to 0.641). The Mini-Mental State Examination (MMSE), the Health and Retirement Study (HRS) - telephone interview for cognitive status (TICS), community screening instrument for dementia (CSI-D) for respondent, episodic memory and language tests each accounted for more than 20% of the variance in global CDR score (p < 0.001) in bivariate tests. In the CHARLS subsample, age and education were associated with neuropsychological performance across most cognitive domains, and with functional status. CONCLUSION: A brief set of the CHARLS-HCAP neurocognitive tests are feasible and valid to be used in the CHARLS sample and hospital samples. It could be applied in the future waves of the CHARLS study, and it allows estimating the prevalence of dementia in China through the population-based CHARLS.
目的:比较并验证中国健康与养老追踪调查(CHARLS)中协调认知评估方案(HCAP)中的神经认知测试,确定适合未来 CHARLS 调查的测试。 方法:我们从 CHARLS 样本中招募了 825 名参与者,从中国六个省市的医院招募了 766 名参与者。所有参与者都接受了 HCAP-神经认知测试,他们的知情人接受了有关受访者功能状态的访谈。经过培训的临床医生使用临床痴呆评定量表(CDR)独立评估受访者的认知状况。 结果:测试方案平均需要 58 分钟完成。一般认知、情景记忆和语言测试的拒绝率低于 10%。所有神经认知测试分数与 CDR 总分显著相关(相关系数范围为 0.139 至 0.641)。简易精神状态检查(MMSE)、健康与退休研究(HRS)-认知状态电话访谈(TICS)、社区痴呆筛查工具(CSI-D)为受访者、情景记忆和语言测试在双变量检验中,分别占 CDR 总分变异的 20%以上(p < 0.001)。在 CHARLS 子样本中,年龄和教育与大多数认知领域的神经心理表现以及与功能状态有关。 结论:一套简短的 CHARLS-HCAP 神经认知测试在 CHARLS 样本和医院样本中是可行且有效的。它可以应用于未来的 CHARLS 研究中,并且可以通过基于人群的 CHARLS 来估计中国痴呆症的患病率。
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