Akbuğa Koç Ebru, Çil Elif Tuğçe, Çakır Şükriye, Ahmetoğlu Aber, Yahya Hager, Çınar Nilgün
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yeditepe University, Istanbul, Turkey.
Department of Neurology, Maltepe University Faculty of Medicine Hospital, Istanbul, Turkey.
Exp Aging Res. 2025 Jul-Sep;51(4):444-457. doi: 10.1080/0361073X.2024.2435780. Epub 2024 Nov 29.
The General Practitioner Assessment of Cognition (GPCOG) was explicitly developed as a brief cognitive screening tool for general practitioners. It consists of a patient section testing cognition and an informant section asking historical questions. This study aimed to test the validity and reliability of the Turkish version of GPCOG-Tr on older Turkish adults. The study included two hundred thirty ( = 230) community-dwelling individuals aged at least 55. The GPCOG was translated, back-translated, and revised to determine the final GPCOG-Tr. The sample was divided into the patient group (with memory complaints) and the control group (without memory complaints). The GPCOG-Tr was compared against standard criteria for diagnosis of dementia (Diagnostic and Statistical Manual of Mental Disorders - 5th edition), the Clinical Dementia Rating scale, the Mini-mental State Examination, The Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog) subscale, and the Geriatric Depression Scale (GDS). The reliability test was done on 30 participants after two weeks. The two-stage method of administering the GPCOG-Tr had a sensitivity of 85%, a specificity of 92%, a misclassification rate of 11.3%, and a positive predictive value of 92%. The test-retest correlation coefficients ranged from 0.86 to 0.98. The GPCOG-Tr total was at least equivalent to the MMSE and ADAS-Cog in detecting dementia. The GPCOG-Tr displayed solid psychometric properties, offering the general practitioners an efficient cognitive instrument for older Turkish people.
全科医生认知评估量表(GPCOG)是专门为全科医生开发的一种简短的认知筛查工具。它包括一个测试认知的患者部分和一个询问病史问题的 informant 部分。本研究旨在测试 GPCOG-Tr 土耳其语版本在土耳其老年人群中的有效性和可靠性。该研究纳入了 230 名年龄至少为 55 岁的社区居住个体。对 GPCOG 进行了翻译、回译和修订,以确定最终的 GPCOG-Tr。样本分为患者组(有记忆问题主诉)和对照组(无记忆问题主诉)。将 GPCOG-Tr 与痴呆诊断的标准标准(《精神疾病诊断与统计手册》第 5 版)、临床痴呆评定量表、简易精神状态检查表、阿尔茨海默病评估量表认知(ADAS-Cog)子量表和老年抑郁量表(GDS)进行比较。两周后对 30 名参与者进行了可靠性测试。GPCOG-Tr 的两阶段施测方法的敏感性为 85%,特异性为 92%,错误分类率为 11.3%,阳性预测值为 92%。重测相关系数范围为 0.86 至 0.98。在检测痴呆方面,GPCOG-Tr 的总分至少与简易精神状态检查表和 ADAS-Cog 相当。GPCOG-Tr 显示出可靠的心理测量特性,为全科医生提供了一种针对土耳其老年人的有效认知工具。