Taylor M A, Abrams R, Faber R, Almy G
J Nerv Ment Dis. 1980 Mar;168(3):167-70. doi: 10.1097/00005053-198003000-00007.
We evaluated the reliability of 20 cognitive tasks as part of a clinical mental status examination. Twenty-five adult psychiatric inpatients were selected at random and inter viewed before three board-certified psychiatrists who, without any knowledge of each other's ratings, completed a form determining the presence or absence of abnormal responses. We found 19 of the 20 items to yield R values of greater than .50, with 14 of these having R values of .80 or better. All correlations were significant at the less than .01 level. We suggest that these cognitive tasks with demonstrated reliability be included in the standard mental status examination. As a group, the tasks are easily and rapidly administered and should provide more accurate clinical screening of patients suspected of cortical dysfunction. These tasks will enable clinicians to make more precise and cost-effective referrals for elaborate, time-consuming, and expensive neuropsychological testing.
作为临床精神状态检查的一部分，我们评估了20项认知任务的可靠性。随机挑选了25名成年精神科住院患者，并在三位获得委员会认证的精神科医生面前接受访谈，这三位医生在互不了解对方评分的情况下，填写了一份表格来确定是否存在异常反应。我们发现20项中的19项产生的R值大于0.50，其中14项的R值为0.80或更高。所有相关性在小于0.01的水平上具有显著性。我们建议将这些已证明具有可靠性的认知任务纳入标准精神状态检查。总体而言，这些任务易于快速实施，并且应该能够为疑似皮质功能障碍的患者提供更准确的临床筛查。这些任务将使临床医生能够做出更精确且具成本效益的转诊，以便进行详尽、耗时且昂贵的神经心理学测试。
