Utility of TICS-M for the assessment of cognitive function in older adults

Utility of TICS-M for the assessment of cognitive function in older adults
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DOI:
10.1002/gps.830
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发表时间:
2003-04-01
影响因子:
4
通讯作者:
Clarke, R
Clarke, R
中科院分区:
医学2区
文献类型:
--
作者:
de Jager, CA;Budge, MM;Clarke, R

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对高危老年人进行早期认知功能障碍的常规筛查受到现有认知功能测试的限制。电话采访,TICS-M是一种新型的认知功能评估工具,可通过电话或面对面进行评估方法对120名健康老年人进行横断面调查,比较TICS-M与更广泛使用的MMSE和CAMCOG的效用。结果TICS-M认知测验得分(27.97。SID 4.15)呈正态分布,而MMSE和CAMCOG呈负偏态分布。TICS-M评分与年龄(r = -0.21)和NART全量表智商(r = -0.35)呈负相关,但与该队列的教育年限无关。TICS-M与MMSE(r = 0.57)和CAMCOG(r = 0.62)评分高度相关。完成测试所需的时间是可比的MMSE和大大低于CAMCOG.Conclusions TICS-M测试分数的正态分布表明,这项测试是受天花板效应,限制了实用程序的MMSE和CAMCOG测试分数在检测早期认知功能障碍。TICS-M是在研究和临床实践中评估认知功能的合适工具。版权所有(C)2003约翰威利父子有限公司。
Background Routine screening of high-risk elderly people for early cognitive impairment is constrained by the limitations of currently available cognitive function tests. The Telephone Interview, of Cognitive Status is a novel instrument for assessment of cognitive function that can be administered in person or by telephone.Objective To evaluate the determinants and Utility of TICS-M (13-item modified version) for assessment of cognitive function in healthy elderly people.Methods The utility of TICS-M vas compared with more widely used MMSE and CAMCOG in a cross-sectional survey of 120 older (62 to 89 years) UK adults.Results The TICS-M cognitive test scores (27.97. SID 4.15) were normally distributed in contrast with those for MMSE and CAMCOG that had a negatively skewed distribution. TICS-M scores were inversely correlated with age (r = -0.21) and with the NART fullscale IQ (r = -0.35), but were independent of years of education in this cohort. TICS-M was highly correlated with MMSE (r = 0.57) and with CAMCOG (r = 0.62) scores. The time required to complete the test is comparable to MMSE and substantially less than CAMCOG.Conclusions The normal distribution of TICS-M test scores suggest that this test is less constrained by the ceiling effect which limits the utility of MMSE and CAMCOG test scores in detecting early cognitive impairment. TICS-M is an appropriate instrument to assess cognitive function in both research and in clinical practice. Copyright (C) 2003 John Wiley Sons, Ltd.