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Identifying functional impairment with scores from the repeatable battery for the assessment of neuropsychological status (RBANS)
Author(s) -
Hobson Valerie L.,
Hall James R.,
HumphreysClark Joy D.,
Schrimsher Gregory W.,
O'Bryant Sid E.
Publication year - 2010
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.2382
Subject(s) - repeatable battery for the assessment of neuropsychological status , neuropsychology , psychometrics , psychology , battery (electricity) , neuropsychological assessment , clinical psychology , gerontology , audiology , medicine , physical medicine and rehabilitation , psychiatry , cognition , power (physics) , physics , quantum mechanics
Objective To examine the link between RBANS scores and functional impairment. Functional status was evaluated through informant report using the clinical dementia rating (CDR) scale. Methods Archival data were reviewed from records of 99 patients in a memory disorder clinic (MDC) research database. Consensus‐based diagnoses were Alzheimer's disease (AD; n = 48), mild cognitive impairment (MCI; n = 48), AD with vascular components; ( n = 2) and dementia due to psychiatric conditions ( n = 1). Results The RBANS language index score was significantly related to CDR domain scores of community affairs ( p < .01), home and hobbies ( p < .01), personal care ( p < .05), memory ( p < 0.01), and judgment ( p < 0.01). RBANS immediate memory index scores were significantly related to ( p < 0.05) the CDR Memory and judgment and problem solving domains. Based on these findings, follow‐up regressions were conducted. Semantic fluency was significantly related to CDR memory ( p < 0.01), judgment ( p < 0.05), community affairs ( p < 0.05), home/hobbies ( p < 0.05), and personal care ( p < 0.05) functional domains. Picture naming was significantly related to the CDR personal care domain ( p < 0.05). List learning was significantly related to CDR memory functional domain ( p < 0.01) and judgment ( p < 0.05). Lastly, story memory was significantly related to the CDR judgment domain ( p < 0.05). Conclusions The RBANS may be an indicator of functional impairment as well as a neuropsychological testing tool. The use of the RBANS could reduce the amount of testing that is administered to the patient, or can provide a way to compare other measurements of functional impairment to assess accuracy of findings. Copyright © 2009 John Wiley & Sons, Ltd.