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剑桥行为量表在神经退行性疾病中的效用。

The utility of the Cambridge Behavioural Inventory in neurodegenerative disease.

作者信息

Wedderburn C, Wear H, Brown J, Mason S J, Barker R A, Hodges J, Williams-Gray C

机构信息

Cambridge Centre for Brain Repair, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

出版信息

J Neurol Neurosurg Psychiatry. 2008 May;79(5):500-3. doi: 10.1136/jnnp.2007.122028. Epub 2007 Sep 10.

Abstract

We investigated the utility of the Cambridge Behavioural Inventory (CBI), a carer-completed questionnaire, in a large cohort with Parkinson's disease (PD) (n = 215). In a sub-cohort of 112 patients with PD, the CBI was found to be a valid instrument compared with the Neuropsychiatric Inventory, PDQ-39 and UPDRS, with high internal consistency. Furthermore, in the whole cohort, the CBI was sensitive to changes in behaviour with disease progression. Comparison between CBI scores in PD and other neurodegenerative diseases, including Huntington's disease (HD) (n = 75), Alzheimer's disease (AD) (n = 96) and frontal variant frontotemporal dementia (fvFTD) (n = 64), revealed distinct profiles for each disease. Predominant deficits were "sleep"' and "self care" in PD; "memory" in HD and AD; and "motivation" and "stereotypic behaviours" in fvFTD. The CBI is a robust, easy-to-use and valid instrument, which has the capacity to discriminate between neurodegenerative diseases, and may be of value in monitoring therapeutic interventions.

摘要

我们在一个大型帕金森病(PD)队列(n = 215)中研究了由照料者完成的问卷——剑桥行为量表(CBI)的效用。在一个包含112例PD患者的亚队列中,与神经精神科问卷、PDQ-39和统一帕金森病评定量表相比,CBI被发现是一种有效的工具,具有较高的内部一致性。此外,在整个队列中,CBI对随着疾病进展而出现的行为变化很敏感。对PD与其他神经退行性疾病(包括亨廷顿舞蹈病(HD)(n = 75)、阿尔茨海默病(AD)(n = 96)和额颞叶痴呆额部变异型(fvFTD)(n = 64))的CBI评分进行比较,发现每种疾病都有不同的特征。PD中主要的缺陷是“睡眠”和“自我照料”;HD和AD中是“记忆”;fvFTD中是“动机”和“刻板行为”。CBI是一种可靠、易于使用且有效的工具,有能力区分神经退行性疾病,在监测治疗干预方面可能具有价值。

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