Functional consequences of unilateral neglect: Validation of an evaluation scale, the CB scale
Functional consequences of unilateral neglect: Validation of an evaluation scale, the CB scale
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DOI：
10.1016/0168-6054(96)89317-2
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发表时间：
1995-01-01
期刊：
影响因子：
--
通讯作者：
Deloche, G.
中科院分区：
文献类型：
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作者：
Bergego, C.;Azouvi, P.;Deloche, G.
单边忽视(UN)会影响日常生活的许多方面。我们提出了一个功能量表，旨在评估联合国在现实生活中的功能后果，由十个项目(如穿衣、洗澡、吃饭、交流、探索活动、四处走动)组成：CB量表(CBS)，取自其作者之一的名字。联合国的严重程度按4分制对每一项进行评分。对18名患者进行了研究。评分员之间的信度很好。CBS评分与UN临床测试及Barthel指数有较好的相关性。通过在CBS的10个项目上询问患者的困难来评估对缺陷的认识。计算病感失认症评分(观察者评分与患者自我评估的差值)。这一失认评分与UN的严重程度密切相关。我们得出的结论是，该量表是一个简单、可靠和有效的评估联合国在现实生活中的功能后果和病感缺失。
Unilateral neglect (UN) can affect many aspects of daily living. We propose a functional scale, designed to assess functional consequences of UN in real-life situations, consisting of ten items (such as dressing, washing, eating, communication, explorating activities, moving around): the CB scale (CBS), from the name of one of its authors. The severity of UN is scored for each item on a 4-point scale. Eighteen patients have been studied. Inter-rater reliability was good. The CBS score correlated well with clinical tests of UN, and with the Barthel index. Awareness of deficits was assessed by questioning the patient about his difficulties on the ten items of the CBS. A score of anosognosia was calculated (difference between the observer's score and the patient's self evaluation). This anosognosia score was well correlated with the severity of UN. We conclude that this scale is a simple, reliable and valid evaluation of functional consequences of UN in real-life situations and of anosognosia.