摘要
目的编制一个用于快速筛查老年人认知功能的量表，检验量表的信度和效度。方法借鉴简易智力状态检查（MMSE）和蒙特利尔认知评估（MoCA）的评定模式编制一个以记忆障碍为核心，同时包含语言、执行等12个领域的老年人快速认知筛查量表（QCSS-E），共47个条目。在500名社区样本、150名重测样本和75名效度样本中，检验该量表的重测信度、同质信度、实证效度和结构效度。结果量表总分的重测相关和仪系数分别为0．972和0．814；分测验的重测相关在0．656～0．911之间，Or．系数为O．679—0．746。各领域分之间呈低中度相关（0．133—0．612），与总分之间的相关为0．303一O．664。QCSS-E得分随增龄降低、随文化程度提高而提高，随脑损害程度加重而降低。新编量表与MMSE和CCAS智商的相关分别为0．886、0．899；因素分析获得2个因子，分别命名为易损因子和耐损因子，可解释49．4％的方差。结论新编老年人快速认知筛查量表的信度和效度较理想，符合心理测量学的要求。
Objective To develop a Quick Cognitive Screening Scale for Elder（QCSS-E） and examine its reliability and validity.Methods In the light of rating model of MMSE and MoCA,a screening scale was devel- oped to assess cognitive function,which contained 47 items across twelve domains. Five hundred community sub- jects were interviewed with the QCSS-E ,then 150 subjects were retested after two weeks, and 75 subjects were as- sessed with MMSE and CCAS. The test-retest reliability, internal consistency reliability, empirical validity and con- struct validity of QCSS-E were calculated. Results The test-retest reliability and Cronbach＇s c coefficient were 0.972 ancl 0.814 for QCSS-E total score,0.656-0.911 and 0.679-0.746 for domain scores. There were low to moder- ate correlation of 0.133-0.612 among domain scores, correlation domain scores with total score ranged from 0.303- 0.664. QCSS-E scores decreased with increasing age, increased with the level of education increasing, and decreased with the aggravation of brain damage. The QCSS-E was significantly correlated with MMSE（ r= 0.886） and CCAS （ r= 0.899）. Factor analysis got two factors accounting for 49.4% of variance, which were named vulnerability factor and resistance to damage factor. Conclusion The stability, internal consistency, and validity of the QCSS-E are good and meet with psychometric standard.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2013年第12期1129-1132,共4页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
轻度认知障碍
认知筛查量表
信度
效度
Mild cognitive imoairment
Cognitive screenin scale
Reliability
Validity
