학술논문
치매 및 경도인지장애에 대한 인지선별검사 4종의 타당도 비교
이용수 166
- 영문명
- Comparison of the Validity of Screening Tests for Dementia and Mild Cognitive Impairment of the Elderly in a Community: K-MMSE, MMSE-K, MMSE-KC, and K-HDS
- 발행기관
- 대한신경정신의학회
- 저자명
- 이강수 정해관 오병훈 홍창형
- 간행물 정보
- 『신경정신의학』제48권 제2호, 61~69쪽, 전체 9쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 2009.03.30
4,000원
구매일시로부터 72시간 이내에 다운로드 가능합니다.
이 학술논문 정보는 (주)교보문고와 각 발행기관 사이에 저작물 이용 계약이 체결된 것으로, 교보문고를 통해 제공되고 있습니다.
국문 초록
영문 초록
Objectives The authors have evaluated the validity of four currently used screening tools of cognitive
function in Korea for dementia and mild cognitive impairment in a community elderly population.
Methods We screened 5,085 non-randomly sampled elderly over age 60 in the Gwangju city,
Gyeonggi Province. Among those, 927 persons were examined further for evidence of dementia
and mild cognitive impairment (MCI). A baseline questionnaire on sociodemographic characteristics
and four major screening tests (K-MMSE, MMSE-K, MMSE-KC, and K-HDS) were administered.
For the evaluation of validity, we have analyzed the ROC curve and calculated the sensitivity
and specificity of each test at its optimal cutoff points.
Results ROC analysis of the 3 MMSEs and K-HDS has shown that area under the curve (AUC)
was between 0.897 and 0.923 for dementia. Sensitivity and specificity were 0.768 and 0.870, respectively,
when the cutoff line was set at 17/18 in K-MMSE. The other two MMSEs had optimal
cutoff lines at 16/17 with sensitivity of 0.768 and specificity more than 0.90. K-HDS had its optimal
cutoff line at 18/19 with higher sensitivity (0.874) and lower specificity (0.755). Compared with dementia,
the four screening tests showed poor validity on MCI. Sensitivity and specificity was in the
range of 0.733-0.756 and 0.840-0.855, respectively.
Conclusion The validity of the screening tools which are currently being used in Korea to screen
for MCI was not significantly different among tests. Because of the difference in the population
norm and z-score estimation, use of the common norm is advisable.
목차
서 론
방 법
결 과
고 찰
결 론
REFERENCES
해당간행물 수록 논문
참고문헌
교보eBook 첫 방문을 환영 합니다!
신규가입 혜택 지급이 완료 되었습니다.
바로 사용 가능한 교보e캐시 1,000원 (유효기간 7일)
지금 바로 교보eBook의 다양한 콘텐츠를 이용해 보세요!