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題 名 | 修訂版長谷川氏痴呆量表的效度研究=Validation of the Revised Hasegawa's Dementia Scale (HDS-R) in Taiwanese Population |
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作 者 | 張景瑞; 劉絮愷; 吳淑瓊; 林信男; | 書刊名 | 臺灣精神醫學 |
卷 期 | 12:1 1998.03[民87.03] |
頁 次 | 頁15-26 |
分類號 | 415.9341 |
關鍵詞 | 痴呆症; 簡短認知功能檢查; 敏感度; 特異度; Dementia; Brief cognitive test; Sensitivity; Specificity; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討修訂版長谷川氏癡呆量表(HDS-R)使用於臺灣的老年人口的可行性與臨 床效度。方法:從臺北市萬華區與臺北縣平溪鄉戶籍登記65歲以上老年人口中隨機抽取四分 之三進行篩檢,兩社區中各選取篩檢分數最低之50名個案,另以年齡配對選取比較組50名, 再加上臨床個案,接受HDS-R測試與臨床評估,以求得HDS-R診斷癡呆症之敏感度、特異 度及最佳分界點。結果:191人完成HDS-R測試與臨床評估,認知功能障礙者與正常者各有 45、146人。以共識診斷符合DSM-III-R癡呆症為標準,以17/18分為最佳分界點,HDS-R 之敏感度及特異度93%,89%。不同等級的癡呆症患者間,HDS-R分數有顯著差異, CDR(Clinical Dementia Rating, CDR)與HDS-R分數間呈負相關(Spearman's r=-0.59, p<0.0001),顯示HDS-R總分也可作為癡呆症嚴重度的指標。各題中,區辨正常與認知功能 障礙者最佳的三題是:語言流暢度,三樣東西之訊息登錄,以及立即回憶剛看過的五樣東西。 結論:修訂版長谷川氏癡呆量表為良好的癡呆症篩檢工具及嚴重度指標,但用於低教育程度的 老年人口,分界點需調低2-3分。 |
英文摘要 | Objective: To explore the validity of revised Hasegawa's Dementia Scale (HDS-R) in the elderly population in Taiwan. Methods: Three-fourths of all the elderly residents in an urban and a rural community (N=749) were screened with the Cognitive Abilities Screening Instrument. The fifty subjects with the lowest test score and another fifty age-matched controls were selected from each community. The subjects included community residents as well as patients receiving treatment in various clinical settings. All subjects completed the HDS-R test and a comprehensive psychiatric evaluation. Results: Of the 191 subjects for whom evaluation was completed, 45 cases with cognitive impairment (27 of them fulfilling the DSM-III-R diagnostic criteria for dementia) Were identified by consensus diagnosis. Using a cut-off score of 17/18 to maximize separation between the dementia and normal groups, the sensitivity and specificity of HDS-R for the diagnosis of dementia were 93% and 89%, respectively. The total score of HDS-R decreased significantly as the severity of dementia increased (Spearman's r=-0.59, p<0.0001). Category verbal fluency test, registration of three words and prompt recall of 5 visually recognized objects were the three most effective items to discriminate between normal and the cognitive impaired subjects. Conclusions: The results of this study indicate that the Revised Hasegawa's Dementia Scale is a good screening instrument and severity indicator of dementia in the elderly population of Taiwan. These results also suggest that optimal cut-off score used in the predominately illiterate elderly in Taiwan was 2-3 points lower than that in original Japanese version. (Full Text in Chinese) |
本系統中英文摘要資訊取自各篇刊載內容。