ASSESSMENT OF ADAPTIVE FUNCTIONING IN HUNTINGTONS-DISEASE

被引：44
作者：
BYLSMA, FW
ROTHLIND, J
HALL, MR
FOLSTEIN, SE
BRANDT, J
机构：
[1] Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland
来源：
MOVEMENT DISORDERS | 1993年 / 8卷 / 02期
关键词：
HUNTINGTONS DISEASE; ACTIVITIES OF DAILY LIVING; MINI-MENTAL STATE EXAM; QUANTIFIED NEUROLOGICAL EXAM;
D O I：
10.1002/mds.870080212
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The Huntington's Disease Activities of Daily Living (HD-ADL) scale is a 17-item informant-completed instrument for rating adaptive functioning in Huntington's disease (HD) patients. To assess the reliability and clinical correlates of the HD-ADL, it was administered along with the Mini-Mental State Exam (MMSE) and Quantified Neurological Exam (QNE) to 93 HD patients. The HD-ADL has high internal consistency (coefficient alpha = 0.91). Principal components factor analysis of the HD-ADL revealed four factors (General Functioning, Domestic Activities, Home Upkeep, and Family Relationships) accounting for 72% of the total variance. MMSE score, motor impairment score, and duration of disease were the best predictors of HD-ADL score. Similar results were obtained in an independent replication sample of patients. The HD-ADL scores correlate with Shoulson and Fahn's total functional capacity (TFC) index (r = -0.89). The HD-ADL scale is a reliable and valid instrument for assessing adaptive function in HD patients.
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页码：183 / 190
页数：8
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