치매 선별검사 한국어판 Mini-Cog의 타당도 = Validity of Dementia Screening Test ‘Korean Version of the Mini-Cog’

다국어 초록 (Multilingual Abstract)

Objective：The Mini-Cog, a composite of three word recall and clock drawing, was developed by Soo Borson as a brief test for discriminating demented from non-demented persons in a community sample. This study was conducted to prove the diagnostic va-lidity of the Korean version of Mini-cog.
Methods：All 41 who met the criteria for probable dementia based on informant interviews and 88 with no history of cognitive decline were included. Sensitivity and, specificity of the Mini-Cog were compared with those of the Mini-Mental State Examination in the Korean version of the CERAD assessment packet (MMSE–KC), clock drawing test (CDT) and three word recall.
Results：The Mini-Cog had the higher sensitivity (86.11%) than MMSE-KC and fair specificity (72.09%). Cut off points of Mini-Cog was 2/3. AUC of Mini-Cog was 0.819 (p＜0.001). The Mini-Cog required minimal training to administer and no test forms of scoring modifications.
Conclusion：It suggests that the Mini-Cog might be readily incorporated into general practice and senior care setting as a routine cognitive measure.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰
• REFERENCES

참고문헌 (Reference)

1 Román GC, "Vascular dementia Diagnostic criteria for research studies: Report of the NINDS-AIREN International Workshop" 43 : 250-, 1993

2 O’Connor D, "The reliability and validity of the Mini-Mental State in a British community survey" 23 : 87-96, 1989

3 Shulman KI, "The challenge of time: Clock-drawing and cognitive function in the elderly" 1 : 135-140, 2004

4 Galasko D, "The Mini-Mental State Examination in the early diagnosis of Alzheimer’s disease" 47 : 49-, 1990

5 Borson S, "The Mini-Cog: a cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly" 15 : 1021-1027, 2000

6 Teng EL, "The Cognitive Abilities Screening Instrument (CASI): a practical test for cross-cultural epidemiological studies of dementia" 6 : 45-58, 1994

7 Tuokko H, "The Clock Test: a sensitive measure to differentiate normal elderly from those with Alzheimer disease" 40 : 579-584, 1992

8 Borson S, "The Clock Drawing Test: utility for dementia detection in multiethnic elders" 54 : M534-M540, 1999

9 Froehlich TE, "Screening for dementia in the outpatient setting: the time and change test" 46 : 1506-, 1998

10 Crum RM, "Population-based norms for the Mini-Mental State Examination by age and educational level" 269 : 2386-2391, 1993

11 Kukull W, "Pfanschmidt M. The Mini-Mental State Examination score and the clinical diagnosis of dementia" 47 : 1061-1067, 1994

12 Folstein MF, "Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician" Pergamon Press 1975

13 Murden RA, "Mini-Mental State exam scores vary with education in blacks and whites" 39 : 149-155, 1991

14 이동영, "Mini-Mental State Examination의 한국 노인 정상규준 연구" 대한신경정신의학회 41 (41): 2002

15 Wind AW, "Limitations of the Mini-Mental State Examination in diagnosing dementia in general practice" 12 : 101-108, 1999

16 Royall DR, "Executive control mediates memory’s association with change in instrumental activities of daily living: the Freedom House Study" 53 : 11-17, 2005

17 Román GC, "Executive control function: a rational basis for the diagnosis of vascular dementia" 13 : S69-, 1999

18 Association AP, "Diagnostic criteria from DSM-IV" Amer Psychiatric Pub Inc 1994

19 Lee JH, "Development of the Korean Version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD-K)" 57 : 47-53, 2002

20 Dastoor DP, "Clock-drawing: An assessment technique in dementia" 13 : 69-85, 1991

21 Watson YI, "Clock completion: an objective screening test for dementia" 41 : 1235-1240, 1993

22 McKhann G, "Clinical diagnosis of Alzheimer’s disease Report of the NINCDS-ADRDA Work Group* under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease" 34 : 939-, 1984

23 Leopold NA, "An alphabetica WORLD A new version of an old test" 49 : 1521-1524, 1997

24 Mungas D, "Age and edu-cation correction of Mini-Mental State Examination for English-and Spanish-speaking elderly" 46 : 700-706, 1996

25 Solomon PR, "A 7 minute neurocognitive screening battery highly sensitive to Alzheimer’s disease" 55 : 349-, 1998