Rivermead行为记忆量表-Ⅱ和Ⅲ测评轻型脑外伤患者记忆功能的比较
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摘要
目的比较Rivermead行为记忆量表(RBMT)-Ⅱ和RBMT-Ⅲ在轻型脑外伤和健康人群记忆力测评中的表现,为临床选择评估版本提供理论依据。方法 2015年4月至2017年2月本院住院治疗的轻型脑外伤患者40例作为脑外伤组,另选择同时期健康体检人员40例作为对照组。所有对象先进行中文版RBMT-Ⅱ测试,24~48 h后再进行中文版RBMT-Ⅲ测试,所有结果以原始分进行对比分析。结果与对照组相比,脑外伤组在RBMT-Ⅱ测试中有6个分项下降(F>2.131,P<0.05),而在RBMT-Ⅲ中则有12分项下降(F>2.035,P<0.05)。与RBMT-Ⅱ相比,RBMT-Ⅲ在两组中的天花板效应减少,主要在图片再认、面孔再认、路线即时回忆、路线延迟回忆、信件延迟回忆和定向与日期6个分项中(Z>2.117,P<0.05);而地板效应也有减少,主要在记姓名和记约定两个分项中(Z>2.138,P<0.05)。结论 RBMT-Ⅲ在评估轻型脑外伤记忆方面较RBMT-Ⅱ更具优势。
Objective To choose a better version of Rivermead Behavioral Memory Test(RBMT) to assess memory function of patients with mild traumatic brain injury(TBI). Methods From April, 2015 to Febrary, 2017, 40 mild TBI patients and 40 healthy people were recruited as TBI group and control group respectively. Both groups completed the Chinese version of RBMT-Ⅱ first, and 24 hours to 48 hours later, completed the Chinese version of RBMT-Ⅲ. The raw score of each test and the number of perfect scores and floor performance were scored and compared. Results Compared with the control group, TBI group got lower scores in six subtests of RBMT-Ⅱ(F>2.131, P<0.05)and twelve subtests of RBMT-Ⅲ(F>2.035, P<0.05). Administration of the RBMT-Ⅲ resulted in less participants performing at or near individual subtest's ceiling than RBMT-Ⅱ, mainly in the picture recognition, face recognition, the line instant memories, the line delay memories, letters delayed recall and orientation date(Z>2.117, P<0.05). Also administration of the RBMT-Ⅲ resulted in less floor performance than those of RBMT-Ⅱ, mainly in remembering the name and the appointment(Z>2.138, P<0.05). Conclusion RBMT-Ⅲ has substantial improvement over the original RBMT-Ⅱ, as it reduces the problem of ceiling and floor performance and the number of misclassifications.
Objective To choose a better version of Rivermead Behavioral Memory Test(RBMT) to assess memory function of patients with mild traumatic brain injury(TBI). Methods From April, 2015 to Febrary, 2017, 40 mild TBI patients and 40 healthy people were recruited as TBI group and control group respectively. Both groups completed the Chinese version of RBMT-Ⅱ first, and 24 hours to 48 hours later, completed the Chinese version of RBMT-Ⅲ. The raw score of each test and the number of perfect scores and floor performance were scored and compared. Results Compared with the control group, TBI group got lower scores in six subtests of RBMT-Ⅱ(F>2.131, P<0.05)and twelve subtests of RBMT-Ⅲ(F>2.035, P<0.05). Administration of the RBMT-Ⅲ resulted in less participants performing at or near individual subtest's ceiling than RBMT-Ⅱ, mainly in the picture recognition, face recognition, the line instant memories, the line delay memories, letters delayed recall and orientation date(Z>2.117, P<0.05). Also administration of the RBMT-Ⅲ resulted in less floor performance than those of RBMT-Ⅱ, mainly in remembering the name and the appointment(Z>2.138, P<0.05). Conclusion RBMT-Ⅲ has substantial improvement over the original RBMT-Ⅱ, as it reduces the problem of ceiling and floor performance and the number of misclassifications.
引文
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[9]刘晶京,恽晓平.汉化版Rivermead行为记忆测验第3版的信度和效度[J].中国康复理论与实践,2016,22(5):511-513.
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[11]Teasdale G,Jennett B.Assessment of coma and impaired consciousness:a practical scale[J].Lancet,1974,2(7872):81-84.
[12]Bollo-Gasol S,Pinol-Ripoll G,Cejudo-Bolivar JC,et al.Ecological assessment of mild cognitive impairment and Alzheimer disease using the Rivermead Behavioural Memory Test[J].Neurologia,2014,29(6):339-345.
[13]莫文.心理学实验中的各种效应及解决办法[J].实验科学与技术,2008,6(6):118-121.
[14]Wills P,Clare L,Shiel A,et al.Assessing subtle memory impairments in the everyday memory performance of brain injured people:exploring the potential of the extended Rivermead Behavioural Memory Test[J].Brain Inj,2000,14(8):693-704.
[15]Guinea-Hidalgo A,Luna-Lario P,Tirapu-Ustarroz J.Evaluation of memory in acquired brain injury:a comparison between the Wechsler Memory Scale and Rivermead Behaviour Memory Test[J].Rev Neurol,2009,49(5):240-247.
[16]Wester AJ,Leenders P,Egger J,et al.Ceiling and floor effects on the Rivermead Behavioural Memory Test in patients with alcohol-related memory disorders and healthy participants[J].Int J Psychiatry Clin Pract,2013,17(4):286-291.
[17]Vakil E,Kraus A,Bor B,et al.Impaired skill learning in patients with severe closed-head injury as demonstrated by the serial reaction time(SRT)task[J].Brain Cogn,2002,50(2):304-315.
[18]Skidmore ER.Training to optimize learning after traumatic brain injury[J].Curr Phys Med Rehabil Rep,2015,3(2):99-105.
[2]Wang Q,Mejia-Guevara I,Rist PM,et al.Changes in memory before and after stroke differ by age and sex,but not by race[J].Cerebrovasc Dis,2014,37(4):235-243.
[3]Barman A,Chatterjee A,Bhided R.Cognitive impairment and rehabilitation strategies after traumatic brain injury[J].Indian J Psychol Med,2016,38(3):172-181.
[4]Spooner DM,Pachana NA.Ecological validity in neuropsychological assessment:a case for greater consideration in research with neurologically intact populations[J].Arch Clin Neuropsychol,2006,21(4):327-337.
[5]Wilson B,Cockburn J,Baddeley A,et al.The development and validation of a test battery for detecting and monitoring everyday memory problems[J].J Clin Exp Neuropsychol,1989,11(6):855-870.
[6]Yassuda MS,Flaks MK,Viola LF,et al.Psychometric characteristics of the Rivermead Behavioural Memory Test(RBMT)as an early detection instrument for dementia and mild cognitive impairment in Brazil[J].Int Psychogeriatr,2010,22(6):1003-1011.
[7]Kucukdeveci AA,Kutlay S,Elhan AH,et al.Construct validity and reliability of the Rivermead Behavioural Memory Test in the Turkish population[J].Brain Inj,2008,22(1):75-82.
[8]Hynes S,Shiel A.Validating an Irish-language version of the Rivermead Behavioural Memory Test-Second Edition[J].Br J Occup Ther,2014,77(4):198-204.
[9]刘晶京,恽晓平.汉化版Rivermead行为记忆测验第3版的信度和效度[J].中国康复理论与实践,2016,22(5):511-513.
[10]尤景春,韩韶华,许涛.Rvivermead行为记忆测验的信度和效度[J].中国康复,2003,18(6):344-347.
[11]Teasdale G,Jennett B.Assessment of coma and impaired consciousness:a practical scale[J].Lancet,1974,2(7872):81-84.
[12]Bollo-Gasol S,Pinol-Ripoll G,Cejudo-Bolivar JC,et al.Ecological assessment of mild cognitive impairment and Alzheimer disease using the Rivermead Behavioural Memory Test[J].Neurologia,2014,29(6):339-345.
[13]莫文.心理学实验中的各种效应及解决办法[J].实验科学与技术,2008,6(6):118-121.
[14]Wills P,Clare L,Shiel A,et al.Assessing subtle memory impairments in the everyday memory performance of brain injured people:exploring the potential of the extended Rivermead Behavioural Memory Test[J].Brain Inj,2000,14(8):693-704.
[15]Guinea-Hidalgo A,Luna-Lario P,Tirapu-Ustarroz J.Evaluation of memory in acquired brain injury:a comparison between the Wechsler Memory Scale and Rivermead Behaviour Memory Test[J].Rev Neurol,2009,49(5):240-247.
[16]Wester AJ,Leenders P,Egger J,et al.Ceiling and floor effects on the Rivermead Behavioural Memory Test in patients with alcohol-related memory disorders and healthy participants[J].Int J Psychiatry Clin Pract,2013,17(4):286-291.
[17]Vakil E,Kraus A,Bor B,et al.Impaired skill learning in patients with severe closed-head injury as demonstrated by the serial reaction time(SRT)task[J].Brain Cogn,2002,50(2):304-315.
[18]Skidmore ER.Training to optimize learning after traumatic brain injury[J].Curr Phys Med Rehabil Rep,2015,3(2):99-105.