The Utility of Subset of Subjective Memory Complaint Questionnaire and Mini-Mental State Examination for Dementia Screening

• 영문명: The Utility of Subset of Subjective Memory Complaint Questionnaire and Mini-Mental State Examination for Dementia Screening
• 발행기관: 대한노인정신의학회
• 저자명: Jong Chul Youn Dong Young Lee Jin Hyeong Jhoo Seok Bum Lee Joon Hyuk Park Jin Yeong Choe Il Han Choo Ki Woong Kim
• 간행물 정보: 『노인정신의학』노인정신의학 제23권 제1호, 33~38쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2019.04.30

영문 초록

Objective：Purpose of this study was to assess the potential added values of Subjective Memory Complaint Questionnaire (SMCQ) combined with Mini-Mental State Examination (MMSE) in developing a brief screening battery to improve the early detection rate of dementia in community setting. Methods：Non-depressed community-dwelling Korean elderly aged 65 years and older who 945 randomly selected and 734 voluntarily involved were recruited. Dementia was diagnosed using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. Diagnostic ability of 10 point SMCQ subscale for everyday memory (SMCQ-E) for dementia was eval- uated. Additive values of SMCQ-E combined with MMSE for dementia screening and the economic benefits of SMCQ-E and its combination with MMSE were also evaluated. Results：Overall area under the curve values of SMCQ-E were 0.605 (0.565-0.646) for nonrandom sample and 0.836 (0.783-0.890) for random sample. When SMCQ-E was combined with MMSE using ‘AND’ rule, accuracy, specificity, positive predictive values and positive likelihood ratio were increased than those of MMSE. While SMCQ-E was combined the MMSE using ‘OR’ rule, sensitivity and negative predictive values were increased and negative likelihood ratio were decreased than those of SMCQ-E and MMSE. When SMCQ-E and MMSE combined with AND rule, total cost for dementia screening was reduced to about 80% compared to MMSE single use model. Conclusion：Results of this study showed that brief SMCQ-E and its combination with MMSE could be used to dementia screening with cost effective manner.

목차

Introduction

Subjects and Methods

Results

Discussion

키워드

Subjective memory complaints Subjective memory complaints questionnaire Reliability Validity Dementia