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P4–231: Reliability and validity of the Korean version of the Frontal Behavioral Inventory in people with dementia
Author(s) -
Kim Eun Joo,
Yoon YeoJo,
Oh JiHyang,
Jo MinKyung,
Kim Go Woon,
Chin Ju Hee,
Lee Byoung Hwa,
Na Duk L.
Publication year - 2013
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2013.05.1623
Subject(s) - apathy , cronbach's alpha , disinhibition , psychology , dementia , clinical psychology , frontotemporal dementia , psychiatry , irritability , audiology , cognition , psychometrics , medicine , disease
bodyparts, plants,means of transport, food andmusical instruments. Firstwe eliminated those pictures whose naming agreement with the intended name was less than 90 % in the Czech healthy elderly. Then we asked 140 cognitively normal elderly controls (NC) and 75 patients with AD (Mini-Mental State Examination 2365 points) fulfilling NINCDS-ADRDA criteria to write down the names of the 35 pictures in either test version (some examples in the figure).All pictureswere categorized into three groups according to the difference in the naming agreement between NC and AD patients. Results: We ranked 13 pictures as difficult (the difference more than 20 %, e.g. hippopotamus, pretzel, walrus), 14 ones as moderate (the difference 10 20 %, e.g. swan, cactus, lion) and 40 ones as easy (the difference less than 10 %, e.g. tree, sweater, hedgehog). AD patients made significantly more mistakes (unnamed or wrongly named pictures) than HC [median (min-max): the first version 5 (0-15) vs 0 (0-4); the second version 4 (0-20) vs 0 (0-2)]. To differentiate NC from AD patients we found following areas under the curves (AUC) and optimal cut-off scores using ROC analyses with corresponding sensitivities and specificities: the first version AUC 0,88; > 1, 78 % and 85%, the second version AUC 0,90;> 2, 71% and 99%. Namingmistakes were independent of age or gender. Conclusions: Graded naming difficulty of the unambiguously named pictures by one Czech word could serve as an additional feature of AD.We invite collaborators from other countries to select universal pictures across the world according to the same principles.

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