Alberici A, Geroldi C, Cotelli M, Adorni A, Calabria M, Rossi G, Borroni B, Padovani A, Zanetti O, Kertesz A
Department of Neurological Sciences, University of Brescia, Pzz.le Spedali Civili 1, I-25100 Brescia, Italy.
Neurol Sci. 2007 Apr;28(2):80-6. doi: 10.1007/s10072-007-0791-3.
The objective was to evaluate the construct validity of the Italian version of the Frontal Behavioural Inventory (FBI) and its usefulness in the differential diagnosis of dementias. Standard criteria were used in the clinical diagnosis of dementias in 83 patients and 33 agematched healthy volunteers. The FBI scale was translated from English into Italian language and back-translated. Cronbach's alpha, inter-rater and test-retest reliability, FBI convergent validity and discriminant analysis were calculated. FBI profile was compared between patients affected by frontotemporal lobar degeneration (FTLD) and Alzheimer's disease (AD). The FBI showed a high internal consistency and inter-rater reliability and it distinguished normal behavioural conditions from those presented in FTLD or AD. An 86.8% diagnostic accuracy was calculated by the discriminant analysis, selecting only age at disease onset and FBI, and particularly distinguishing behavioural variants within the FTLD spectrum. FTLD patients showed a characteristic behavioural profile. The FBI might be a reliable and useful diagnostic tool for dementias in clinical practice.
目的是评估意大利语版额叶行为量表(FBI)的结构效度及其在痴呆症鉴别诊断中的作用。对83例患者和33名年龄匹配的健康志愿者采用标准标准进行痴呆症的临床诊断。FBI量表从英语翻译成意大利语并进行回译。计算了克朗巴哈系数、评分者间信度和重测信度、FBI收敛效度和判别分析。比较了额颞叶变性(FTLD)和阿尔茨海默病(AD)患者的FBI剖面图。FBI显示出较高的内部一致性和评分者间信度,并且能够区分正常行为状况与FTLD或AD中出现的行为状况。通过判别分析计算出86.8%的诊断准确率,仅选择发病年龄和FBI,特别是区分FTLD范围内的行为变异。FTLD患者表现出特征性的行为剖面图。FBI可能是临床实践中用于痴呆症诊断的可靠且有用的工具。