社区痴呆筛查知情人问卷在北京部分社区老年人中的试测  

Pilot Evaluating Informant Questionnaire of the Community Screening Instrument for Dementia in a Sample of Community Elderly Population

作　　者：闫芳[1] 黄悦勤[1] 巩嘉凯 李玉敏[3] 李硕 邵钧 肖秋霞[3] 刘棉[1] 李淑然[1] 

机构地区：[1]北京大学精神卫生研究所,北京100083 [2]北京市西城区平安医院,北京100035 [3]北京市大兴区精神卫生保健所,北京102600

出　　处：《中国心理卫生杂志》2007年第6期375-378,410,共5页Chinese Mental Health Journal

基　　金：国际痴呆合作项目("10/66");"211工程"循证医学专业群项目

摘　　要：目的在社区老年人群中测试社区痴呆筛查(CSID)知情人问卷,评估其作为识别痴呆方法的实用性及相关因素,并调查研究人群中可疑痴呆的检出率。方法以“10/66”项目所调查的北京城乡2267名65岁及其以上老人为测试对象,“10/66”计算机诊断系统和临床诊断为金标准,计算CSID知情人问卷做为试测工具的效度。结果CSID知情人问卷总分的分半信度为0.85,两因子间Cronbachα系数>0.8;以6分为分界值,其灵敏度为86.2%,特异度为93.2%,人群中可疑痴呆的检出率为9.1%。Logistic回归分析显示配偶(OR=1.770,P=0.042)和居住在城市的知情人(OR=2.039,P=0.018)提供的信息与阳性痴呆诊断相关。结论CSID知情人问卷作为痴呆筛查工具经在社区老人中应用效度良好,配偶提供的信息能准确反映老人认知功能变化。Objective： To evaluate feasibility of informant questionnaire of the Community Screening Instrument for Dementia （ CSID ） and related factors in a sample of community elderly population, and to investigate prevalence of suspectable dementia in the sampled people. Method： A total of 2267 people aged 65 and above in one rural area and one urban area in Beijing were recruited and their informants were assessed by the CSID informant questionnaire. Validity of CSID were evaluated according to the computerized diagnosis of 10/66 project and ICD - 10. Result： The split - half reliability of CSID informant questionnaire was 0. 85 and the consistency was more than 0. 8. When the cutoff point of CSID was 6 or more, sensitivity was 86. 2% and specificity was 93.2%. At meantime, the prevalence of suspectable dementia was 9. 1%. Logistic regression analysis showed that the information obtained from informant as a spouse and from informant who lived in urban area was correlated with positive diagnosis of dementia. Conclusion： CSID informant questionnaire is valid as a screening instrument of dementia. Information from spouse is useful to identify the change of cognitive function of the elderly.

关 键 词：痴呆 效度 社区痴呆筛查工具 知情人问卷 知情人 

分 类 号：R395.2[哲学宗教—心理学]