신경행동학적 인지상태검사의 임상적용을 위한 연구 ᅳ 60세 이상의 연령군을 대상으로 一

A Study for Clinical Application of Neurobehavioral Cognitive Status Examination(NCSE) — For the Subjects Over Age of 60—

Objective : The Neurobehavioral Cognitive Status Exam ination (NCSE) is a bedside cognitive state examination which is known to have some advantages of high sensitivity and also provides differentiated profile about the cognitive state. This study was aimed to confirm the clinical applicability of the NCSE to the Korean culture and language. Method : The subjects were 41 normal elderly persons and 23 elderly patients with clinically determined cognitive impairments. The criterion-related validity were examined by com parison pass rates and mean scores for each items by level of education. At the same time, the Pearson’ s correlation coefficients were calculated between NCSE and MMSE-K, and also the sensitivity of NCSE was com pared with that of MMSE-K The relationship between screen and metric items was examined by the calculation of biserial correlation coefficients. The inter-rater and test-retest reliabilities was investigated by the calculation of Pearson’ s correlation coefficients, Kendall’ s xbs, and concordance rates. R esult: Adjustm ent of scores for age and education level was required in some items of NCSE. In consideration of some limitations of BCRS as a norm al or abnorm al diagnostic criteria in each of the cognitive areas, discriminative validity was acceptable. NCSE was shown to have good correlation with MMSE-K, and also have a lower false negative rate than the MMSE-K. Conclusion : NCSE was considered as a clinically useful bedside cognitive state exam ination, which can be successfully applied in Korean patients