한국어판 중증간이정신상태평가의 신뢰도와 타당도

• 영문명: Reliability and Validity of the Korean Version of Severe Mini-Mental Status Examination (SMMSE-K)
• 발행기관: 대한신경정신의학회
• 저자명: 박준혁 최진영 윤종철 이원혜 정지운 도연자 최은애 이석범 주진형 이동영 김기웅
• 간행물 정보: 『신경정신의학』제47권 제2호, 153~160쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2008.03.30

영문 초록

Objectives：We developed the Korean version of Severe Mini-Mental Status Examination (SMMSE-K) which is a brief cognitive test for the severely demented patients. Methods：The translation was carried out keeping the basic structure of the English version Severe Mini-Mental Status Examination (SMMSE). The SMMSE-K, Korean version of Mini Mental State Examination (MMSE-KC), and Clinical Dementia Rating (CDR) were administered to 84 Alzheimer’s disease (AD) patients and 36 cognitively normal elderly subjects. For evaluating the reliability of the SMMSE-K, Cronbach alpha coefficient, inter-rater reliability, and test-retest reliability were examined. For confirming the validity of the SMMSE-K, the correlations of the SMMSE-K with MMSE-KC and CDR were examined, and factor analysis was performed using principal component analysis with Varimax rotation. Results：SMMSE-K was found to have a high internal consistency (Cronbach alpha coefficient=0.906, p<0.01), inter-rater reliability (Pearson correlation coefficient=0.980, p<0.01) and test-retest reliability (Pearson correlation coefficient=0.940, p<0.01). Performances on the SMMSE-K and MMSE-KC were found to correlate significantly in the subjects with CDR of 2 (Pearson correlation coefficient=0.827, p<0.001) and 3 (Pearson correlation coefficient=0.929, p<0.001). In the subjects with CDR of 3, the MMSE-KC showed a floor effect (2.93±3.21), whereas the SMMSE-K did not (11.00±8.48). Exploratory factor analysis yielded two factors (automatic informational processing, controlled informational processing) accounting for 76.1% of the total variance. Conclusion：The SMMSE-K was found to be a reliable and valid test for assessing the cognition of severely demented patients.

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키워드

Korean Version of Severe Mini-Mental Status Examination (SMMSE-K) Severe dementia Reliability Validity