Screening for cognitive deficits in Parkinson's disease with the Parkinson neuropsychometric dementia assessment (PANDA) instrument

被引:182
作者
Kalbe, Elke [1 ]
Calabrese, Pasquale [2 ]
Kohn, Nils [1 ]
Hilker, Ruediger [3 ]
Riedel, Oliver [4 ]
Wittchen, Hans-Ulrich [4 ]
Dodel, Richard [5 ]
Otto, Joerg
Ebersbach, Georg
Kessler, Josef [1 ]
机构
[1] Univ Cologne, Dept Neurol, Univ Hosp, D-50937 Cologne, Germany
[2] Univ Clin, Dept Neurol, Bochum, Germany
[3] Goethe Univ Frankfurt, Dept Neurol, Frankfurt, Germany
[4] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, Dresden, Germany
[5] Univ Marburg, Dept Neurol, D-35032 Marburg, Germany
关键词
Parkinson's disease; cognitive dysfunction; dementia; cognitive screening;
D O I
10.1016/j.parkreldis.2007.06.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cognitive and affective dysfunctions are frequent but often neglected symptoms in Parkinson's disease (PD). We developed the screening tool Parkinson neuropsychometric dementia assessment (PANDA) with five cognitive tasks and a short depression questionnaire. Healthy subjects and patients without cognitive impairment (PD), mild cognitive disorder (PD-MCD), or dementia (PDD) were examined. The cognition part had a specificity of 91% and a sensitivity of 90%. for PDD and 77% for PDD plus PD-MCD patients. The mood questionnaire also had high sensitivity and specificity. We conclude that the PANDA is an economical, easy-to-use and sensitive tool to detect neuropsychological dysfunctions in PD patients in clinical practice. (C) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:93 / 101
页数:9
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