Cognitive Impairment Screening Test in Korea as a Screening Tool for Dementia: The Correlation Study of Subtest Scores With Korean Version of the Mini Mental State Examination 2nd Edition.

Dementia and neurocognitive disorders Pub Date : 2025-04-01 Epub Date: 2025-04-21 DOI:10.12779/dnd.2025.24.2.126
Minseong Kim, Doyun Heo, Seonkyeong Kim, Yunjin Lee, Yong Sung Kim, Wonjae Sung, Hee-Jin Kim
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Abstract

Background and purpose: The Cognitive Impairment Screening Test in Korea (CIST-K) was designed to detect cognitive decline. Developed independently and widely used in Korea, it is yet to be validated with other screening tests. This study aimed to introduce normative data to the CIST-K and assess its clinical usefulness through correlation analysis with the Korean version of the Mini-Mental State Examination, 2nd edition (K-MMSE-2).

Methods: We enrolled 85 participants from a tertiary university hospital in Korea, including patients diagnosed with mild cognitive impairment and Alzheimer's disease by experienced neurologists. Both the CIST-K and K-MMSE-2 were administered to assess the cognitive function of the participants, with scores from each subtest of the neuropsychological tests compared.

Results: Multivariate correlation analysis, which was adjusted for age, sex, and education level, revealed a significant correlation between the two tests in orientation, memory, and attention. However, no significant correlation was found between the two tests in visuospatial and language functions.

Conclusions: In conclusion, this study demonstrates that some subtests in the CIST-K align with corresponding scores on the K-MMSE-2. However, caution is advised when interpreting visuospatial and language test scores from the CIST-K. Further validity studies are necessary to enhance the sensitivity of each subtest.

认知障碍筛查测试在韩国作为痴呆症的筛查工具:子测试分数与韩国版迷你精神状态检查第二版的相关性研究。
背景与目的:韩国认知障碍筛查试验(CIST-K)旨在检测认知能力下降。虽然是自主开发的,在国内得到广泛应用,但还没有得到其他筛选试验的验证。本研究旨在引入CIST-K的规范数据,并通过与韩国版精神状态检查第二版(K-MMSE-2)的相关性分析来评估其临床实用性。方法:我们从韩国的一家三级大学医院招募了85名参与者,包括由经验丰富的神经科医生诊断为轻度认知障碍和阿尔茨海默病的患者。CIST-K和K-MMSE-2均用于评估参与者的认知功能,并比较神经心理测试的每个子测试的得分。结果:经年龄、性别、受教育程度等因素调整后的多变量相关分析显示,定向、记忆、注意三项测试之间存在显著相关。然而,两种测试在视觉空间和语言功能方面没有发现显著的相关性。结论:综上所述,本研究表明CIST-K的一些子测试与K-MMSE-2的相应分数一致。然而,在解释CIST-K的视觉空间和语言测试成绩时,建议谨慎。需要进一步的效度研究来提高每个子测试的灵敏度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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