Weiler P G, Chiriboga D A, Black S A
Center for Aging and Health, Department of Community Health, University of California, Davis.
J Gerontol. 1994 Jan;49(1):S44-51. doi: 10.1093/geronj/49.1.s44.
Most existing measures commonly used to determine cognitive dysfunction in demented persons exclude important pieces of information. In an effort to address this deficiency, many Alzheimer's disease programs have combined items from the Blessed Information, Orientation, Memory and Concentration Test with those of the more established Mini-Mental State Exam. While the expansion may be clinically helpful, results are typically presented in the form of summary scores that ignore the issue of multidimensionality. Drawing upon data from 201 elderly patients afflicted with Alzheimer's disease and their adult child caregivers, this study examined the factorial structure of the combined Blessed Folstein Instruments. The factor-derived scores are compared with summary scores in terms of their association with functional status of the patients and with caregiver stress and burden.
大多数现有的用于确定痴呆患者认知功能障碍的常用测量方法都遗漏了重要信息。为了弥补这一缺陷，许多阿尔茨海默病项目将布列斯德信息、定向、记忆与注意力测试中的项目与更为成熟的简易精神状态检查表中的项目进行了合并。虽然这种扩展在临床上可能有所帮助，但结果通常以忽略多维性问题的汇总分数形式呈现。本研究利用201名患有阿尔茨海默病的老年患者及其成年子女照料者的数据，检验了合并后的布列斯德 - 福尔斯坦量表的因子结构。将因子衍生分数与汇总分数在与患者功能状态以及照料者压力和负担的关联方面进行了比较。
