【大学课件】认知能力评估

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Screening test of mental state
简短智能测试 (Chinese version of MiniMental State Examination,CMMSE)
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What is a screening筛选
test ?
Screening tests are not designed to be diagnostic but are sensitive to detect cognitive abnormalities 认知不正常 for further assessments
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Βιβλιοθήκη Baidu
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Scoring of serial 7’s
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CMMSE…test of memory
Items 3 and 5 examine short-term and long-term episodic memory respectively.
Item 4 evaluate评估working memory (i.e. memory functioning together with the functioning of information processing).
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简短智能测试的结构分析
简短智能测试是由以下各项认知评估结合而成 Orientation Short-termmemory long-term memory Working memory Calculation Language Visuo-spatial ability
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简短智能测试
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影响记忆的因素
记忆结果可能受到以下因素影响:
Attention Sensory impairments Mood Motivation
Beware of the impacts of these factors that may lead to an inaccurate 不准确 interpretation 解释 of memory functioning
Items 1 and 2
Time of day
Day 日 Date 日期 Month 月份 Year 年份 Season 季节
Place
City 城市 District Street 街道 Building 大厦 Floor 层数
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CMMSE…test of orientation
Time and Place Problems with new learning or anterograde
认知能力评估
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学习目标
To analyze分析structure结构of a screening test on mental state
To study cognitive assessments评估used in OT practicein the following areas:
Mental state Executive function Memory Attention
memory Problems with temporal orientation and
topographic orientation (Hasse, 1997)
Person An internal awareness of self within a person’s surrounding (Dietz, Beeman & Thorn, 1993) Retrograde memory loss of autobiographical information
Screening tests are generally short and fast Screening tests usually have a cutoff 界线 score
to indicate normal / abnormal functioning
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简短智能测试
Folstein et al., 1975
with CMMSE scores, so optimal cutoffs for HK elderly people (Chiu et al, 1998) are:
<22 (more than 2 years of schooling) <21 (1-2 years of schooling) <18 (illiterate文盲)
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Items 6-8
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Items 9-10
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CMMSE…test of language语言
functioning
Ability of naming, word-finding, and repetition重复
Auditory comprehension 听觉理解 Visual comprehension,Reading 阅读
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To conclude总结
Intelligence is not of a single dimension, but has multiple dimensions
Which type of intelligence is stronger in you?
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Structure and scoring of CMMSE
Cut-off score of original MMSE was 23/24 (Folstein, 1975) Local study show the cut-off score is 19/20. why the local one was lower than the original one? Level of educational attainment was found associating
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Item 3 & 5
Read out three unrelated objects 无关 “apple苹果, newspaper报纸, train火车”
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Item 4
Serial subtraction (Serial 7s) •Subtract减 7 from 100, and then 7 until for the 5th time (连续减5次).