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EXIT-25与简易精神状态检查表用于评估记忆门诊患者执行功能障碍的比较。

Comparison of EXIT-25 and the Frontal Assessment Battery for evaluation of executive dysfunction in patients attending a memory clinic.

作者信息

Moorhouse Paige, Gorman Mary, Rockwood Kenneth

机构信息

Dalhousie University, N.S., Canada.

出版信息

Dement Geriatr Cogn Disord. 2009;27(5):424-8. doi: 10.1159/000212755. Epub 2009 Apr 16.

Abstract

BACKGROUND/AIMS: The Frontal Assessment Battery (FAB) and the EXIT-25 have emerged as 2 widely used screening instruments for executive dysfunction, but their screening properties have not been evaluated in a head-to-head comparison.

METHODS

Prospective cohort study of 92 individuals presenting for cognitive assessment at a community hospital.

RESULTS

The EXIT-25 took longer than the FAB to complete (mean difference = 9.27 min, 95% CI: 9.86-8.68). EXIT-25 and FAB scores showed significant correlation (Spearman's r = -0.79, p < 0.001) with one another, and each showed acceptable convergent validity and divergent validity.

CONCLUSIONS

The 2 tests provide similar information about the presence of executive dysfunction. The FAB takes less time to complete, and appears to be less frustrating for patients, making it more feasible as a screening test for executive dysfunction in a memory clinic setting.

摘要

背景/目的:额叶评估量表(FAB)和EXIT - 25已成为广泛用于筛查执行功能障碍的两种工具,但它们的筛查特性尚未在直接比较中进行评估。

方法

对一家社区医院92名进行认知评估的个体进行前瞻性队列研究。

结果

完成EXIT - 25比FAB所需时间更长(平均差异=9.27分钟,95%CI:9.86 - 8.68)。EXIT - 25和FAB得分彼此显著相关(斯皮尔曼r=-0.79,p<0.001),且各自显示出可接受的收敛效度和区分效度。

结论

这两项测试提供了关于执行功能障碍存在情况的相似信息。FAB完成时间更短,对患者来说似乎也不那么令人沮丧,使其作为记忆诊所环境中执行功能障碍筛查测试更可行。

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