PREDICTION OF INDEPENDENT FUNCTIONING AND BEHAVIOR PROBLEMS IN GERIATRIC-PATIENTS
PREDICTION OF INDEPENDENT FUNCTIONING AND BEHAVIOR PROBLEMS IN GERIATRIC-PATIENTS
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DOI：
10.1111/j.1532-5415.1990.tb03452.x
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发表时间：
1990-12-01
影响因子：
6.3
通讯作者：
KORZUN, B
中科院分区：
文献类型：
--
作者：
KAYE, K;GRIGSBY, J;KORZUN, B
Folstein 的迷你精神状态检查是一项评估执行新奇和/或重复性运动任务的能力的测试（行为控制失调量表），并对工作记忆进行了简短测量，样本包括 50 名退伍军人事务部老年诊所男性患者，年龄范围为 63 岁至 105 岁（平均年龄为 80.1 岁）。 本研究的目的是试图预测患者独立调节行为的能力。 我们假设额叶疾病通常会损害患者自主功能的能力，而行为失调量表（额叶损伤的衡量标准）最能预测独立调节有目的行为的能力。 因此，我们研究了行为失控量表与配偶和照顾者对患者独立生活技能的评分以及干扰独立功能的行为之间的关系。 分层回归分析的结果表明，行为失控量表是功能自主的唯一预测因子，也是老年患者冲动和冷漠的最佳预测因子。 行为失控量表似乎评估了与 MMSE 和类似测量不同的功能领域，后者在很大程度上依赖于定向和总体认知状态的评估。
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 hierarchical 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.