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[临床老年精神医学实践中痴呆的心理测量诊断]

[Psychometric diagnosis of dementia in clinical gerontopsychiatry practice].

作者信息

Gürtler K, Szecsey A, Stöhr H

机构信息

Bezirksklinikum Psychiatrische Universitätsklinik Regensburg.

出版信息

Z Gerontol Geriatr. 1998 Aug;31(4):281-5. doi: 10.1007/s003910050046.

DOI:10.1007/s003910050046
PMID:9782587
Abstract

An extensive battery of cognitive tests is conducted to detect dementia in geriatric patients. Based on the ICD-10 diagnostic criteria for dementia the diagnosis includes cognitive deficits such as memory impairment and other cognitive disturbances in various stages. To establish a profile of cognitive deficits and to detect early stages of dementia a combination of psychometric tests has proven to be effective and valid (MMSE, SKT, SIDAM, GDS/BCRS, clock drawing). To evaluate interrelations between these tests, correlations of total scores among 40 randomly chosen geriatric patients were calculated for all tests using the Spearman rank-order correlation. The cognitive test battery appears to be a reliable instrument for diagnosing people with dementia. Due to advantages and shortcomings of each test in evaluating various stages of dementia adequately, a combination of tests should be used.

摘要

为检测老年患者的痴呆症,进行了一系列广泛的认知测试。根据国际疾病分类第10版(ICD - 10)痴呆症诊断标准,诊断包括认知缺陷,如记忆障碍和不同阶段的其他认知障碍。为建立认知缺陷概况并检测痴呆症早期阶段,心理测量测试组合(简易精神状态检查表、SKT、SIDAM、老年抑郁量表/简短精神状态评定量表、画钟测试)已被证明是有效且可靠的。为评估这些测试之间的相互关系,使用斯皮尔曼等级相关对40名随机选择的老年患者所有测试的总分进行了相关性计算。认知测试组合似乎是诊断痴呆症患者的可靠工具。由于每种测试在充分评估痴呆症不同阶段时都有优缺点,应使用测试组合。

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