三种认知量表间记忆内容的相关性分析

doi:10.3969/j.issn.1006-9771.2020.07.014

摘要/Abstract

摘要：

目的探讨简易精神状态检查(MMSE)、蒙特利尔认知评估量表(MoCA)和Rivermead行为记忆量表-Ⅲ(RBMT-Ⅲ)在脑损伤患者记忆能力评估中的相关性以及特点。方法 2016年3月至2018年2月,脑损伤患者62例完成MMSE、MoCA和RBMT-Ⅲ测评,并进行相关性分析。结果三个量表总分间呈正相关(r = 0.682~0.786, P < 0.001),回溯性记忆( r = 0.525~0.610, P < 0.001)和长时记忆评分间均呈正相关( r = 0.553~0.692, P < 0.001)。RBMT-Ⅲ短时记忆与MMSE短时记忆评分呈正相关( r = 0.337, P = 0.007)。RBMT-Ⅲ前瞻性记忆与MMSE、MoCA回溯性记忆呈正相关(r = 0.639、r = 0.585, P < 0.001),RBMT-Ⅲ短时记忆与MMSE、MoCA长时记忆呈正相关( r = 0.454、r = 0.534, P < 0.001)。结论 MMSE、MoCA和RBMT-Ⅲ评估脑损伤患者回溯性记忆和长时记忆具有良好的一致性;RBMT-Ⅲ和MMSE评估脑损伤患者短时记忆也具有良好的一致性;脑损伤患者MMSE和MoCA记忆分项有助于评估基于事件的前瞻性记忆水平,而长时记忆分项有助于评估短时记忆水平。

关键词: 脑损伤, 记忆, 简易精神状态检查, 蒙特利尔认知评估量表, Rivermead行为记忆量表

Abstract:

Objective To explore the correlation and characteristics of Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA) and Rivermead Behavioural Memory Test-III (RBMT-III) in evaluating memory ability of patients with brain injuries.Methods From March, 2016 to February, 2018, 62 patients with brain injuries were evaluated with the Chinese version of MMSE, MoCA and RBMT-III. The correlation among them was analyzed. Results There was positive correlation among the total scores of MMSE, MoCA and RBMT-III (r = 0.682 to 0.786, P < 0.001), as well as the retrospective memory ( r = 0.525 to 0.610, P < 0.001) and long-term memory ( r = 0.553 to 0.692, P < 0.001). There was positive correlation between RBMT-III and MMSE in short-term memory ( r = 0.337, P= 0.007). The prospective memory of RBMT-III positively correlated with retrospective memory of MMSE and MoCA (r = 0.639, r = 0.585, P < 0.001), and the short-term memory of RBMT-III with long-term memory of MMSE and MoCA ( r = 0.454, r = 0.534, P < 0.001). Conclusion MMSE, MoCA and RBMT-III are consistent in evaluating retrospective memory and long-term memory for patients with brain injuries. RBMT-III and MMSE are consistent in evaluating short-term memory for patients with brain injuries. The memory scores of MMSE and MoCA are helpful to judge the event-based prospective memory in patients with brain injuries, while the scores of long-term memory are helpful to judge short-term memory.

Key words: brain injuries, memory, Mini-Mental State Examination, Montreal Cognitive Assessment, Rivermead Behavioural Memory Test

中图分类号:

R742

张霜,吴野环,张一,张瑜,程云. 三种认知量表间记忆内容的相关性分析[J]. 《中国康复理论与实践》, 2020, 26(7): 807-812.

ZHANG Shuang,WU Ye-huan,ZHANG Yi,ZHANG Yu,CHENG Yun. Correlation among Three Cognitive Tools in Memory Assessment[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 807-812.

图/表 3

表1

表2

表3

参考文献 51

[1]	Gaynor E, Rohde D, Large M, et al. Cognitive impairment, vulnerability, and mortality post ischemic stroke: a five-year follow-up of the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) Cohort[J]. J Stroke Cerebrovasc Dis, 2018, 27(9): 2466-2473. doi: 10.1016/j.jstrokecerebrovasdis.2018.05.002
[2]	Wood R L. Accelerated cognitive aging following severe traumatic brain injury: a review[J]. Brain Inj, 2017, 31(10): 1270-1278. doi: 10.1080/02699052.2017.1332387
[3]	Rabinowitz A R, Levin H S. Cognitive sequelae of traumatic brain injury[J]. Psychiatr Clin North Am, 2014, 37(1): 1-11. doi: 10.1016/j.psc.2013.11.004
[4]	Muelbl M J, Slaker M L, Shah A S, et al. Effects of mild blast traumatic brain injury on cognitive- and addiction-related behaviors[J]. Sci Rep, 2018, 8(1): 9941. doi: 10.1038/s41598-018-28062-0
[5]	Kuiper J S, Oude Voshaar R C, Zuidema S U, et al. The relationship between social functioning and subjective memory complaints in older persons: a population-based longitudinal cohort study[J]. Int J Geriatr Psychiatry, 2017, 32(10): 1059-1071. doi: 10.1002/gps.v32.10
[6]	Hill N L, McDermott C, Mogle J, et al. Subjective cognitive impairment and quality of life: a systematic review[J]. Int Psychogeriatr, 2017, 29(12): 1965-1977.
[7]	Colantonio A, Comper P. Post-injury symptoms after work related traumatic brain injury in Canadian population[J]. Work, 2012, 43(2): 195-201. pmid: 22927617
[8]	Middleton L E, Lam B, Fahmi H, et al. Frequency of domain-specific cognitive impairment in sub-acute and chronic stroke[J]. NeuroRehabilitation, 2014, 34(2): 305-312. doi: 10.3233/NRE-131030 pmid: 24401826
[9]	Mac Donald C L, Barber J, Jordan M, et al. Early clinical predictors of 5-year outcome after concussive blast traumatic brain injury[J]. JAMA Neurol, 2017, 74(7): 821-829. doi: 10.1001/jamaneurol.2017.0143
[10]	Al-Dahhak R, Khoury R, Qazi E, et al. Traumatic brain injury, chronic traumatic encephalopathy, and alzheimer disease[J]. Clin Geriatr Med, 2018, 34(4): 617-635. doi: S0749-0690(18)31001-2 pmid: 30336991
[11]	McHutchison C A, Cvoro V, Makin S, et al. Functional, cognitive and physical outcomes 3 years after minor lacunar or cortical ischaemic stroke[J]. J Neurol Neurosurg Psychiatry, 2019, 90(4): 436-443. doi: 10.1136/jnnp-2018-319134
[12]	Savva G M, Stephan B C. Alzheimer's Society Vascular Dementia Systematic Review Group. Epidemiological studies of the effect of stroke on incident dementia: a systematic review[J]. Stroke, 2010, 41(1): e41-e46.
[13]	Hachinski V, Ganten D, Lackland D, et al. Implementing the Proclamation of Stroke and Potentially Preventable Dementias[J]. Int J Stroke, 2018, 13(8): 780-786. doi: 10.1177/1747493018799965 pmid: 30328803
[14]	Wilson B, Cockburn J, Baddeley A. The Rivermead Behaviorual Memory Test[M]. Titchfield: Thames Valley Test Company, 1985.
[15]	Wilson B, Cockburn J, Baddeley A, et al. The development and validation of a test battery for detecting and monitoring everyday memory problems[J]. J Clin Exp Neuropsychol, 1989, 11(6): 855-870. doi: 10.1080/01688638908400940
[16]	Wilson B, Cockburn J, Baddeley A. The Rivermead Behavioural Memory Test-Second Edition[M]. London: Thames Valley Test Company, 2003.
[17]	Wilson B, Greenfield E, Clare L, et al. The Rivermead Behavioural Memory Test-Third Edition[M]. London: Pearson Assessment, 2008: 40-41.
[18]	Bolló-Gasol S, Piñol-Ripoll G, Cejudo-Bolivar J C, et al. Ecological assessment of mild cognitive impairment and Alzheimer disease using the Rivermead Behavioural Memory Test[J]. Neurologia, 2014, 29(6): 339-345. doi: 10.1016/j.nrl.2013.07.004 pmid: 24139389
[19]	Fong K N K, Lee K K L, Tsang Z P Y, et al. The clinical utility, reliability and validity of the Rivermead Behavioural Memory Test-Third Edition (RBMT-3) in Hong Kong older adults with or without cognitive impairments[J]. Neuropsychol Rehabil, 2019, 29(1): 144-159. doi: 10.1080/09602011.2016.1272467 pmid: 28051902
[20]	Wester A J, Leenders P, Egger J I, et al. Ceiling and floor effects on the Rivermead Behavioural Memory Test in patients with alcohol-related memory disorders and healthy participants[J]. Int J Psychiatry Clin Pract, 2013, 17(4): 286-291. doi: 10.3109/13651501.2013.813553
[21]	刘晶京, 恽晓平. 汉化版Rivermead行为记忆测验第3版的信度和效度[J]. 中国康复理论与实践, 2016, 22(5): 511-513.
	Liu J J, Yun X P. Reliability and validity of Chinese Version of Rivermead Behavioural Memory Test-Third Edition among Chinese population[J]. Chin J Rehabil Theory Pract, 2016, 22(5): 511-513.
[22]	张一, 王涯, 张瑜, 等. Rivermead行为记忆量表-Ⅱ和Ⅲ测评轻型脑外伤患者记忆功能的比较[J]. 中国康复理论与实践, 2017, 23(12): 1415-1419.
	Zhang Y, Wang Y, Zhang Y, et al. Comparation of Rivermead Behavioral Memory Test -II and III on evaluating memory function in patients with mild brain injury[J]. Chin J Rehabil Theory Pract, 2017, 23(12): 1415-1419.
[23]	Frenette L C, Tinawi S, Correa J A, et al. Early detection of cognitive impairments with the Montreal Cognitive Assessment in patients with uncomplicated and complicated mild traumatic brain injury[J]. Brain Inj, 2019: 33(2): 189-197. doi: 10.1080/02699052.2018.1542506
[24]	Crivelli D, Angelillo M T, Grippa E, et al. When is a novel psychometric measure needed? A preliminary analysis regarding the Cognitive Assessment for Stroke Patients (CASP) battery compared with MMSE and MoCA[J]. Appl Neuropsychol Adult, 2018, 25(5): 410-416. doi: 10.1080/23279095.2017.1320556
[25]	Folstein M F, Folstein S E, McHugh P R. "Mini-Mental State". A practical method for grading the cognitive state of patients for the clinician[J]. J Psychiatr Res, 1975, 12(3): 189-198. pmid: 1202204
[26]	Crum R M, Anthony J C, Bassett S S, et al. Population-based norms for the Mini-Mental State Examination by age and educational level[J]. JAMA, 1993, 269(18): 2386-2391. doi: 10.1001/jama.1993.03500180078038
[27]	Li H, Jia J, Yang Z. Mini-Mental State Examination in elderly Chinese: a population-based normative study[J]. J Alzheimers Dis, 2016, 53(2): 487-496. doi: 10.3233/JAD-160119
[28]	Mitchell A J. A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment[J]. J Psychiatr Res, 2009, 43(4): 411-431. doi: 10.1016/j.jpsychires.2008.04.014 pmid: 18579155
[29]	Tsai J C, Chen C W, Chu H, et al. Comparing the sensitivity, specificity, and predictive values of the Montreal Cognitive Assessment and Mini-Mental State Examination when screening people for mild cognitive impairment and dementia in Chinese population[J]. Arch Psychiatr Nurs, 2016, 30(4): 486-491. doi: 10.1016/j.apnu.2016.01.015
[30]	张振馨, 洪霞, 李辉, 等. 北京城乡55岁或以上居民简易智能状态检查测试结果的分布特征[J]. 中华神经科杂志, 1999, 32(3): 149-153.
	Zhang Z X, Hong X, Li H, et al. The Mini-Mental State Examination in the Chinese residents population aged 55 and over in the urban and rural areas of Beijing[J]. Chin J Neurol, 1999, 32(3): 149-153.
[31]	Nasreddine Z S, Phillips N A, Bédirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment[J]. J Am Geriatr Soc, 2005, 53(4): 695-699. pmid: 15817019
[32]	Lu J, Li D, Li F, et al. Montreal Cognitive Assessment in detecting cognitive impairment in Chinese elderly individuals: a population-based study[J]. J Geriatr Psychiatry Neurol, 2011, 24(4): 184-190. doi: 10.1177/0891988711422528
[33]	Zhang H, Zhang X N, Zhang H L, et al. Differences in cognitive profiles between traumatic brain injury and stroke: a comparison of the Montreal Cognitive Assessment and Mini-Mental State Examination[J]. Chin J Traumatol, 2016, 19(5): 271-274. pmid: 27780506
[34]	Julayanont P, Brousseau M, Chertkow H, et al. Montreal Cognitive Assessment Memory Index Score (MoCA-MIS) as a predictor of conversion from mild cognitive impairment to Alzheimer's disease[J]. J Am Geriatr Soc, 2014, 62(4): 679-684. doi: 10.1111/jgs.12742 pmid: 24635004
[35]	GBD 2015 Neurological Disorders Collaborator Group. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015[J]. Lancet Neurol, 2017, 16(11): 877-897. doi: 10.1016/S1474-4422(17)30299-5
[36]	Nguyen R, Fiest K M, McChesney J, et al. The international incidence of traumatic brain injury: a systematic review and meta-analysis[J]. Can J Neurol Sci, 2016, 43(6): 774-785. pmid: 27670907
[37]	McInnes K, Friesen C L, MacKenzie D E, et al. Mild traumatic brain injury (mTBI) and chronic cognitive impairment: a scoping review[J]. PLoS One, 2017, 12(4): e0174847. doi: 10.1371/journal.pone.0174847
[38]	Qi X M, Gu L, Tang H D, et al. Association of source of memory complaints and increased risk of cognitive impairment and cognitive decline: a community-based study[J]. Chin Med J (Engl), 2018, 131(8): 894-898.
[39]	Knight R G, Harnett M, Titov N. The effects of traumatic brain injury on the predicted and actual performance of a test of prospective remembering[J]. Brain Inj, 2005, 19(1): 19-27. doi: 10.1080/02699050410001720022
[40]	Raskin S A, Williams J, Aiken E M. A review of prospective memory in individuals with acquired brain injury[J]. Clin Neuropsychol, 2018, 32(5): 891-921. doi: 10.1080/13854046.2018.1455898 pmid: 29609519
[41]	Cavuoto M G, Ong B, Pike K E, et al. Naturalistic prospective memory in older adults: predictors of performance on a habitual task[J]. Neuropsychol Rehabil, 2017, 27(5): 744-758. doi: 10.1080/09602011.2015.1074590 pmid: 28480820
[42]	Uttl B, White C A, Cnudde K, et al. Prospective memory, retrospective memory, and individual differences in cognitive abilities, personality, and psychopathology[J]. PLoS One, 2018, 13(3): e0193806. doi: 10.1371/journal.pone.0193806
[43]	MacDonald C J. Prospective and retrospective duration memory in the hippocampus: is time in the foreground or background?[J]. Philos Trans R Soc Lond B Biol Sci, 2014, 369(1637): 20120463. doi: 10.1098/rstb.2012.0463
[44]	Mioni G, Stablum F, McClintock S M, et al. Time-based prospective memory in severe traumatic brain injury patients: the involvement of executive functions and time perception[J]. J Int Neuropsychol Soc, 2012, 18(4): 697-705. doi: 10.1017/S1355617712000306
[45]	Palermo L, Cinelli M C, Piccardi L, et al. Cognitive functions underlying prospective memory deficits: a study on traumatic brain injury[J]. Appl Neuropsychol Adult, 2020, 27(2): 158-172. doi: 10.1080/23279095.2018.1501374
[46]	Palermo L, Cinelli M C, Piccardi L, et al. Women outperform men in remembering to remember[J]. Q J Exp Psychol (Hove), 2016, 69(1): 65-74.
[47]	Poirier M, Saint-Aubin J, Mair A, et al. Order recall in verbal short-term memory: the role of semantic networks[J]. Mem Cognit, 2015, 43(3): 489-499. doi: 10.3758/s13421-014-0470-6
[48]	Tanida Y, Ueno T, Lambon Ralph M A, et al. The roles of long-term phonotactic and lexical prosodic knowledge in phonological short-term memory[J]. Mem Cognit, 2015, 43(3): 500-519. doi: 10.3758/s13421-014-0482-2
[49]	Strunk J, Morgan L, Reaves S, et al. Retrospective attention in short-term memory has a lasting effect on long-term memory across age[J]. J Gerontol B Psychol Sci Soc Sci, 2019, 74(8): 1317-1325. doi: 10.1093/geronb/gby045
[50]	Norris D. Short-term memory and long-term memory are still different[J]. Psychol Bull, 2017, 143(9): 992-1009. doi: 10.1037/bul0000108
[51]	Ghazizadeh A, Hong S, Hikosaka O. Prefrontal cortex represents long-term memory of object values for months[J]. Curr Biol, 2018, 28(14): 2206-2217. doi: 10.1016/j.cub.2018.05.017

Metrics

阅读次数

全文

967

HTML			PDF

最新录用	在线预览	正式出版	最新录用	在线预览	正式出版
0	0	16	0	0	951

来源	本网站	其他网站

次数	732	235
比例	76%	24%

摘要

1051

最新录用	在线预览	正式出版

0	0	1051

来源	本网站	其他网站

次数	438	613
比例	42%	58%

MMSE	MoCA长时记忆(原始分)		MoCA-MIS		MoCA总分
MMSE	r	P	r	P	r	P
短时记忆	0.276	0.030	0.291	0.022	0.353	0.005
长时记忆	0.569	< 0.001	0.612	< 0.001	0.610	< 0.001
回溯性记忆	0.572	< 0.001	0.613	< 0.001	0.619	< 0.001
量表总分	0.391	0.002	0.446	< 0.001	0.710	< 0.001