蒙特利尔认知评估量表北京版在沈阳市社区老年人群中的初步应用  

A preliminary study of the application of Montreal Cognitive Assessment Beijing version in community dwelling older adults residing in Shenyang

作　　者：孙宇任[1] 安畅[2] 何伟[3] 朱宇章[2] 刘盈[2] 

机构地区：[1]中国医科大学附属第四医院心理卫生精神科,沈阳110000 [2]辽宁金融职业学院 [3]中国医科大学附属第一医院精神医学科,沈阳110000

出　　处：《中华行为医学与脑科学杂志》2012年第10期948-950,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家科技支撑计划项目（2009BA177803）

摘　　要：目的研究蒙特利尔认知评估量表（MoCA）北京版在沈阳市社区老年人群中应用的可行性以及量表的不足之处。方法于2011年在沈阳市4个社区采用MoCA北京版与简易精神状态检查量表（MMSE）对258例社区老年人进行认知功能测评。结果MoCA北京版的Cronbach＇s α为0．836，MoCA北京版与MMSE评定结果高度相关（r=0．625，P〈0．01）。受访者受教育程度〉12年者仅占15．1％，≤6年者占26．3％，若以受教育程度≤6年分界，仅有命名狮子、顺背数字、回忆菊花3个题目的得分差异无统计学意义。结论北京版MoCA量表对社区老年人认知功能的筛查是简便可行的，建议将加分教育程度界点调整为≤6年；“总分26—30分为正常”的评判标准过高。Objective To assess the value of the Beijing version of Montreal Cognitive Assessment （Mo- CA） in community dwelling older adults residing in Shenyang, China. Methods The stratified random sampling method was used to investigate the population over 60 years old in 4 communities of Shenyang in the year 2011. Mini-Mental State Examination （MMSE） and the Beijing version of MoCA were administered to all participants. 258 old people finished the assessment. Results The internal consistency of the MoCA Beijing version was good, yielding a Cronbach alpha of 0. 836. The correlation between the MoCA Beijing version and the MMSE was good（ r=0. 623, P〈0.001 ）. Only 15.1% participants had an education of over 12 years,but 26.3% participants had an education of 6 years or less. Only 3 items of MoCA Beijing version （ naming lion,forward digit span,recall daisy） showed no significant difference between persons with and without over 6 years of education. Conclusions The results indicates that the Beijing version of MoCA have good reliability and validity. This study shows that an education of 6 years or less might be the proper population to add the one point in China, and the cutoff-point of 26 for normal is too high for Chinese population.

关 键 词：蒙特利尔认知评估量表 简易精神状态检查量表 轻度认知功能障碍 社区 老年 

分 类 号：R749.1[医药卫生—神经病学与精神病学]