{"title":"新规范的SKT检测MCI和痴呆的交叉验证","authors":"J. Hessler, M. Stemmler, H. Bickel","doi":"10.1024/1662-9647/a000154","DOIUrl":null,"url":null,"abstract":"New regression-based norms for the SKT Short Cognitive Performance Test were introduced but have not been cross-validated for the detection of mild cognitive impairment (MCI) and dementia. We examined 562 (59.6% female) community-dwelling persons (mean age = 75.8, SD = 5.5) at baseline and followed up with up to three annual visits. Participants were classified as being healthy, with MCI, or with dementia according to the Clinical Dementia Rating (CDR) and the SKT. Overall congruency between the ratings was 57.8%. The correlation between SKT and MMSE scores reached r = –0.67. Sensitivity and specificity for MCI and dementia were 0.89 and 0.60 as well as 0.83 and 0.84, respectively. The SKT detected cognitive decline at early stages but produced increased rates of false positives.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":"{\"title\":\"Cross-Validation of the Newly-Normed SKT for the Detection of MCI and Dementia\",\"authors\":\"J. Hessler, M. Stemmler, H. Bickel\",\"doi\":\"10.1024/1662-9647/a000154\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"New regression-based norms for the SKT Short Cognitive Performance Test were introduced but have not been cross-validated for the detection of mild cognitive impairment (MCI) and dementia. We examined 562 (59.6% female) community-dwelling persons (mean age = 75.8, SD = 5.5) at baseline and followed up with up to three annual visits. Participants were classified as being healthy, with MCI, or with dementia according to the Clinical Dementia Rating (CDR) and the SKT. Overall congruency between the ratings was 57.8%. The correlation between SKT and MMSE scores reached r = –0.67. Sensitivity and specificity for MCI and dementia were 0.89 and 0.60 as well as 0.83 and 0.84, respectively. The SKT detected cognitive decline at early stages but produced increased rates of false positives.\",\"PeriodicalId\":45525,\"journal\":{\"name\":\"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2017-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"7\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1024/1662-9647/a000154\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHOLOGY, DEVELOPMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1024/1662-9647/a000154","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
Cross-Validation of the Newly-Normed SKT for the Detection of MCI and Dementia
New regression-based norms for the SKT Short Cognitive Performance Test were introduced but have not been cross-validated for the detection of mild cognitive impairment (MCI) and dementia. We examined 562 (59.6% female) community-dwelling persons (mean age = 75.8, SD = 5.5) at baseline and followed up with up to three annual visits. Participants were classified as being healthy, with MCI, or with dementia according to the Clinical Dementia Rating (CDR) and the SKT. Overall congruency between the ratings was 57.8%. The correlation between SKT and MMSE scores reached r = –0.67. Sensitivity and specificity for MCI and dementia were 0.89 and 0.60 as well as 0.83 and 0.84, respectively. The SKT detected cognitive decline at early stages but produced increased rates of false positives.