한국어판 중증간이정신상태평가의 신뢰도와 타당도
Reliability and Validity of the Korean Version of Severe Mini-Mental Status Examination (SMMSE-K)
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives：We developed the Korean version of Severe Mini-Mental Status Examination (SMMSE-K) which is a brief cognitive test for the severely demented patients. Methods：The translation was carried out keeping the basic structure of the English version Severe Mini-Mental Status Examination (SMMSE). The SMMSE-K, Korean version of Mini Mental State Examination (MMSE-KC), and Clinical Dementia Rating (CDR) were administered to 84 Alzheimer’s disease (AD) patients and 36 cognitively normal elderly subjects. For evaluating the reliability of the SMMSE-K, Cronbach alpha coefficient, inter-rater reliability, and test-retest reliability were examined. For confirming the validity of the SMMSE-K, the correlations of the SMMSE-K with MMSE-KC and CDR were examined, and factor analysis was performed using principal component analysis with Varimax rotation. Results：SMMSE-K was found to have a high internal consistency (Cronbach alpha coefficient=0.906, p<0.01), inter-rater reliability (Pearson correlation coefficient=0.980, p<0.01) and test-retest reliability (Pearson correlation coefficient=0.940, p<0.01). Performances on the SMMSE-K and MMSE-KC were found to correlate significantly in the subjects with CDR of 2 (Pearson correlation coefficient=0.827, p<0.001) and 3 (Pearson correlation coefficient=0.929, p<0.001). In the subjects with CDR of 3, the MMSE-KC showed a floor effect (2.93±3.21), whereas the SMMSE-K did not (11.00±8.48). Exploratory factor analysis yielded two factors (automatic informational processing, controlled informational processing) accounting for 76.1% of the total variance. Conclusion：The SMMSE-K was found to be a reliable and valid test for assessing the cognition of severely demented patients. (J Korean Neuropsychiatr Assoc 2008;47(2):153-160)
Abstract
Objectives：We developed the Korean version of Severe Mini-Mental Status Examination (SMMSE-K) which is a brief cognitive test for the severely demented patients. Methods：The translation was carried out keeping the basic structure of the English version Severe Mini-Mental Status Examination (SMMSE). The SMMSE-K, Korean version of Mini Mental State Examination (MMSE-KC), and Clinical Dementia Rating (CDR) were administered to 84 Alzheimer’s disease (AD) patients and 36 cognitively normal elderly subjects. For evaluating the reliability of the SMMSE-K, Cronbach alpha coefficient, inter-rater reliability, and test-retest reliability were examined. For confirming the validity of the SMMSE-K, the correlations of the SMMSE-K with MMSE-KC and CDR were examined, and factor analysis was performed using principal component analysis with Varimax rotation. Results：SMMSE-K was found to have a high internal consistency (Cronbach alpha coefficient=0.906, p<0.01), inter-rater reliability (Pearson correlation coefficient=0.980, p<0.01) and test-retest reliability (Pearson correlation coefficient=0.940, p<0.01). Performances on the SMMSE-K and MMSE-KC were found to correlate significantly in the subjects with CDR of 2 (Pearson correlation coefficient=0.827, p<0.001) and 3 (Pearson correlation coefficient=0.929, p<0.001). In the subjects with CDR of 3, the MMSE-KC showed a floor effect (2.93±3.21), whereas the SMMSE-K did not (11.00±8.48). Exploratory factor analysis yielded two factors (automatic informational processing, controlled informational processing) accounting for 76.1% of the total variance. Conclusion：The SMMSE-K was found to be a reliable and valid test for assessing the cognition of severely demented patients. (J Korean Neuropsychiatr Assoc 2008;47(2):153-160)
참고문헌 (27)
- Woo JI, "Prevalence estimation of dementia in a rural area of Korea", J Am Geriatr Soc, 46, pp.983~987 (1998)
- Lee DY, "The prevalence of dementia in older people in an urban population of Korea: the Seoul study", J Am Geriatr Soc, 50, pp.1233~1239 (2002)
- Folstein MF, "“Mini Mental State”. A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12, pp.189~198 (1975)
- Katzman R, "Validation of a short Orientation-Memory-Concentration Test of cognitive impairment", Am J Psychiatry, 140, pp.734~739 (1983)
- Imai Y, "The Revised Hasegawa’s Dementia Scale (HDS-R)-Evaluation of its usefulness as a screening test for dementia", J Hong Kong Coll Psychiatr, 4, pp.20~24 (1994)
- Galasko DR, "Measuring cognitive change in a cohort of patients with Alzheimer’s disease", Stat Med, 19, pp.1421~1432 (2000)
- Hughes CP, "A new clinical scale for the staging of dementia", Br J Psychiatry, 140, pp.566~572 (1982)
- Reisberg B, "The Global Deterioration Scale for assessment of primary degenerative dementia", Am J Psychiatry, 139, pp.1136~1139 (1982)
- Reisberg B, "Functional assessment staging(FAST)", Psychopharmacology Bull, 24, pp.653~659 (1988)
- Cole MG, "A new hierarchic approach to the measurement of dementia. Accurate results within 15 to 30 minutes", Psychosomatics, 28, pp.298~301 (1987)
- Saxton J, "Assessment of the severely impaired patient: description and validition of a new neuropsychological test battery", Psychol Assessment, 2, pp.298~303 (1990)
- Albert M, "The test for severe impairment : an instrument for the assessment of patients with severe cognitive dysfunction", J Am Geriatr Soc, 40, pp.449~453 (1992)
- Peavy GM, "Neuropsychological assessement of severely demented elderly: the severe cognitive impairment profile", Arch Neurol, 53, pp.367~372 (1996)
- Harrell LE, "The Severe D, Samuel W, Talor KI, Mini-Mental State Examination: a new neuropsyhologic instrument for the bedside assessment of severely impaired patients with Alzheimer disease", Alzheimer Dis Assoc Disord, 14, pp.168~175 (2000)
- Korean Frequency Fased on a Younsei Spoken Corpus 1-9: a frequency of 7 or over. Internal report (CLID-WP-98- 02-28) of the Center for Linguistic Informatics Development in Yonsei University, "Seo SK", Center for Linguistic Informatics Development in Yonsei University, ~ (1998)
- Lee JH, "Development of the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries", J Gerontol B Psychol Sci Soc Sci, 57, pp.47~53 (2002)
- American Psychiatric Association, "Diagnostic and Statical Manual of Mental Disorders, fourth ed", pp.133~155 (1994), American Psychiatric Association
- McKhann G, "Clinical diagnosis of Alahemer’s disease: report of the NINCDADRDA Work Group under the auspices of Department of Health and Human Service Task Force on Alzheimer’s Disease", Neurology, 34, pp.939~944 (1984)
- McDowell I, "The theoretical and technological foundations of health measurement. In: Measuring health: a guide to rating scales and questionnaires", pp.10~46 (1966), Oxford University Press
- Saxton J, "Neuropsychological assessment of the severely impaired elderly patient", Clin Geriatr Med, 5, pp.531~543 (1989)
- Boller F, "Clinical features and assessment of severe dementia. A review", Eur J Neurol, 9, pp.125~136 (2002)
- Ahn IS, "Reliability and validity of the severe impairment battery (SIB) in Korean dementia patients", J Korean Med Sci, 21, pp.506~517 (2006)
- Suh GH, "Validation of the Severe Impairment Battery for patients with Alzheimer’s disease in Korea", Int J Geriatr Psychiatry, 21, pp.626~632 (2006)
- Almkvist O, "Progression in Alzheimer’s disease: sequencing of neuropsychological decline", Int J Geriat Psychiat, 8, pp.755~763 (1993)
- Robinson-Whelen S, "Benton Visual Retention Test performance among normal and demented older adults", Neuropsychology, 6, pp.261~269 (1992)
- Herlitz A, "Episodic memory and visuospatial ability in detecting and staging dementia in a community- based sample of very old adults", J Gerontol A Biol Sci Med Sci, 50, pp.107~1013 (1995)
- Saxton J, "Development of a short form of the Severe Impairment Battery", Am J Geriatr Psychiatry, 13, pp.999~1005 (2005)