Zarit S H, Miller N E, Kahn R L
J Am Geriatr Soc. 1978 Feb;26(2):58-67. doi: 10.1111/j.1532-5415.1978.tb02542.x.
In assessing behavioral problems of the elderly there is a need for procedures which reliably indicate the presence and extent of impaired brain function. In this study, the relation of two mental status measures [the Mental Status Questionnaire (MSQ) and the Face-Hand test] to intellectual performance and education was evaluated. The sample consisted of 153 consecutive inpatients and outpatients referred to a gerontology clinic. Intellectual performance was assessed with 8 tests of learning and memory, such as Paired Associates and Babcock Story Recall. The findings indicate that positive ratings for impaired brain function on either mental status test were related to lower intellectual performance at each of three levels of education - grade school, high school, and college. Subjects with more education and mental status scores indicating mild impairment performed better on intellectual tests than did less educated persons with no brain dysfunction, but they showed significant deficits compared to other subjects with similar education and intact brain function. Larger intellectual deficits were found when the patient made more test errors and when both tests gave positive ratings. These results confirm the importance of the MSQ and Face-Hand tests as screening devices for the intellectual deficits associated with impaired brain function in a clinically heterogeneous population.
在评估老年人的行为问题时，需要有能可靠地表明脑功能受损的存在及程度的程序。在本研究中，对两种精神状态测量方法（精神状态问卷（MSQ）和面手试验）与智力表现及教育程度的关系进行了评估。样本包括153名连续转诊至老年病诊所的住院患者和门诊患者。通过8项学习和记忆测试评估智力表现，如配对联想学习和巴布科克故事回忆测试。研究结果表明，在小学、高中和大学这三个教育水平的每一个层次上，两种精神状态测试中任何一项对脑功能受损的阳性评分都与较低的智力表现相关。与没有脑功能障碍的受教育程度较低者相比，受教育程度较高且精神状态评分显示轻度受损的受试者在智力测试中的表现更好，但与其他具有相似教育程度且脑功能正常的受试者相比，他们表现出明显的缺陷。当患者在测试中犯更多错误以及两项测试均给出阳性评分时，发现存在更大的智力缺陷。这些结果证实了MSQ和面手试验作为筛查临床上异质性人群中与脑功能受损相关的智力缺陷的工具的重要性。
