한국판 Expanded Clinical Dementia Rating (CDR) 척도의 타당도
- Author(s)
- 최성혜; 나덕렬; 이병화; 함동석; 정지향; 윤수진; 유경희; 하충건; 한일우; 치매연구회; Seong Hye Choi; Duk L. Na; Byung Hwa Lee; Dong-Seog Hahm; Jee Hyang Jeong; Soo Jin Yoon; Kyung Hee Yoo; Choong-Kun Ha; Il-Woo Han; Dementia Research Group
- Keimyung Author(s)
- Yi, Sang Do
- Department
- Dept. of Neurology (신경과학)
- Journal Title
- 대한신경과학회지
- Issued Date
- 2001
- Volume
- 19
- Issue
- 6
- Abstract
- 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.
J Korean Neurol Assoc 19(6):585~591, 2001
Key Words : Dementia, Alzheimer’s disease, Vascular dementia
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