Kojaie-Bidgoli Afsaneh, Fadayevatan Reza, Sharifi Farshad, Alizadeh-Khoei Mahtab, Vahabi Zahra, Aminalroaya Reyhaneh
Department of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Appl Neuropsychol Adult. 2022 Jul-Aug;29(4):591-597. doi: 10.1080/23279095.2020.1792909. Epub 2020 Jul 23.
The Short Portable Mental Status Questionnaire is a brief cognitive tool designed to screen cognitive impairment in geriatric inpatients and outpatients. The validity and reliability of this tool have not been studied in Iran so far. Therefore, this study was conducted to assess the diagnostic properties of the SPMSQ for detection of cognitive disorders in elderly and determine an appropriate cutoff point based on respondents' level of education.
This cross-sectional study was conducted through face to face interviews on a sample of 156 patients (≥60 years) referred to neurology and geriatric clinics of Ziaiyan hospital, Tehran University of Medical Sciences. Regarding the type of cognitive impairment, Participants were divided into two groups; those with cognitive disorders ( = 96) and healthy ( = 60). The level of literacy was also considered in each of the groups.
The Cronbach's alpha coefficient for the SPMSQ was 0.88. In terms of the concurrent validity, a correlation coefficient between SPMSQ and GDS was higher in the literate group compared to the illiterate patients, while in the illiterate group, the SPMSQ had a higher correlation with AMT compared to the other tools. Based on DSM-5, the cutoff point of SPMSQ was 4 in the illiterate elderly patients and the sensitivity and specificity of the tool were at 86.4 and 88.2%, respectively. However, in the literate patients, the cutoff point was 3 and the sensitivity and specificity were 83 and 93.7%, respectively. Also, two components, namely orientation and long-term memory/concentration were determined for the SPMSQ using the factor analysis.
The Iranian version of SPMSQ has a favorable validity and reliability for diagnosing cognitive disorders and can be used for cognitive screening of illiterate older adults.
简短便携式精神状态问卷是一种简短的认知工具，旨在筛查老年住院患者和门诊患者的认知障碍。迄今为止，该工具在伊朗尚未进行有效性和可靠性研究。因此，本研究旨在评估简短便携式精神状态问卷检测老年人认知障碍的诊断特性，并根据受访者的教育水平确定合适的临界值。
本横断面研究通过对转诊至德黑兰医科大学齐亚延医院神经科和老年科门诊的156例患者（≥60岁）进行面对面访谈。根据认知障碍类型，参与者分为两组；认知障碍患者（n = 96）和健康患者（n = 60）。每组还考虑了识字水平。
简短便携式精神状态问卷的Cronbach's α系数为0.88。在同时效度方面，识字组中简短便携式精神状态问卷与老年抑郁量表的相关系数高于文盲患者，而在文盲组中，简短便携式精神状态问卷与简易精神状态检查表的相关性高于其他工具。根据《精神疾病诊断与统计手册》第5版，文盲老年患者简短便携式精神状态问卷的临界值为4，该工具的敏感性和特异性分别为86.4%和88.2%。然而，在识字患者中，临界值为3，敏感性和特异性分别为83%和93.7%。此外，使用因子分析确定了简短便携式精神状态问卷的两个组成部分，即定向和长期记忆/注意力。
伊朗版简短便携式精神状态问卷在诊断认知障碍方面具有良好的有效性和可靠性，可用于文盲老年人的认知筛查。
