지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.12
- 수록면
- 120 - 128 (9page)
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초록· 키워드
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Objectives：The Mini-Mental State Examination is arguably the most widely used screening measure for cognitive impairment. The aims of this study are to evaluate the psychometric properties of the Mini-Mental State Examination- Korean Version(MMSE-KC) as a quantitative measure of cognitive ability.
Methods：Data were analyzed from a total of 312 participants age 65 or older from cross-sectional community-based study, which were collected about demographic information and individual item responses to MMSE-KC. Item response theory was used to analyze individual items.
Results：Comparison of the data with a unidimensional 2-parameter model indicated that the total score obtained by summing across all items yields a reliable(0.78) quantitative estimate of global cognitive ability. All items fit the model and together spanned a range of difficulty(threshold parameter) from -3.86(easier) to 1.15(more difficult) logits, and discrimination(slope parameter) from 0.55 to 8.6 logits. The items about ‘recall of three words’ and ‘attention’ were the most difficult items and have most powerful discrimination parameter. Copying pentagons and time(year) orientation were more difficult than the other items. The patients with dementia showed differential item functioning such items as orientation to place, the last two items of ‘recall of three words’, the last two items of ‘attention’, and ‘three stage command’.
Conclusion：The MMSE-KC can provide a reliable and valid quantitative estimate of cognitive ability. More attention should be paid to the difficult items like ‘recall of three words’ and ‘attention’ for the discrimination of dementia from non-dementia people.
Methods：Data were analyzed from a total of 312 participants age 65 or older from cross-sectional community-based study, which were collected about demographic information and individual item responses to MMSE-KC. Item response theory was used to analyze individual items.
Results：Comparison of the data with a unidimensional 2-parameter model indicated that the total score obtained by summing across all items yields a reliable(0.78) quantitative estimate of global cognitive ability. All items fit the model and together spanned a range of difficulty(threshold parameter) from -3.86(easier) to 1.15(more difficult) logits, and discrimination(slope parameter) from 0.55 to 8.6 logits. The items about ‘recall of three words’ and ‘attention’ were the most difficult items and have most powerful discrimination parameter. Copying pentagons and time(year) orientation were more difficult than the other items. The patients with dementia showed differential item functioning such items as orientation to place, the last two items of ‘recall of three words’, the last two items of ‘attention’, and ‘three stage command’.
Conclusion：The MMSE-KC can provide a reliable and valid quantitative estimate of cognitive ability. More attention should be paid to the difficult items like ‘recall of three words’ and ‘attention’ for the discrimination of dementia from non-dementia people.
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서론
대상 및 방법
결과
고찰
결론
참고문헌
참고문헌 (23)
참고문헌 신청
1. [학술지(정기간행물)] - Thomas AJ / 2008 / Depression and cognition in older adults / Curr Opin Psychiatry 21 : 8 ~ 13
2. [학술지(정기간행물)] - Emery VO / 1992 / Update on the dementia spectrum of depression / Am J Psychiatry 149 : 305 ~ 317
3. [학술지(정기간행물)] - Lockwood KA / 2000 / Subtypes of cognitive impairment in depressed older adults / Am J Geriatr Psychiatry 8 : 201 ~ 208
4. [학술지(정기간행물)] - Benedict KB / 1990 / Dementia and depression in the elderly: a framework for addressing difficulties in differential diagnosis / Clin Psychol Rev 10 : 513 ~ 537
5. [학술지(정기간행물)] - Brodaty H / 1993 / Prognosis of depression in the elderly. A com-parison with younger patients / Br J Psychiatry 163 : 589 ~ 596
2. [학술지(정기간행물)] - Emery VO / 1992 / Update on the dementia spectrum of depression / Am J Psychiatry 149 : 305 ~ 317
3. [학술지(정기간행물)] - Lockwood KA / 2000 / Subtypes of cognitive impairment in depressed older adults / Am J Geriatr Psychiatry 8 : 201 ~ 208
4. [학술지(정기간행물)] - Benedict KB / 1990 / Dementia and depression in the elderly: a framework for addressing difficulties in differential diagnosis / Clin Psychol Rev 10 : 513 ~ 537
5. [학술지(정기간행물)] - Brodaty H / 1993 / Prognosis of depression in the elderly. A com-parison with younger patients / Br J Psychiatry 163 : 589 ~ 596
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UCI(KEPA) : I410-ECN-0101-2014-513-000468458