Brief screening for mild cognitive impairment in elderly outpatient clinic: Validation of the Korean version of the Montreal Cognitive Assessment

被引:377
作者
Lee, Jun-Young [1 ]
Lee, Dong Woo [2 ]
Cho, Seong-Jin [3 ]
Na, Duk L. [4 ]
Jeon, Hong Jin [1 ]
Kim, Shin-Kyum [1 ]
Lee, You Ra [1 ]
Youn, Jung-Hae [1 ]
Kwon, Miseon [5 ]
Lee, Jae-Hong [5 ]
Cho, Maeng Je [1 ]
机构
[1] Seoul Natl Univ, Coll Med, Boramae Hosp, Dept Psychiat & Behav Sci, Seoul, South Korea
[2] Inje Univ, Coll Med, Dept Psychiat, Seoul, South Korea
[3] Gachon Med Sch, Dept Psychiat, Inchon, South Korea
[4] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Neurol, Seoul, South Korea
[5] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Neurol, Seoul, South Korea
关键词
MoCA-K; mild cognitive impairment; Alzheimer's; cognitive assessment; dementia;
D O I
10.1177/0891988708316855
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The Montreal Cognitive Assessment (MoCA) is a brief cognitive screening tool with high sensitivity for screening patients with mild cognitive impairment (MCI). The authors examined the validity and reliability of the Korean version of the MoCA (MoCA-K) in elderly outpatients. The MoCA-K, a Korean version of the Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR) scale, and neuropsychological batteries were administered to 196 elderly persons (mild Alzheimer's disease [AD] = 44, MCI = 37, normal controls [NC] = 115). MoCA-K scores were highly correlated with those of MMSE and CDR. Using a cutoff score of 22/23, the MoCA-K had an excellent sensitivity of 89% and a good specificity of 84% for screening MCI. Internal consistency and test-retest reliability were good. The results obtained show that the MoCA-K is brief, reliable, and suitable for use as a screening tool to screen MCI patients in elderly outpatient clinic settings.
引用
收藏
页码:104 / 110
页数:7
相关论文
共 32 条
[1]   For debate: Is mild cognitive impairment a clinically useful concept? Introduction [J].
Ames, David .
INTERNATIONAL PSYCHOGERIATRICS, 2006, 18 (03) :393-394
[2]   Frontal cortex as the central executive of working memory:: Time to revise our view [J].
Andrés, P .
CORTEX, 2003, 39 (4-5) :871-895
[3]   LIMITS OF THE MINI-MENTAL STATE AS A SCREENING-TEST FOR DEMENTIA AND DELIRIUM AMONG HOSPITAL PATIENTS [J].
ANTHONY, JC ;
LERESCHE, L ;
NIAZ, U ;
VONKORFF, MR ;
FOLSTEIN, MF .
PSYCHOLOGICAL MEDICINE, 1982, 12 (02) :397-408
[4]   Is MCI really just early dementia? A systematic review of conversion studies [J].
Bruscoli, M ;
Lovestone, S .
INTERNATIONAL PSYCHOGERIATRICS, 2004, 16 (02) :129-140
[5]   Frontal impairment in subcortical ischemic vascular dementia in comparison to Alzheimer's disease [J].
Cannatà, AP ;
Alberoni, M ;
Franceschi, M ;
Mariani, C .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2002, 13 (02) :101-111
[6]   Diagnostic utility of letter fluency, category fluency, and fluency difference scores in Alzheimer's disease [J].
Cerhan, JH ;
Ivnik, RJ ;
Smith, GE ;
Tangalos, EC ;
Petersen, RC ;
Boeve, BF .
CLINICAL NEUROPSYCHOLOGIST, 2002, 16 (01) :35-42
[7]  
Choi SH., 2001, J. Korean Neurol. Assoc, V19, P585
[8]   Conceptualization of mild cognitive impairment: a review [J].
Davis, HS ;
Rockwood, K .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2004, 19 (04) :313-319
[9]   Amnestic MCI or prodromal Alzheimer's disease? [J].
Dubois, B ;
Albert, ML .
LANCET NEUROLOGY, 2004, 3 (04) :246-248
[10]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198