| 한국판 Expanded Clinical Dementia Rating (CDR)척도의 타당도 |
| 최성혜, 나덕렬 이병화 함동석†정지향 윤수진 유경희†하충건*한일우†치매연구회(부록1 ) |
| 인하대학교 의과대학 신경과*,성균관대학교 의과대학 신경과,용인효자병원 신경과† |
| "Estimating the Validity of the Korean Version of
Expanded Clinical Dementia Rating (CDR) Scale" |
| "Seong Hye Choi, M.D.*, Duk L. Na, M.D., Byung Hwa Lee, M.A., Dong-Seog Hahm, M.D.†
,Jee Hyang Jeong, M.D., Soo Jin Yoon, M.D., Kyung Hee Yoo, M.A.†,Choong-Kun Ha, M.D.*, Il-Woo Han, M.D.†, Dementia Research Group" |
| "Department of Neurology*, Inha University College of Medicine
Department of Neurology, Sungkyunkwan University School of Medicine,
Department of Neurology, Yongin Hyoja Geriatric Hospital†" |
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| Abstract |
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Background : The Clinical Dementia Rating (CDR) scale is broadly accepted by clinicians as a staging measure for dementia. The aim of this study was to test inter-rater reliability and concurrent validity of the Korean version of the CDR. Methods : Participants included 34 persons without dementia and 41 patients with Alzheimer’s disease, and 37 patients with vascular dementia. The participants and their informed collateral sources were interviewed by a rater using a semistructured clinical interview. To obtain concurrent validity, all the participants received K-MMSE, K-SKT (Syndrom Kurz Test), and a 15-items abbreviated K-BNT on the same day. We also tested inter-rater reliability among four raters using a videotape design. Results : Agreements of the overall CDR ratings (κ, 0.86-1.0) and Sum of Boxes of CDR (CDR-SB) (γ, 0.89-1.0) by the four raters were high. Both global CDR and CDR-SB correlated significantly with K-MMSE, K-SKT and the abbreviated K-BNT. The Orientation and Memory box score correlated significantly with orientation and memory scores of K-MMSE. Conclusions : The Korean version of CDR appears to be a reliable and valid tool as a staging measure for Korean dementia patients. Key Words : Dementia, Alzheimer’s disease, Vascular dementia |
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