【大學】認知能力評估

認知能力評估編輯ppt學習目標Toanalyze分析structure結構ofascreeningtestonmentalstateTostudycognitiveassessments評估usedinOTpracticeinthefollowingareas:MentalstateExecutivefunctionMemoryAttention編輯pptScreeningtestofmentalstate簡短智能測試(ChineseversionofMini-MentalStateExamination,CMMSE)編輯pptWhatisascreening篩選

test?Screeningtestsarenotdesignedtobediagnosticbutaresensitivetodetectcognitiveabnormalities認知不正常forfurtherassessmentsScreeningtestsaregenerallyshortandfastScreeningtestsusuallyhaveacutoff界線scoretoindicatenormal/abnormalfunctioning編輯ppt簡短智能測試Folsteinetal.,1975編輯ppt簡短智能測試的結構分析簡短智能測試是由以下各項認知評估結合而成OrientationShort-termmemorylong-termmemoryWorkingmemoryCalculationLanguageVisuo-spatialability編輯ppt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)

編輯pptToconclude總結Intelligenceisnotofasingledimension,buthasmultipledimensionsWhichtypeofintelligenceisstrongerinyou?編輯pptStructureandscoringofCMMSE

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層數編輯pptCMMSE…testoforientationTimeandPlaceProblemswithnewlearningoranterogradememoryProblemswithtemporalorientationandtopographicorientation(Hasse,1997)

Person

Aninternalawarenessofselfwithinaperson’ssurrounding(Dietz,Beeman&Thorn,1993)Retrogradememorylossofautobiographicalinformation編輯pptItem3&5

Readoutthreeunrelatedobjects無關“apple蘋果,newspaper報紙,train火車”編輯pptItem4

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

編輯pptScoringofserial7’s編輯pptCMMSE…testofmemoryItems3and5examineshort-termandlong-termepisodicmemoryrespectively.Item4evaluate評估workingmemory(i.e.memoryfunctioningtogetherwiththefunctioningofinformationprocessing).編輯ppt影響記憶的因素記憶結果可能受到以下因素影響:AttentionSensoryimpairmentsMoodMotivationBewareoftheimpactsofthesefactorsthatmayleadtoaninaccurate不準確interpretation解釋ofmemoryfunctioning編輯pptItems6-8

編輯pptItems9-10編輯pptCMMSE…testoflanguage語言functioningAbilityofnaming,word-finding,andrepetition重復Auditorycomprehension

聽覺理解Visualcomprehension,Reading

閱讀編輯pptItem12

編輯ppt編輯pptCMMSE…testofvisuo-spatialabilityCopyingpatterndemonstratesclient’sabilityofspatialfunctioning

編輯ppt記憶評估DigitRecallRivermeadbehavioralmemorytest(RBMT)HongKonglistlearningtest(HKLLT)編輯pptDigitRecallTasks

(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”)1-5-2-8-65-3-9-4-1-88-1-2-9-3-6-59-4-3-7-6-2-5-8編輯pptDigitRecall

ForwardrecallandBackwardrecallTestofmemoryspan記憶長度andattention專注Backwardrecallalsoassessesworkingmemory編輯pptTestofEverydayAttention

專注力評估編輯pptAttention

Essential必須forinformationprocessing,memoryandrecall(Toglia,1992)編輯pptTestofEverydayAttention(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Licensedtrainingisrequired編輯pptTestofEverydayAttention(TEA)

8testitemsMap地圖searching(searchsymbolsonthemap)Elevatorcounting計數(countaseriesoftonespresentedonanaudiotape錄音機,thatrepresentsfloorsreachedontheelevator)Elevatorcountingwithdistraction混亂(countonlylowtones)Visual視覺elevator(followaseriesofvisuallypresentedfloors)Elevatorcountingwithreversal倒轉Telephone電話search(lookforkeysymbolsinadirectory)TelephonesearchwhilecountingLottery(listenfortheir‘winningnumber’andwritedown寫下thetwolettersprecedingallnumbersendingingivendigits)編輯pptReferencesGloag,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,353-357編輯pptReferences

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&Sons,Inc.Lezak,M.D.(1995).Neur