设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
全科医生认知功能评估量表在中国老年人中的试用
作者:朱敏捷  肖世富  李霞  王涛  钱时兴  王海红 
单位:上海交通大学医学院附属精神卫生中心  上海 200030 
关键词:GPCOG 痴呆 信度 效度 
分类号:R395.1
出版年,卷(期):页码:2010,18(5):559-561
摘要:

目的:评价全科医生认知功能评估量表-The General Practitioner Assessment of Cognition(GPCOG)的中文译本的信度和效度。方法:对263名社区健康老人和住院及门诊老年患者进行GPCOG评定,两周后对随机抽取的31人进行重测,评估GPCOG的中文译本的信度及效度。结果:GPCOG患者评估部分的Cronbach'α系数是0.682,GPCOG患者部分各条目与总分的相关系数为0.499-0.940,各条目间的相关系数为0.408-0.610,各条目及总分的先后两次测定的相关系数为0.855-0.981。GPCOG灵敏度98.08%,特异度91.94%。GPCOG患者部分总分和知情者部分总分与ADL总分呈负相关(P<0.01)。GPCOG患者部分的ROC曲线下面积(AUC)为0.983。结论:GPCOG具有良好的信度和效度,值得在我国综合医院和社区医院及初级护理机构推广应用。

Objective: To evaluate the validity and reliability of the Chinese version of GPCOG.Methods: 263 subjects of community elderly and inpatient and outpatient elderly were rated with GPCOG.31 subjects were retested after two weeks,and the validity and reliability of GPCOG were examined.Results: The Cronbach'α coefficient of the patient portion of GPCOG was 0.682.The correlation coefficient of every item of the patient portion of GPCOG and total score was 0.499-0.940.The correlation coefficient of every item was 0.408-0.610.The test-tested coefficient was 0.855-0.981.The sensitivity of GPCOG was 98.08% and specificity was 91.94%.The total score of the patient portion and information portion were correlated to the score of ADL(P<0.01),and the area under the curve(AUC) was 0.983.Conclusion: With satisfactory reliability and validity,GPCOG can be applied to the general hospital,community hospital and primary care.

基金项目:
上海市科学技术委员会重点项目资助(08411951100)
作者简介:
参考文献:

[1] 薛海波,肖世富,张明园. 神经心理测验在痴呆诊断中的应用[J].上海精神医学,2001,(01):48-50.doi:10.3969/j.issn.1002-0829.2001.01.017.
[2] Brodaty H,Pond D,Kemp NM. The GPCOG:A new screening test for dementia.Designed for general practice[J].Journal of the American Geriatrics Society,2002,(03):530-534.doi:10.1046/j.1532-5415.2002.50122.x.
[3] Brodaty H,Low LF,Gibson L. What is the best dementia screening instrument for general practitioners to use[J].American Journal of Geriatric Psychiatry,2006,(05):391-400.doi:10.1097/01.JGP.0000216181.20416.b2.
[4] Milne A,Culverwell A,Guss R. Screening for dementia in primary care:a review of the use,efficacy and quality of measures[J].International Journal of Geriatric Psychiatry,2008,(05):911-926.
[5] Folstein MF,Folstein SE,MeHugh PR. Mini-mental state:A practical method for garding the cognitive state of patients for the clinician[J].Journal of Psychiatric Research,1975.189-198.doi:10.1016/0022-3956(75)90026-6.
[6] 《上海精神医学》编委会. 精神科评定量表专辑[J].上海精神医学,1990,(新2增):51.
[7] 何燕玲. 老年人日常生活活动功能的评定[J].中国老年学杂志,1990,(05):266-268.
[8] Lorentz WJ,Scanlan JM,Borson S. Brief screening tests for dementia[J].Canadian Journal of Psychiatry,2002,(08):723-733.
[9] Thomas P,Hazif-Thomas C,Vieban F. The GPCOG for detecting a population with a high risk of dementia[J].Psychol Neuropsychiatr Vieil,2006,(01):69-77.
[10] Brodaty H,Kemp NM,Low LF. Characteristics of the GPCOG,a screening tool for cognitive impairment[J].International Journal of Geriatric Psychiatry,2004,(09):870-874.doi:10.1002/gps.1167.

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com
本系统由北京博思汇文数字科技有限公司设计开发 技术服务电话:400-921-9838