Picture-Based Memory Impairment Screen: Effective Cognitive Screen in Ethnically Diverse Populations.

Picture-Based Memory Impairment Screen: Effective Cognitive Screen in Ethnically Diverse Populations.
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DOI:
10.1111/jgs.15422
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发表时间:
2018-08
影响因子:
6.3
通讯作者:
Verghese J
Verghese J
中科院分区:
医学1区
文献类型:
--
作者:
Malik R;Weiss EF;Gottesman R;Zwerling J;Verghese J

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描述一个多学科记忆障碍中心的基于图片的记忆障碍筛查(PMIS)的心理测量特性,该中心服务于一个种族和教育程度不同的社区。横断面队列研究。Montefiore老年脑中心(CAB)有认知障碍的个体(N=405;平均年龄76±10岁,66%为女性)。老年病学专家或神经学家进行PMIS,神经心理学家进行祝福信息,记忆和注意力(BIMC)测试,以确定参与者是否患有痴呆,轻度认知障碍(MCI)或主观认知障碍(SCC)。痴呆患者(n=194)、MCI患者(n= 155)和SCC患者(n= 56)的PMIS平均得分分别为4.0±62.6、6.8±1.5和7.061.8 (p<.001)。当根据种族、教育、性别和语言进行分析时,PMIS得分显示出类似的显著线性趋势。PMIS与BIMC评分呈负相关(p< 0.001)。在有认知障碍的人群中,PMIS检测全因痴呆的阳性预测值为77%,阴性预测值为73%,敏感性为68%,特异性为81%。PMIS是一种快速有效的筛查工具,用于识别因文化和教育差异而产生认知抱怨的个体的认知障碍。
To describe the psychometric properties of the Picture-based Memory Impairment Screen (PMIS) in a multidisciplinary memory disorder center serving an ethnically and educationally diverse community. Cross-sectional cohort study. Montefiore Center for Aging Brain (CAB) Individuals with cognitive complaints (N=405; average age 76 ± 10, 66% female). A geriatrician or neurologist administered the PMIS, and a neuropsychologist administered the Blessed Information, Memory, and Concentration (BIMC) test and determined whether participants had dementia, mild cognitive impairment (MCI), or subjective cognitive complaints (SCC). Mean PMIS scores were 4.0 ± 62.6 in participants with dementia (n=194), 6.8 ± 1.5 in those with MCI (n= 155), and 7.061.8 in those with SCC (n= 56) (p<.001). PMIS scores showed similar significant linear trends when analyzed according to ethnicity, education, sex, and language. The PMIS was negatively correlated with BIMC score (p<.001). The PMIS had positive predictive value of 77%, negative predictive value of 73%, sensitivity of 68%, and specificity of 81% to detect all-cause dementia in this population of individuals with cognitive complaints. The PMIS is a quick, valid screening tool to identify cognitive impairment in individuals with cognitive complaints that accounts for cultural and educational differences.
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