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篇名
輕度認知障礙症的快篩:電腦版短期記憶測驗之效度研究
並列篇名
Development of a Rapid Screening Tool for Mild Cognitive Impairment: Validation of a Computer-Based Short-Term Memory Test
作者 葉炳強陳志豪王國慶羅巧妤葉在庭
中文摘要 背景和目的:隨著技術的進步,電腦的使用變得無處不在,本研究目的是發展篩 選輕度認知損傷之電腦版短期記憶測驗 (CB-STM),並且進行信度及效度的檢驗。方 法:研究樣本包括 64 位年齡介於 60 至 94 歲的老年人,其中有 17 位輕度阿茲海默型 失智症,22 位輕度認知障礙症患者和 25 位健康對照組。結果:CB-STM 具有良好的 再測信度(.75)和高度的內部一致性系數(.83-.85)。該測驗對於區分正常老年人, 輕度認知功能障礙和輕度失智症患間也具有良好的敏感度和特異度。結論:切截分數 為 20 分時,能有效區分正常老年人與輕度認知功能障礙,其敏感度為 76%,特異度 為 73%;切截分數為 13 分時,其敏感度為 77%,特異度為 77%。
英文摘要 Background and purpose: With advancements in technology, computer use is be- coming ubiquitous. The present study developed a computer-based short-term memory (CB- STM) test for screening for mild cognitive impairment (MCI). The study was designed to assess the psychometric properties of the CB-STM test, including temporal reliability and concurrent validity. Methods: The study sample comprised 69 elderly participants (age: 60– 94 years), including 17 patients with mild possible dementia, 22 patients with MCI, and 30 normal controls (NCs). Results: The CB-STM test demonstrated adequate test–retest re- liability (.75) and high internal consistency (.83–.85), as well as adequate sensitivity and specificity for differentiating between the NC, MCI, and mild possible dementia groups. Conclusions: Twenty points in the CB-STM test is suggested to generate sufficient balance sensitivity (76%) and specificity (73%) for differentiating between NCs and patients with MCI, and 13 points is suggested to generate sufficient sensitivity (77%) and specificity (77%) for distinguishing between patients with MCI and those with Alzheimer disease.
起訖頁 001-010
關鍵詞 臨床神經心理學評估電腦版短期記憶測驗輕度認知障礙失智症快篩Neuropsychological assessmentcomputer-based short-term memory testmild cognitive impairmentscreening mild possible dementia
刊名 輔仁醫學期刊
出版單位 輔仁大學醫學院
期數 201703 (15:1期)
DOI 10.3966/181020932017031501001  複製DOI  DOI申請
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