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[在老年精神病学中选择性使用八字分测验]

[Selective use of the Eight-Word subtest in psychogeriatrics].

作者信息

Diesfeldt H F

出版信息

Tijdschr Gerontol Geriatr. 1998 Dec;29(6):292-7.

PMID:9894327
Abstract

Performance on the Amsterdam Dementia Screening Test (ADS) and the Expanded Mental Control Test (EMCT) was examined in a consecutive sample of 204 attendants of a psychogeriatric day care department. The ADS has six subtests: picture recognition, orientation, drawing alternating sequences, category fluency, copying geometric figures, and free recall with immediate yes-no recognition of eight words. As was determined by logistic regression analysis, attentional control (EMCT), category fluency and picture recognition scores were significant predictors of verbal free recall. Recognition memory for pictures and a short orientation questionnaire (month, year, place) predicted word recognition performance. In 97% of the subjects with poor scores on EMCT and category fluency, an equally poor free recall performance was found. In those cases the incremental diagnostic value of the free recall test is doubtful. Since word recall and word recognition were conceptually related to working memory and episodic memory respectively, the two components of the verbal learning test allow detection of differential impairments of these memory systems.

摘要

在一个精神老年日间护理部门的204名连续参与者样本中,对阿姆斯特丹痴呆筛查测试(ADS)和扩展心理控制测试(EMCT)的表现进行了检查。ADS有六个子测试:图片识别、定向、绘制交替序列、类别流畅性、复制几何图形以及对八个单词进行即时是/否识别的自由回忆。经逻辑回归分析确定,注意力控制(EMCT)、类别流畅性和图片识别分数是言语自由回忆的重要预测指标。图片识别记忆和简短的定向问卷(月份、年份、地点)可预测单词识别表现。在EMCT和类别流畅性得分较低的97%的受试者中,发现其自由回忆表现同样较差。在这些情况下,自由回忆测试的增量诊断价值值得怀疑。由于单词回忆和单词识别在概念上分别与工作记忆和情景记忆相关,言语学习测试的这两个组成部分能够检测出这些记忆系统的不同损伤。

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