认知能力评估（双语）-昆明医学院

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1、认知能力评估文伟光副教授香港理工大学昆明医学院客座教授学习目标Toanalyze分析structure结构ofascreeningtestonmentalstateTostudycognitiveassessments评估usedinOTpracticeinthefollowingareas:MentalstateExecutivefunctionMemoryAttentionScreeningtestofmentalstate简短智能测试(ChineseversionofMini-MentalStateExamination,CMMSE)Whatisascr

2、eening筛选test?Screeningtestsarenotdesignedtobediagnosticbutaresensitivetodetectcognitiveabnormalities认知不正常forfurtherassessmentsScreeningtestsaregenerallyshortandfastScreeningtestsusuallyhaveacutoff界线scoretoindicatenormal/abnormalfunctioning简短智能测试Folsteinetal.,1975简短智能测试的结构分析简短智能测试是由以

3、下各项认知评估结合而成OrientationShort-termmemorylong-termmemoryWorkingmemoryCalculationLanguageVisuo-spatialability简短智能测试Cut-offscoreoforiginalMMSEwas23/24(Folstein,1975)Localstudyshowthecut-offscoreis19/20.whythelocalonewaslowerthantheoriginalone?Levelofeducationalattainmentwasfoundassociati

4、ngwithCMMSEscores,sooptimalcutoffsforHKelderlypeople(Chiuetal,1998)are:<22(morethan2yearsofschooling)<21(1-2yearsofschooling)<18(illiterate文盲)Toconclude总结Intelligenceisnotofasingledimension,buthasmultipledimensionsWhichtypeofintelligenceisstrongerinyou?StructureandscoringofCMMSEIt

5、ems1and2TimeofdayPlaceDay日City城市Date日期DistrictMonth月份Street街道Year年份Building大厦Season季节Floor层数CMMSE…testoforientationTimeandPlaceProblemswithnewlearningoranterogradememoryProblemswithtemporalorientationandtopographicorientation(Hasse,1997)PersonAninternalawarenessofselfwithinaperson’s

6、surrounding(Dietz,Beeman&Thorn,1993)RetrogradememorylossofautobiographicalinformationItem3&5Readoutthreeunrelatedobjects无关“apple苹果,newspaper报纸,train火车”Item4Serialsubtraction(Serial7s)•Subtract减7from100,andthen7untilforthe5thtime(连续减5次).ORORScoringofserial7’sCMMSE…testofmemoryItems3a

7、nd5examineshort-termandlong-termepisodicmemoryrespectively.Item4evaluate评估workingmemory(i.e.memoryfunctioningtogetherwiththefunctioningofinformationprocessing).影响记忆的因素记忆结果可能受到以下因素影响:AttentionSensoryimpairmentsMoodMotivationBewareoftheimpactsofthesefactorsthatmayleadtoaninaccurate不准确

8、interpretation解释ofm