The relation of education and gender on the attention items of the Mini-Mental State Examination in Spanish speaking Hispanic elders.
The relation of education and gender on the attention items of the Mini-Mental State Examination in Spanish speaking Hispanic elders.
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西班牙裔老年人简易精神状态检查注意事项的教育与性别关系。
DOI：
10.1016/j.acn.2006.08.001
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Salvatierra,Judy
中科院分区：
文献类型：
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作者：
Rosselli,Mónica;Tappen,Ruth;Williams,Christine;Salvatierra,Judy
简易精神状态检查（MMSE） [Folstein, m.f., Folstein, s.e., & McHugh, p.r.(1975)]。迷你精神状态：一个实用的方法，分级患者的认知状态，为临床医生。《精神病学研究杂志》，12,189-198]因其对受教育程度较低的个体的偏见而经常受到挑战，对受教育程度较低的个体进行评分调整已成为标准做法[Ostrosky-Solis， F., Lopez-Arango， G., & Ardila， A.(2000)]。小型精神状态检查在西班牙语人群中的敏感性和特异性。应用神经心理学，7,25-31]。另一个值得关注的地方是，最初的指令明确规定，“序列7”项目可以被一个明显不那么困难的“倒着拼写”任务所取代。本研究比较了102名未受记忆损伤的西班牙裔老年人和58名54-98岁的西班牙裔老年人在这些项目上的表现和总分的影响，这些老年人根据受教育程度分为3组（<7、7 - 11和10 - 11年）。使用“连续7”和“倒拼写”项目分析教育程度和性别对MMSE总分的影响。在所有的研究小组中，当使用“倒拼写”任务时，MMSE得分平均高出1.5分。“连续7”和“倒着拼写”之间的相关性仅为0.37。教育对受损组和未受损组的MMSE得分都有显著影响。在控制教育之后，性别也解释了结果差异的重要比例。在本研究中，“倒拼写”和“序列7”项目在难度上和测试能力上都不相同，在未受损和受损的西班牙裔老年人中测试的能力也不相同。
The Mini-Mental State Examination (MMSE) [Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198] has frequently been challenged for its bias against individuals with lower levels of education and the use of scoring adjustments for lower educational levels has become standard practice [Ostrosky-Solis, F., Lopez-Arango, G., & Ardila, A. (2000). Sensitivity and specificity of the Mini Mental State Examination in a Spanish-speaking population. Applied Neuropsychology, 7, 25–31]. An additional source of concern is that original instructions specify that the “serial 7's” item may be replaced by an apparently less difficult “backwards spelling” task. This study compared the performance on these items and the effects for total scores on 102 unimpaired and 58 memory impaired elder Hispanic individuals (age 54–98), divided into 3 groups based on educational level (<7, 7–11, and >11 years of education). The effects of education and gender on the total MMSE scores were analyzed using the “serial 7's” and the “backwards spelling” items. For all the studied groups, MMSE scores were higher by an average of 1.5 points when using the “backwards spelling” task. Correlation between “serial 7's” and “backwards spelling” was a modest .37. Education had a significant effect on the MMSE scores in both the impaired and the unimpaired groups. After controlling for education, gender also explains a significant proportion of the variance of the results. The “backwards spelling” and “serial 7's” items do not appear to be either equivalent in difficulty or to test the same abilities in the unimpaired and the impaired Hispanics elders tested in this study.