Kaye K, Grigsby J, Robbins L J, Korzun B
Veterans Affairs Medical Center, Denver, CO 80220.
J Am Geriatr Soc. 1990 Dec;38(12):1304-10. doi: 10.1111/j.1532-5415.1990.tb03452.x.
Folstein's Mini Mental State Exam, a test assessing the capacity to perform novel and/or repetitive motor tasks (Behavioral Dyscontrol Scale) and a brief measure of working memory were used in a sample of 50 male Veterans Affairs geriatric clinic patients who ranged in age from 63 to 105 (mean, 80.1). The purpose of this study was to attempt to predict the patients' capacity to regulate their behavior independently. We hypothesized that frontal lobe disorders often impair a patient's ability to function autonomously and that the Behavioral Dyscontrol Scale, a measure of frontal lobe impairment, would best predict the capacity for independent regulation of purposeful behavior. Therefore, we examined the relationship of the Behavioral Dyscontrol Scale with spouses' and caregivers' ratings of patients' independent living skills, and with behaviors that interfere with independent functioning. The results of hierarchial regression analyses indicated that the Behavioral Dyscontrol Scale was the only predictor of functional autonomy and was the best predictor of both impulsivity and apathy among geriatric patients. The Behavioral Dyscontrol Scale appears to assess a different functional domain than do the MMSE and similar measures, which rely heavily on the evaluation of orientation and gross cognitive status.
对50名年龄在63岁至105岁（平均80.1岁）之间的男性退伍军人事务部老年诊所患者样本，使用了福尔斯坦简易精神状态检查表、一项评估执行新颖和/或重复性运动任务能力的测试（行为失控量表）以及一项简短的工作记忆测量方法。本研究的目的是试图预测患者独立调节其行为的能力。我们假设额叶疾病通常会损害患者的自主功能能力，并且行为失控量表作为一种额叶损伤的测量方法，将最能预测有目的行为的独立调节能力。因此，我们研究了行为失控量表与配偶及护理人员对患者独立生活技能的评分以及与干扰独立功能的行为之间的关系。层次回归分析结果表明，行为失控量表是功能自主性的唯一预测指标，并且是老年患者冲动性和冷漠情绪的最佳预测指标。行为失控量表似乎评估的是一个与简易精神状态检查表及类似测量方法不同的功能领域，后者严重依赖于定向和总体认知状态的评估。
