認(rèn)知能力評估課件

學(xué)習(xí)目標(biāo)Toanalyze分析structure結(jié)構(gòu)ofascreeningtestonmentalstateTostudycognitiveassessments評估usedinOTpracticeinthefollowingareas:MentalstateExecutivefunctionMemoryAttention學(xué)習(xí)目標(biāo)Toanalyze分析structure結(jié)構(gòu)of1Screeningtestofmentalstate簡短智能測試(ChineseversionofMini-MentalStateExamination,CMMSE)Screeningtestofmentalstate2Whatisascreening篩選

test?Screeningtestsarenotdesignedtobediagnosticbutaresensitivetodetectcognitiveabnormalities認(rèn)知不正常forfurtherassessmentsScreeningtestsaregenerallyshortandfastScreeningtestsusuallyhaveacutoff界線scoretoindicatenormal/abnormalfunctioningWhatisascreening篩選

test?3簡短智能測試Folsteinetal.,1975簡短智能測試Folsteinetal.,19754簡短智能測試的結(jié)構(gòu)分析簡短智能測試是由以下各項認(rèn)知評估結(jié)合而成OrientationShort-termmemorylong-termmemoryWorkingmemoryCalculationLanguageVisuo-spatialability簡短智能測試的結(jié)構(gòu)分析簡短智能測試是由以下各項認(rèn)知評估結(jié)合而5簡短智能測試Cut-offscoreoforiginalMMSEwas23/24(Folstein,1975)Localstudyshowthecut-offscoreis19/20.whythelocalonewaslowerthantheoriginalone?LevelofeducationalattainmentwasfoundassociatingwithCMMSEscores,sooptimalcutoffsforHKelderlypeople(Chiuetal,1998)are:<22(morethan2yearsofschooling)

<21(1-2yearsofschooling)

<18(illiterate文盲)

簡短智能測試Cut-offscoreoforigina6Toconclude總結(jié)Intelligenceisnotofasingledimension,buthasmultipledimensionsWhichtypeofintelligenceisstrongerinyou?Toconclude總結(jié)Intelligenceisn7StructureandscoringofCMMSE

Items1and2

TimeofdayPlaceDay日City城市Date日期DistrictMonth月份Street街道Year年份Building大廈Season季節(jié)Floor層數(shù)StructureandscoringofCMMSE8CMMSE…testoforientationTimeandPlaceProblemswithnewlearningoranterogradememoryProblemswithtemporalorientationandtopographicorientation(Hasse,1997)

Person

Aninternalawarenessofselfwithinaperson’ssurrounding(Dietz,Beeman&Thorn,1993)RetrogradememorylossofautobiographicalinformationCMMSE…testoforientationT9Item3&5

Readoutthreeunrelatedobjects無關(guān)“apple蘋果,newspaper報紙,train火車”Item3&5

Readoutthreeunr10Item4

Serialsubtraction(Serial7s)?Subtract減7from100,andthen7untilforthe5thtime(連續(xù)減5次).OROR

Item4Serialsubtraction(Ser11Scoringofserial7’sScoringofserial7’s12CMMSE…testofmemoryItems3and5examineshort-termandlong-termepisodicmemoryrespectively.Item4evaluate評估workingmemory(i.e.memoryfunctioningtogetherwiththefunctioningofinformationprocessing).CMMSE…testofmemoryItems3an13影響記憶的因素記憶結(jié)果可能受到以下因素影響:AttentionSensoryimpairmentsMoodMotivationBewareoftheimpactsofthesefactorsthatmayleadtoaninaccurate不準(zhǔn)確interpretation解釋ofmemoryfunctioning影響記憶的因素記憶結(jié)果可能受到以下因素影響:14Items6-8

Items6-8

15Items9-10Items9-1016CMMSE…testoflanguage語言functioningAbilityofnaming,word-finding,andrepetition重復(fù)Auditorycomprehension

聽覺理解Visualcomprehension,Reading

閱讀CMMSE…testoflanguage語言funct17Item12

Item12

18認(rèn)知能力評估課件19CMMSE…testofvisuo-spatialabilityCopyingpatterndemonstratesclient’sabilityofspatialfunctioning

CMMSE…testofvisuo-spatialab20記憶評估DigitRecallRivermeadbehavioralmemorytest(RBMT)HongKonglistlearningtest(HKLLT)記憶評估DigitRecall21DigitRecallTasks

(AdaptedfromWechsler-BellevueIntelligenceTest)

DIGITSFORWARD順序Iamgoingtosaysomenumbers(1secondperdigit).ListenCarefully小心聽,andwhenIamThroughsaythemrightafterme.6-1-9-4-7-35-9-1-7-4-2-85-8-1-9-2-6-4-72-7-5-8-6-2-5-8-4

DIGITSBACKWARD由后面讀回前面NowIamgoingtosaysomemorenumbers(1secondperdigit),butthistimewhenIstopIwantyoutosaythembackward.Forexample,IfIsay“7-1-9”whatwouldyousay?(Ifcorrect,say:“Herearesomeothers”)1-5-2-8-65-3-9-4-1-88-1-2-9-3-6-59-4-3-7-6-2-5-8DigitRecallTasks

(Adaptedf22DigitRecall

ForwardrecallandBackwardrecallTestofmemoryspan記憶長度andattention專注BackwardrecallalsoassessesworkingmemoryDigitRecallForwardrecallan23TestofEverydayAttention

專注力評估TestofEverydayAttention

專注24Attention

Essential必須forinformationprocessing,memoryandrecall(Toglia,1992)AttentionEssential必須forinfor25TestofEverydayAttention(TEA)

Aims目的tomeasurefouraspectsofattentionthatareimportantfordailyfunctioning

Selective選擇attentionSustained保留attentionAttentionalswitchingDivided分別attentionApplicableforclientswithbraininjuries,Alzheimer’sdisease老人癡呆,andagerangeof18to80years3parallelversions3個版本Administrationtimeisabout45to60minutes需時45-60分鐘LicensedtrainingisrequiredTestofEverydayAttention(TE26TestofEverydayAttention(TEA)

8testitemsMap地圖searching(searchsymbolsonthemap)Elevatorcounting計數(shù)(countaseriesoftonespresentedonanaudiotape錄音機(jī),thatrepresentsfloorsreachedontheelevator)Elevatorcountingwithdistraction混亂(countonlylowtones)Visual視覺elevator(followaseriesofvisuallypresentedfloors)Elevatorcountingwithreversal倒轉(zhuǎn)Telephone電話search(lookforkeysymbolsinadirectory)TelephonesearchwhilecountingLottery(listenfortheir‘winningnumber’andwritedown寫下thetwolettersprecedingallnumbersendingingivendigits)TestofEverydayAttention(TE27ReferencesGloag,D.(1985).Rehabilitationafterheadinjury.BritishMedicalJournal,290,834-837.Hasse,B.(1997).Cognition.InJ.VanDeusen&D.Brunt(Eds.),Assessmentinoccuputionaltherapyandphysicaltherapy(pp.333-356).Philadelphia:W.B.Sauders.Itzkovich,M.,Elazar,B.,Averbuch,S.,&Katz,N.(1990).TheLoewesteinOccupationalTherapyAssessment(LOTCA)maunal.Pequanock,NJ:Maddock,Inc.Katz,N.,Hartman,M.A.,Ring,H.,&Soroker,N.(2002).Relationshipsofcognitiveperformanceanddailyfunctionofclientsfollowingrighthemisphericstroke:predictiveandecologicalvalidityoftheLOTCAbattery.OccupationalTherapyofResearch,20,3-17.Lam,L.C.W.etal.(1998).Clock-FaceDrawing,ReadingandSettingTestsintheScreeningofDementiainChineseElderlyAdults.JournalofGerontology,53B,353-357ReferencesGloag,D.(1985).Re28References

Costa,L.D.(1975).Therelationofvisuospatialdysfunctiontodigitspanperformanceinpatientswithcerebrallesions.Cortex,11,31-36.Gardner,H.(1993).Framesofmind:Thetheoryofmultipleintelligence(2nded.).NewYork:BasicBooks.Hunt,E.(1995).Theroleofintelligenceinmodernsociety.AmericanScientist(July-August).Kaufman,A.S.,&Lichtenberger,E.O.(1999).EssentialsofWAIS-IIIassessment.NewYork:JohnWiley