摘要
目的：了解正常老人日常生活活动能力的自然衰退情况及其影响因素，探索ＡＤＬ评定对预测痴呆的作用。方法：用１４项日常生活活动能力量表对３０１９例正常社区老人进行间隔５年的两次随访并按ＤＳＭ－Ⅲ－Ｒ标准诊断是否痴呆。结果：正常老人ＡＤＬ平均得分１４．９５，５年后增加１．４３。增幅随年龄增长而加大。痴呆组ＡＤＬ总分显著高于正常组，且离散度大，５年间平均增加１４．４９分。Ｌｏｇｉｓｔｉｃ回归分析显示，年龄大，ＰＳＭＳ得分高以及教育程度低者，发生痴呆的相对危险性大。结论：社区智力正常老人ＡＤＬ保持良好，自然衰退幅度不大，与年龄有关。如无特殊躯体原因，ＡＤＬ总分年内上升５分以上，应考虑痴呆可能。
bjective:To understand the natural deterioration of ADL in normal aging and its predictingvalue in dementia. Method: The ADL scale was employed twice, 5 years apart, in 3 019 normal intelliegence elderly living in the community. According to DSM-Ⅲ-R diagnostic criteria, 144 cases developed dementia after 5 years. Results: ADL scores in the non-demented group were lower than those in the demented group, with low dispersion, and increased by only 1.43 after 5 years in the non-demented elderly, but 14.49 in the demented. The risk of suffering from dementia increased 1.76 times for each 5 year of age, and 1.32 times for each 1 more score of PSMS; but decreased with more education. Conclusion:Dementia should be considered if the total score of ADL increased 5 or more in a year in the absence of specific physical diseases.
出处
《中国临床心理学杂志》
CSCD
1998年第1期20-23,共4页
Chinese Journal of Clinical Psychology
