Dutch Autism & ADHD Research Center, Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands.
Dimence, Institute for Mental Health, Deventer, The Netherlands.
J Autism Dev Disord. 2021 Sep;51(9):3374-3379. doi: 10.1007/s10803-020-04782-z. Epub 2020 Nov 17.
By comparing 51 autistic adults and 49 age-matched controls (aged 30-73 years) we tested if (1) the Montreal Cognitive Assessment (MoCA) is more sensitive in measuring cognitive impairments than the Mini Mental State Examination (MMSE) and (2) if we can replicate the MoCA-findings of Powell et al. (2017) with the Dutch MoCA(-NL). Results showed that: (1) The MoCA-NL is more sensitive, and (2) like Powell, no group differences were observed on the MoCA-NL. However, in contrast to Powell, we did not observe that older autistic adults show more impairment than controls on the MoCA-NL. Nonetheless, as the MoCA-NL is more sensitive to cognitive impairment, it is the recommended screener for older autistic adults.
通过比较 51 名自闭症成年人和 49 名年龄匹配的对照组(年龄 30-73 岁),我们测试了蒙特利尔认知评估(MoCA)是否比简易精神状态检查(MMSE)更能敏感地测量认知障碍,以及我们是否可以用荷兰 MoCA(MoCA-NL)复制 Powell 等人的 MoCA 研究结果。结果表明:(1)MoCA-NL 更敏感;(2)与 Powell 的研究结果一致,在 MoCA-NL 上,两组之间没有观察到差异。然而,与 Powell 的研究结果相反,我们没有观察到在 MoCA-NL 上,年长的自闭症成年人比对照组表现出更多的认知障碍。尽管如此,由于 MoCA-NL 对认知障碍更敏感,它是推荐用于年长自闭症成年人的筛查工具。