Validation of the Hebrew Version of the MoCA Test as a Screening Instrument for the Early Detection of Mild Cognitive Impairment in Elderly Individuals
Validation of the Hebrew Version of the MoCA Test as a Screening Instrument for the Early Detection of Mild Cognitive Impairment in Elderly Individuals
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DOI：
10.1177/0891988712457047
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发表时间：
2012-09-01
影响因子：
2.6
通讯作者：
Press, Yan
中科院分区：
文献类型：
--
作者：
Lifshitz, Michal;Dwolatzky, Tzvi;Press, Yan
简介：英文版的蒙特利尔认知评估（莫卡）测试已被证明是可靠的筛选轻度认知障碍（MCI）。然而，该文书希伯来文版本的敏感性和特异性尚待确定。研究方法：研究人群包括两组老年人，74例诊断为MCI的患者和80例无认知症状的患者。认知评估包括简易精神状态检查（MMSE）、Mind-streams计算机认知评估和莫卡测试。结果如下：希伯来文版的莫卡区分了认知无症状的老年人和MCI患者，敏感性为94.6%，特异性为76.3%，使用26/30分的临界值。结论：希伯来文版本的莫卡测试是有效的识别MCI老年患者。作为MCI的筛查工具，其更高的灵敏度使其优于MMSE，MMSE在临床环境中被广泛使用。
Introduction: The English version of the Montreal Cognitive Assessment (MoCA) test has been shown to be reliable in screening for mild cognitive impairment (MCI). However, the sensitivity and specificity of the Hebrew version of this instrument are yet to be determined. Methods: The study population consisted of 2 groups of older individuals, 74 patients diagnosed with MCI and 80 patients who were cognitively asymptomatic. Cognitive evaluation included the Mini-Mental State Examination (MMSE), Mind-streams computerized cognitive assessment, and the MoCA test. Results: The Hebrew version of MoCA distinguished between cognitively asymptomatic older individuals and those with MCI, with a sensitivity of 94.6% and a specificity of 76.3%, using a cutoff of 26/30 points. Conclusions: The Hebrew version of the MoCA test is effective for identifying MCI in older patients. As a screening instrument for MCI, its higher sensitivity makes it preferable o the MMSE, which is used extensively in the clinical setting.