The measurement of everyday cognition: development and validation of a short form of the Everyday Cognition scales.

The measurement of everyday cognition: development and validation of a short form of the Everyday Cognition scales.
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DOI:
10.1016/j.jalz.2011.02.007
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发表时间:
2011-11
期刊:
Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子:
--
通讯作者:
Decarli C
Decarli C
中科院分区:
其他
文献类型:
--
作者:
Tomaszewski Farias S;Mungas D;Harvey DJ;Simmons A;Reed BR;Decarli C

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本研究描述了日常认知量表(ECog)的缩短版本的开发和验证,该量表是一种旨在检测认知和功能下降的信息员评分问卷。外部,收敛和发散的效度,和内部一致性进行了检查。数据来自907名认知正常、轻度认知障碍(MCI)或痴呆的参与者的信息评级。简短版本(ECog-12)中包含12个项目。ECog-12与既定的功能测量和神经心理学评分相关,仅与年龄和教育程度弱相关,并表现出较高的内部一致性。ECog-12在痴呆和正常组之间显示出良好的区分度(AUC = 0.95,CI = 0.94 - 0.97),并在区分正常老年人与任何认知障碍(即MCI或痴呆)的老年人方面显示出希望。MCI和正常人之间的区别很差。ECog-12显示出作为一种临床工具的希望,可帮助临床医生识别痴呆症患者。
This study describes the development and validation of a shortened version of the Everyday Cognition scales (ECog), an informant-rated questionnaire designed to detect cognitive and functional decline. External, convergent and divergent validity, and internal consistency were examined. Data was derived from informant ratings of 907 participants who were cognitively normal, had mild cognitive impairment (MCI) or dementia. Twelve items were included in the short version (ECog-12). The ECog-12 correlated with established functional measures and neuropsychological scores, only weakly with age and education, and demonstrated high internal consistency. The ECog-12 showed excellent discrimination between the dementia and normal groups (AUC = .95, CI = .94-.97) and showed promise in discriminating normal older adults from those with any cognitive impairment (i.e. MCI or dementia). Discrimination between MCI and normals was poor. The ECog-12 shows promise as a clinical tool for assisting clinicians in identifying individuals with dementia.
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