目的:评价可重复的成套神经心理状态测量(Repeatable Battery for the Assessment of Neuropsychological Status,RBANS)中文版的信度和效度。方法:对49名上海市社区老人分别于8周前后进行RBANS和简易智能状态量表(Mini-Mental State Ex...目的:评价可重复的成套神经心理状态测量(Repeatable Battery for the Assessment of Neuropsychological Status,RBANS)中文版的信度和效度。方法:对49名上海市社区老人分别于8周前后进行RBANS和简易智能状态量表(Mini-Mental State Examination,MMSE)的评定。结果:①RBANS的内部一致性较好;重测相关系数为0.933(P<0.001)。②RBANS与MMSE的相关系数为0.675;RBANS具有良好的结构,χ2为73.52,NNFI、CFI均大于0.9,5个潜变量因素负荷系数均具有统计学意义,测量数据与5因素模型之间拟合良好;RBANS的区分度为0.263。③RBANS总分与年龄负相关(r=-0.536,P<0.001),与教育程度正相关(r=0.744,P<0.001),与性别相关无统计学意义(r=-0.192,P>0.05)。结论:RBANS中文版在社区老人中具有较好的信度和效度。展开更多
目的探讨首发重性抑郁障碍患者儿童期创伤经历对认知功能的影响以及抑郁情绪的调节作用,为首发重性抑郁障碍患者认知功能诊疗提供新的借鉴依据。方法选取2020年9月至2022年2月住院部及门诊的130例首发未治疗的重性抑郁障碍患者与同期82...目的探讨首发重性抑郁障碍患者儿童期创伤经历对认知功能的影响以及抑郁情绪的调节作用,为首发重性抑郁障碍患者认知功能诊疗提供新的借鉴依据。方法选取2020年9月至2022年2月住院部及门诊的130例首发未治疗的重性抑郁障碍患者与同期82名健康对照为研究对象。使用儿童期创伤问卷(childhood trauma questionnaire short form,CTQ-SF)评估患者童年经历,并据情感/躯体忽视、躯体/情感/性创伤评分是否分别大于15分、10分、10分、13分、8分,将患者组分为伴与不伴童年创伤组,使用重复性成套神经心理状态测试(repeatable battery for the assessment of neuropsychological status,RBANS)评估被试认知功能,使用17项汉密尔顿抑郁量表(17-item Hamilton depression scale,HAMD17)评估被试抑郁状态,并采用Pearson相关分析对伴童年创伤抑郁组(80例)、不伴童年创伤抑郁组(50例)、健康对照组(82例)的CTQ-SF和RBANS总分及其维度进行相关分析。结果三组在童年期创伤量表中,除性创伤外,各维度和RBANS总分及各维度评分上的差异有统计学意义(P<0.05)。相关分析提示RBANS总分与CTQ-SF总分呈负相关关系(r=-0.435,P<0.05);儿童期创伤得分对RBANS得分有显著的负向预测作用(β=-0.427,t=-6.723,P<0.05),并且HAMD17得分越高这种负向预测作用就越强(β=-0.241,t=-4.333,P<0.05)。结论首发重性抑郁障碍患者童年创伤对其认知功能有显著的负向预测作用,且抑郁情绪起调节作用。展开更多
This pilot study examined the psychometric properties and clinical utility of a brief neuropsychological instrument (Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). The test-retest reliabil...This pilot study examined the psychometric properties and clinical utility of a brief neuropsychological instrument (Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). The test-retest reliability, practice effects and convergent validity of RBANS were examined in participants without objective cognitive impairment. The tests were administered at two time points at approximately a two weeks’ interval, with 30 cognitively intact participants with a mean age of 63.3 ± 5.8 years. Adequate test-retest reliabilities were found for RBANS subtests, index and total scale scores with significant gain scores in immediate memory and visuospatial function. The RBANS showed good convergent validity and the RBANS supplemented with executive and language measures (Colour Trails Test and 30-item modified Boston Naming Test, respectively) demonstrated excellent convergent validity with a formal neuropsychological battery. This pilot study has provided the preliminary evidence of reliability and convergent validity of the RBANS. Additionally, it also provides insight on the practice effects so that clinicians may assess significant changes in RBANS subtests and domain indexes for clinical practice.展开更多
文摘目的:评价可重复的成套神经心理状态测量(Repeatable Battery for the Assessment of Neuropsychological Status,RBANS)中文版的信度和效度。方法:对49名上海市社区老人分别于8周前后进行RBANS和简易智能状态量表(Mini-Mental State Examination,MMSE)的评定。结果:①RBANS的内部一致性较好;重测相关系数为0.933(P<0.001)。②RBANS与MMSE的相关系数为0.675;RBANS具有良好的结构,χ2为73.52,NNFI、CFI均大于0.9,5个潜变量因素负荷系数均具有统计学意义,测量数据与5因素模型之间拟合良好;RBANS的区分度为0.263。③RBANS总分与年龄负相关(r=-0.536,P<0.001),与教育程度正相关(r=0.744,P<0.001),与性别相关无统计学意义(r=-0.192,P>0.05)。结论:RBANS中文版在社区老人中具有较好的信度和效度。
文摘目的探讨首发重性抑郁障碍患者儿童期创伤经历对认知功能的影响以及抑郁情绪的调节作用,为首发重性抑郁障碍患者认知功能诊疗提供新的借鉴依据。方法选取2020年9月至2022年2月住院部及门诊的130例首发未治疗的重性抑郁障碍患者与同期82名健康对照为研究对象。使用儿童期创伤问卷(childhood trauma questionnaire short form,CTQ-SF)评估患者童年经历,并据情感/躯体忽视、躯体/情感/性创伤评分是否分别大于15分、10分、10分、13分、8分,将患者组分为伴与不伴童年创伤组,使用重复性成套神经心理状态测试(repeatable battery for the assessment of neuropsychological status,RBANS)评估被试认知功能,使用17项汉密尔顿抑郁量表(17-item Hamilton depression scale,HAMD17)评估被试抑郁状态,并采用Pearson相关分析对伴童年创伤抑郁组(80例)、不伴童年创伤抑郁组(50例)、健康对照组(82例)的CTQ-SF和RBANS总分及其维度进行相关分析。结果三组在童年期创伤量表中,除性创伤外,各维度和RBANS总分及各维度评分上的差异有统计学意义(P<0.05)。相关分析提示RBANS总分与CTQ-SF总分呈负相关关系(r=-0.435,P<0.05);儿童期创伤得分对RBANS得分有显著的负向预测作用(β=-0.427,t=-6.723,P<0.05),并且HAMD17得分越高这种负向预测作用就越强(β=-0.241,t=-4.333,P<0.05)。结论首发重性抑郁障碍患者童年创伤对其认知功能有显著的负向预测作用,且抑郁情绪起调节作用。
文摘This pilot study examined the psychometric properties and clinical utility of a brief neuropsychological instrument (Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). The test-retest reliability, practice effects and convergent validity of RBANS were examined in participants without objective cognitive impairment. The tests were administered at two time points at approximately a two weeks’ interval, with 30 cognitively intact participants with a mean age of 63.3 ± 5.8 years. Adequate test-retest reliabilities were found for RBANS subtests, index and total scale scores with significant gain scores in immediate memory and visuospatial function. The RBANS showed good convergent validity and the RBANS supplemented with executive and language measures (Colour Trails Test and 30-item modified Boston Naming Test, respectively) demonstrated excellent convergent validity with a formal neuropsychological battery. This pilot study has provided the preliminary evidence of reliability and convergent validity of the RBANS. Additionally, it also provides insight on the practice effects so that clinicians may assess significant changes in RBANS subtests and domain indexes for clinical practice.
