Otsuka T, Shimonaka Y, Maruyama S, Nakazato K, Kitamura T, Yaguchi K, Sato S, Ikeda H
National Center of Neurology and Psychiatry, Institute of Mental Health, Ichikawa, Japan.
Jpn J Psychiatry Neurol. 1988 Jun;42(2):223-9. doi: 10.1111/j.1440-1819.1988.tb01974.x.
The purpose of this study is to develop a new screening test for detecting the demented elderly in the early stage in communities. The test is easy to apply for consultation, guidance and care and is capable of administering differential diagnoses. Based on the 9 dementia rating scales used in Japan, Europe and the U.S., a new test was completed after investigating and modifying the design 5 times. The test consists of 20 items. This test was given to 203 subjects (59 males and 144 females) including normal elderly as well as those suspected of suffering from dementia. The internal consistency, reliability and validity were studied using clinical diagnoses (diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) and Karasawa's Criteria for Judging Senility), Hasegawa's Dementia Rating Scale and Mental Status Questionnaire (MSQ) as external criteria. The present test was confirmed to have sufficient effectiveness as the screening test for dementia.
本研究的目的是开发一种新的筛查测试,用于在社区中早期检测老年痴呆患者。该测试易于应用于咨询、指导和护理,并且能够进行鉴别诊断。基于日本、欧洲和美国使用的9种痴呆评定量表,经过5次调查和修改设计后,完成了一项新测试。该测试由20个项目组成。这项测试被应用于203名受试者(59名男性和144名女性),包括正常老年人以及疑似患有痴呆症的人。使用临床诊断(《精神障碍诊断与统计手册》第三版(DSM-III)的诊断标准和唐泽氏衰老判断标准)、长谷川痴呆评定量表和精神状态问卷(MSQ)作为外部标准,研究了内部一致性、可靠性和有效性。目前的测试被证实作为痴呆症的筛查测试具有足够的有效性。