Fuh J L, Liu C Y, Wang S J, Wang H C, Liu H C
Neurological Institute, Veterans General Hospital-Taipei and National Yang-Ming University Schools of Medicine, Taiwan, Republic of China.
Int Psychogeriatr. 1999 Jun;11(2):181-9. doi: 10.1017/s1041610299005736.
The Revised Memory and Behavior Problems Checklist (RMBPC) is a 24-item caregiver report that measures observable behavioral and memory problems in dementia patients and their caregivers' reaction to these problems. The purpose of the present study was to evaluate the applicability of the RMBPC for use in Taiwanese patients with Alzheimer's disease (AD). The subjects included 76 AD patients (39 men and 37 women, mean age 72.3) and their caregivers (34 men and 42 women, mean age 53.5) who participated in a comprehensive assessment at the Veterans General Hospital-Taipei. The Chinese version of the Cognitive Abilities Screening Instrument was administered to the patients. Their caregivers rated the RMBPC and the short version of the Geriatric Depression Score (GDS). To assess the test-retest reliability, 30 caregivers rated a second RMBPC 3 days after the first evaluation. The mean score for the frequency rating on the RMBPC was 32.63 (SD = 12.44, range = 5-61) and the mean reaction score was 10.96 (SD = 11.53). The reaction score was significantly correlated with the GDS score (r = .363, p = .001). The Cronbach's alpha coefficients for frequency and reaction scores were .816 and .895 respectively. The test-retest reliabilities of total frequency and reaction scores were significantly correlated; overall correlations were .89 for frequency (p < .001) and .74 for reaction (p < .001). These findings suggest that the RMBPC be recommended as a reliable tool to assess behavioral and memory disturbance in Taiwanese AD patients.
修订版记忆与行为问题清单（RMBPC）是一份包含24个条目的照料者报告，用于衡量痴呆患者可观察到的行为和记忆问题以及照料者对这些问题的反应。本研究的目的是评估RMBPC在台湾阿尔茨海默病（AD）患者中的适用性。研究对象包括76名AD患者（39名男性和37名女性，平均年龄72.3岁）及其照料者（34名男性和42名女性，平均年龄53.5岁），他们在台北荣民总医院参加了一项综合评估。对患者施行了中文版认知能力筛查工具。他们的照料者对RMBPC和老年抑郁量表简版（GDS）进行了评分。为评估重测信度，30名照料者在首次评估3天后对第二份RMBPC进行了评分。RMBPC频率评分的平均分为32.63（标准差 = 12.44，范围 = 5 - 61），平均反应评分为10.96（标准差 = 11.53）。反应评分与GDS评分显著相关（r = 0.363，p = 0.001）。频率评分和反应评分的克朗巴赫α系数分别为0.816和0.895。总频率和反应评分的重测信度显著相关；频率的总体相关性为0.89（p < 0.001），反应的总体相关性为0.74（p < 0.001）。这些发现表明，RMBPC可作为评估台湾AD患者行为和记忆障碍的可靠工具被推荐使用。
