Validation of the Chinese Version of Montreal Cognitive Assessment Basic for Screening Mild Cognitive Impairment
Validation of the Chinese Version of Montreal Cognitive Assessment Basic for Screening Mild Cognitive Impairment
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DOI：
10.1111/jgs.14530
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发表时间：
2016-12-01
影响因子：
6.3
通讯作者：
Guo, Qi-Hao
中科院分区：
文献类型：
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作者：
Chen, Ke-Liang;Xu, Yan;Guo, Qi-Hao
目的：评价蒙特利尔认知评估基础版(MoCA-BC)作为筛查工具在中国老年人轻度认知损害(MCI)筛查中的有效性。设计：横断面。设置：中国上海华山医院。结果：MOCA-BC量表具有良好的效标相关效度(皮尔逊相关系数MOCA-BC vs MMSE=0.787)和可靠的内部一致性(Cronbachα=0.807)。MCI筛查的最佳截止分数为受教育不超过6年的个人为19分，受教育7至12年的个人为22分，受教育超过12年的个人为24分。MoCA-BC在检测MCI方面优于MMSE，在所有教育群体中具有最佳的敏感性和特异性。结论：MoCA-BC是一种适用于所有文化程度的中国老年人的可靠认知筛查工具，接受度高，信度好。
OBJECTIVES: To evaluate the effectiveness of the Chinese version of the Montreal Cognitive Assessment Basic (MoCA-BC) as a screening tool for detecting mild cognitive impairment (MCI) in Chinese elderly adults.DESIGN: Cross-sectional.SETTING: Huashan Hospital, Shanghai, China.PARTICIPANTS: Individuals with MCI (n = 264) and mild Alzheimer's disease (AD) (n = 160) were recruited from the Memory Clinic, Huashan Hospital; cognitively normal controls were recruited from Jinshan Community, Shanghai, China (n = 280).MEASUREMENTS: MoCA-BC scores.RESULTS: The MoCA-BC had good criterion-related validity (Pearson correlation coefficient MoCA-BC vs MMSE = 0.787) and reliable internal consistency (Cronbach alpha = 0.807). The optimal cutoff scores for MCI screening were 19 for individuals with no more than 6 years of education, 22 for individuals with 7 to 12 years of education, and 24 for individuals with more than 12 years of education. The MoCA-BC was superior to the MMSE for detecting MCI, with optimal sensitivity and specificity across all education groups using the above cutoff scores.CONCLUSION: The MoCA-BC is a reliable cognitive screening test across all education levels in Chinese elderly adults, with high acceptance and good reliability.