Evaluación de funcionamiento cognitivo en adultos: Análisis y contrastación de tres de los instrumentos de mayor divulgación en Chile / Psychometric properties of three instruments to detect dementia
Rev. méd. Chile
;
148(4): 452-458, abr. 2020. tab, graf
Artigo
em Espanhol
| LILACS
| ID: biblio-1127085
RESUMEN
Background Several instruments are available to measure cognitive functioning in older adults. However, there is paucity of information about their factorial structure and psychometric properties. Aim To determine the factorial structure and the internal reliability of the Mini Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA) and the Adenbrookke´s Cognitive Examination (ACE-R), and their cognitive impairment detection capabilities. Material and Methods MMSE, MoCA and ACE-R were applied to 203 older adults aged 54 to 88 years (77% women), excluding participants with dementia. Results The factorial structure of the MMSE suggested that items referred to memory process should be eliminated due to their low reliability and factor loading (b = 0.12; p = 0.146). Although the MoCA had a good reliability, object denomination process items also had to be dropped (b = 0.22; p = 0.003). The ACE-R demonstrated a single factorial structure for all cognitive processes and had a good internal consistency. MMSE, MoCA and ACE-R classified as having dementia 5, 27 and 42% of participants, respectively. Conclusions MoCA and the ACE-R scales appear as better instruments to detect dementia in older people.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Demência
Limite:
Humanos
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de La Frontera/CL
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