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从55岁以上城乡居民MMSE得分特征上探讨其适用范围

罗国刚;韩建峰;屈秋民;乔晋;杨剑波;武成斌;张辉;李正仪;杨华;邓美英;韩雪梅;赵松珍

关键词:认知, 老年人, MMSE
摘要:目的:探讨MMSE的适用人群及影响因素.方法:通过随机整群分层抽样,对4921名55岁或以上的西安市城乡居民进行MMSE测查.分析MMSE在不同人群中的得分特征对痴呆的阳性预测值和分析影响MMSE得分的因素.结果:MMSE得分在不同年龄、不同文化程度、总体人群中都呈现负偏态,尖峭峰型分布.在年龄较轻(70岁以下)、文化程度偏高(初中或以上)的人群中偏态分布明显,痴呆的检出率较低;而在年龄偏大(70岁以上),文化程度偏低(小学及以下)的人群中接近正态分布,痴呆的检出率较高.年龄、性别、受教育年限、听力下降、日常生活能力对MMSE得分有显著影响. 结论:MMSE量表适用于年龄偏大(70岁以上),文化程度偏低(小学或以下)的人群,对痴呆的筛选能力大;而对于年龄偏小,文化程度偏高的人群,MMSE的鉴别筛选力较低.
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中国临床心理学杂志

中国临床心理学杂志

主管:中华人民共和国教育部

主办:中国心理卫生协会