DOI QR코드

DOI QR Code

Construction validity of the MoCA-K to MMSE-K, LOTCA-G in the Community living Elderly

지역사회 노인들의 한국판 간이 정신상태 판별검사(MMSE-K), 노인용 로웬스타인 작업치료 인지평가(LOTCA-G)에 대한 한국판 몬트리올 인지기능 검사(MoCA-K)의 타당도 연구

  • Ko, Hyo-Eun (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Kim, Jeong-Woon (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Kim, Hee-Dong (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Jang, Yeon-Sik (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Chung, Hyun-Ae (Department of Occupational Therapy, DongShin University)
  • 고효은 (동신대학교 일반대학원 작업치료학과) ;
  • 김정운 (동신대학교 일반대학원 작업치료학과) ;
  • 김희동 (동신대학교 일반대학원 작업치료학과) ;
  • 장연식 (동신대학교 일반대학원 작업치료학과) ;
  • 정현애 (동신대학교 작업치료학과)
  • Received : 2012.12.04
  • Accepted : 2013.01.10
  • Published : 2013.01.31

Abstract

This study was to examine usefulness of MoCA-K by comparing the correlation between LOTCA-G, MMSE-K and MoCA-K, regarding detecting elderly people's mild cognitive function in local community. The experiments in which the three different evaluation methods were employed, of this study were conducted on 50 elderly people. While the score of MoCA-K and MMSE-K was $22.72{\pm}5.85$ out of 30 and $25.08{\pm}3.78$ out of 30 respectively, the result of LOTCA-G was $96.28{\pm}6.82$ out of 104. Observing each result of the three cognitive function assessment tools towards general characteristics showed no significant differences in gender. However, they were at considerable variance with age and education level of the example group. As all the three results of the assessment methods showed high correlation, it is reasonable to believe that MoCA-K is an appropriate evaluation tool to assess the cognitive function of old people.

본 연구는 지역사회 노인을 대상으로 국내에서 사용되는 인지기능 검사인 LOTCA-G 및 MMSE-K와 MoCA-K와의 상관관계를 통해 경도인지장애를 탐지하는 데 사용되는 MoCA-K의 유용성을 알아보고자 하였다. 50명을 대상으로 한 각 평가도구들의 인지기능 점수는 MoCA-K가 30점 만점 중 $22.72{\pm}5.85$, LOTCA-G는 104점 만점 중에 $96.28{\pm}6.82$, MMSE-K는 30점 만점 중 $25.08{\pm}3.78$점이었다. 대상자들의 일반적 특성에 따른 각 평가도구들의 점수를 알아본 결과, 세 개의 평가도구 모두 남녀 간에는 유의한 차이가 없었으며, 연령과 교육수준에 따라서는 유의한 차이를 보였다. 노인들의 치매 선별검사로 널리 사용되고 있는 신뢰성과 타당성이 확보된 MMSE-K 및 LOTCA-G의 수행점수와 MoCA-K 수행점수 간에 높은 상관관계가 나타났으므로 MoCA-K는 노인들의 인지기능을 평가하는 데 있어 타당한 인지검사도구라는 것을 확인할 수 있다.

Keywords

References

  1. Statistics Korea. 2012 Aging static, 2012
  2. Ministry of Health and Welfare. Elderly Welfare Facilities, 2008
  3. Cummings JL, Vinters HV, Cole GM & Khachaturian ZS. "Alzheimer's disease Etiologies, pathophysiology, cognitive reserve, and treatment opportunities", Neurology, Vol 51, No. 1(Suppl 1), p. S2-S17, 1998. DOI: http://dx.doi.org/10.1212/WNL.51.1_Suppl_1.S2
  4. Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG & Kokmen E. "Mild cognitive impairment: clinical characterization and outcome", Archives of neurology, Vol. 56, No. 3, p. 303, 1999. DOI: http://dx.doi.org/10.1001/archneur.56.3.303
  5. Kaszniak AW. The neuropsychology of dementia. Neuropsychological assessment of neuropsychiatric disorders. New York: Oxford University Press. p. 172-220. 1986.
  6. Y. W. Kang, D. R. Na, S. H. Han, "A Validity Study on the Korean Mini-Mental State Examination(K-MMSE) in Dementia Patients", Journal of the Korean Neurological Association. Vol. 15, No. 2, p. 300-308, 1997.
  7. Katz N, Elazar B. & Itzkovich M. "Construct validity of a geriatric version of the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery", Physical & Occupational Therapy in Geriatrics, Vol. 13, No. 3, p. 31-46. 1995. https://doi.org/10.1080/J148v13n03_03
  8. S. A. Lee, E. A. You, K. J. Chae., "The preliminary compare study for cognitive ability of persons with stroke and normal population", The Journal of Korean academy of occupational therapy, Vol. 8, No. 1, p. 93-102, 2000.
  9. Nazem S, Siderowf AD, Duda JE, Ten HT, Colcher A, Horn SS, Moberg PJ, Wilkinson JR, Hurtig HI & Stern MB. "Montreal Cognitive Assessment Performance in Patients with Parkinson's Disease with 'Normal' Global Cognition According to Mini Mental State Examination Score", Journal of the American Geriatrics Society, Vol. 57, No. 2, p. 304-308, 2009. DOI: http://dx.doi.org/10.1111/j.1532-5415.2008.02096.x
  10. Popovic IM, Seric V, Demarin V. "Mild cognitive impairment in symptomatic and asymptomatic cerebrovascular disease", Journal of the neurological sciences, Vol. 257, No. 1-2, p. 185-193, 2007. DOI: http://dx.doi.org/10.1016/j.jns.2007.01.029
  11. Zadikoff C, Fox SH, Tang-Wai DF, Thomsen T, de Bie R, Wadia P, Miyasaki J, Duff-Canning S, Lang AE & arras C. "A comparison of the mini mental state exam to the Montreal cognitive assessment in identifying cognitive deficits in Parkinson's disease", Movement disorders, Vol. 23, No. 2, p .297-299, 2008. https://doi.org/10.1002/mds.21837
  12. Y. W. Kang, J. S, Park, K. H, Yu & B. C. Lee. "A reliability validity, and normative study of the Korean-Montreal Cognitive Assessment (K-MoCA) as an instrument for screening of vascular cognitive impairment(VCI)", The Korean Journal of Clinical Psychology, Vol. 28, No. 2, p. 549-562, 2009. https://doi.org/10.15842/kjcp.2009.28.2.013
  13. Y. K. Jung, "(The)utility of Montreal Cognitive Assessment - Korean version for the detection of Amnestic Mild Cognitive Impairment", Graduate School of Chonnam National University, 2010.
  14. Katz N, Elazar B, Itzkovich M, "Construct validity of a geriatric version of the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery", Physical & Occupational Therapy in Geriatrics, Vol. 13, No. 3, p. 31-46, 1995. DOI: http://dx.doi.org/10.1080/J148v13n03_03
  15. Katz N, Itzkovich M, Averbuch S & Elazar B. Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) battery for brain-injured patients: Reliability and validity. The American Journal of occupational therapy, Vol. 43, No. 3, p. 184-192, 1989. DOI: http://dx.doi.org/10.5014/ajot.43.3.184
  16. Folstein MF, Folstein SE., McHugh PR. "Mini-mental state: A practical method for grading the cognitive state of patients for the clinician", Journal of psychiatric research, Vol. 13, No. 5, p. 285-294, 1975.
  17. J. H. Park, Y. C. Kwon., "Standardization of Korean Version of Mini-Mental State Examination (MMSE-K)", Journal of the Korean Neuropsyciatric Association, Vol. 28, No. 1, p. 125-135, 1989a.
  18. J. H. Park, Y. C. Kwon., "Standardization of Korean Version of the Mini-Mental State Examination(MMSE-K) for Use in the Elderly. Part II. Diagnostic Validity", Vol. 28, No. 3, p. 508-513, 1989b.
  19. J. Y. Lee, "Brief screening for mild cognitive impairment in elderly outpatient clinic: validation of the Korean version of the Montreal Cognitive Assessment", Journal of geriatric psychiatry and neurology, Vol. 21, No. 2, p. 104, 2008. DOI: http://dx.doi.org/10.1177/0891988708316855
  20. Nasreddine ZS. Phillips N. A, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL & Chertkow H. "The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment", Journal of the American Geriatrics Society, Vol. 53, No. 4, p. 695-699, 2005. DOI: http://dx.doi.org/10.1111/j.1532-5415.2005.53221.x
  21. National Health Insurance. 2002-2007 years Press release on the results of the trend analysis of geriatric illness care, 2008.
  22. Levy R. "Aging-associated cognitive decline. International Psychogeriatrics", Vol. 6, No. 1, p. 63-68, 1994 DOI: http://dx.doi.org/10.1017/S1041610294001626
  23. J. Y. Yeom, "Cognitive changes in the frontal lobes across the lifespan", Graduate School of Hallym University, 2006.
  24. J. W. Kang, Kim S. T, Yoo B. W, Oh J E, Hong S. H & Cho C. Y. "Factors related to cognitive impairment of elderly patients in Kyongin District", The Journal of the Korean Academy of Family Medicine, Vol. 24, No. 5, p. 461-472, 2003.
  25. S. J. Kim, "Risk factors of falling in the elderly in urban cities", Graduate School of Ehwa Womans University, 2003.
  26. H. S. Min, "Cognitive function among the elderly and its correlated factors", The Journal of Korean Academic Society of Adult Nursing, Vol. 19, No. 1, p. 78-88, 2007.
  27. J. H. Park, "Pattern of cognitive decline with age in the elderly", Journal of the Korean Geriatrics Society, Vol. 9, No. 3, p. 210-214, 2005.
  28. J. A. Sung, "A study on the cognitive function and quality of life in the elderly people living at home", Graduate School of Ehwa Womans University, 2007.
  29. J. S. Won, J. H. Kim, "Influencing factors on cognitive function and depression in elderly", Journal Korean Academic Psychiatric and Mental Health Nursing, Vol. 12, No. 2, p.148-154, 2003.
  30. M. S. Choi, "The relationship among social support, cognitive function, depression of the elders residing in a community", Graduate School of Hanyang University, 2012.
  31. H. J. Choi, "Depression and cognitive function of the elderly using the welfare facilities for the aged in the community", Journal of Korean public health nursing, Vol. 20, No. 2, p. 119-129. 2006.
  32. C. Y. Lee, "Korea elderly dementia awareness level is very low", http://news.kukinew.com, 2009.
  33. Ministry of Health and Welfare & Korea Institute for Health and Social Affairs. "Survey of Elderly in 2011", 2012.
  34. Petersen RC. "Mild cognitive impairment or questionable dementia?", Archives of neurology, Vol. 57, No. 5, p. 643, 2000. DOI: http://dx.doi.org/10.1001/archneur.57.5.643
  35. Luis C., Lowenstein D, Acevedo A, Barker W & Duara R. "Mild cognitive impairment Directions for future research", Neurology, Vol. 61, No. 4, p. 438-444, 2003. DOI: http://dx.doi.org/10.1212/01.WNL.0000080366.90234.7F
  36. M. A. Kim, H. S. Kim, E. J. Kim, "Cognitive Function and Depression in the Elderly", Journal of Korean Gerontological Nursing, Vol. 7, No. 2, p. 176-184, 2005.
  37. J. W. Yang, "A 6 Month follow-up of cognitive function in Urban community older people", Graduate School of Korea University 2002
  38. J. Chey, D. R. Na, S. Park, E. Park & S. Lee. "Effects of education in dementia assessment: evidence from standardizing the Korean-dementia rating scale" The Clinical Neuropsychologist, Vol. 13, No. 3, p. 293-302, 1999. DOI: http://dx.doi.org/10.1076/clin.13.3.293.1738
  39. J. Y. Choi, K. M. Shin, H. Y. Kim, "Symposium: Korea on cognitive aging; Mild cognitive disorder(MCI) and dementia; dementia risk factors of the elderly: 7-year longitudinal study results", Annual conference of the Korean psychological association, p. 4-5, 2006.
  40. Y. J. Cha, "Reliability and Validity of Korean version LOTCA-G", Graduate School of Chungnam National University, 2008.
  41. K. Y. Jang, J. Y. Kim, "Study of Cognitive Function for Elderlies in Urban Areas (Using the Lowenstein Occupational Therapy Cognitive Assessment-Geriatric Population)", The Journal of Korean academy of occupational therapy, Vol. 14, No. 3, p. 71-83, 2006.
  42. H. Y. So, M. H. Jeong, "A study on the evaluation of cognitive function of adults", The Journal of Korean Academic Society of Adult Nursing, Vol. 16, No. 2, p. 245-255, 2004.
  43. Brodaty H., Moore CM. "The Clock Drawing Test for dementia of the Alzheimer's type: A comparison of three scoring methods in a memory disorders clinic" International Journal of Geriatric Psychiatry, Vol. 12, No. 6, p. 619-627. 1997. DOI: http://dx.doi.org/10.1002/(SICI)1099-1166(199706)12:6<619::AID-GPS554>3.0.CO;2-H
  44. M. S. Park, B. R. Jo, D. W. Yang & S. Y. Kim. "A validation study of a Korean version of the 7-minute screen test", The Journal of the Korean Academy of Family Medicine, Vol. 23, No. 6, p. 728-739, 2002.
  45. Ryu S. H, D. W. Lee, K. J. Lee, H. Y. Jung. & E. J. Han. "Usefulness of brief screening tests for early detection of dementia". Journal of Korean geriatric psychiatry, Vol. 10, No. 1, p. 33-40, 2006.
  46. S. Y. Park, E. Y. Yu, "The Use of Occupational Therapy Assessment Tool by Korean Occupational Therapist", The Journal of Korean academy of occupational therapy, Vol. 10, No. 2, p. 99-108, 2002.
  47. E. Y. Yu, M. A. Jeong, S. Y. Park & E. H. Choi. "Current Trends of Occupational Therapy Assessment Tool by Korean Occupational Therapist", The Journal of Korean academy of occupational therapy, Vol. 14, No. 3, p. 27-37, 2006.