重复性成套神经心理状态测验在北京地区正常人群中的应用  

The application performance of the Repeatable Battery for the Assessment of Neuropsychological Status among normal persons in Beijing

作　　者：杨贵刚[1,2] 田菊[1] 谭云龙[2] 王志仁[2] 张向阳[2] 张五芳[1] 郑丽丽[2] 周宇[2] 王玥婵[2] 李佳[2] 武志强[2] 周东丰[1] 

机构地区：[1]北京大学精神卫生研究所,卫生部精神卫生学重点实验室(北京大学),北京100191 [2]北京回龙观医院,北京100096

出　　处：《中国心理卫生杂志》2010年第12期926-931,共6页Chinese Mental Health Journal

基　　金：国家自然科学基金(30870898);科技部973计划(2007CB512307);首都医学发展基金(2007-3058)

摘　　要：目的：使用重复性成套神经心理状态测验（TheRepeatableBatteryfortheAssessmentofNeuro—psychologicalStatus，RBANS）中文版作为测查工具，对北京地区代表性正常人进行测量，并分析主要人口学因素对测量结果的影响。方法：依据北京地区人口学统计资料，分层选取城镇社区／乡村村庄作为抽样点，分别从6个年龄组（18～29、30—39、40～49、50—59、60～69、70～79岁）各抽取代表性被试60名，进行RBANS中文版的测量，获得各分测验原始分，经过数学变换转换为5大因子量表分及全量表分（使用100±15表示）。使用多因素方差分析考察性别、年龄、受教育程度对测量结果的影响。结果：（1）被试RBANS各量表分在不同年龄组问分布等齐[如，全量表分：30～39岁组（100．8±15．3），60～69岁组（100．1±15．3）]；（2）除线条定位得分男性高于女性[（15．4±3．3）VS．（13．6±3．9），P〈0．001]外，其他分测验原始分和所有量表分性别差异均无统计学意义；（3）除图画命名、语义流畅性分测验外，其他分测验原始分均随年龄的增大而下降[如，“编码”分测验：6个年龄组（从小到大）原始分分别为54、46、38、33、25、17分，均P〈0．001]；（4）所有量表分随受教育程度的上升而升高（如，全量表分：初中97分，高中102分，P=0．008）。结论：获取了重复性成套神经心理状态测验（RBANS）中文版北京样本数据，数据表明性别、年龄、受教育程度中，后二者对RBANS得分有明显影响。Objective： To investigate the administration performance of Chinese version of the Repeatable Battery for the Assessment of Neuropsychological Status （RBANS } among representative normal persons in Beijing. Methods： Six communities/villages were selected stratified-randomly as sampling points, and, for each of age groups of 18 -29, 30 -39, 40 -49, 50 N59, 60 -69, 70 -79, sixty representative normal persons were recruited in line with the demographic proportion of census in Beijing. The RBANS was administered to these subjects and the raw scores of all subtests were converted into 5 index scale scores and finally into the total scale scores （ the value expressed by 100 ± 15 ） by series of Z-score transformation. The effects of gender, age, education upon RBANS scores were explored by multivariate analysis. Results： （ 1 ） The distributions of the scale scores of RBANS through all age groups possessed very homogeneous trait { e. g. , no significant difference was found in to- tal scales score between age groups of 30 -39 and 60 -69 [ { 100. 8 ± 15.3） vs. [ 100. 1 ± 15.3） ] . {2） Except that men got higher scores than women upon subtest Line [ {15.4±3.3） vs. （13.6±3.9）, P〈0.001], there showed no gender difference of RBANS scales all through the subjects. （ 3 ） Except Picture Naming and Semantic Fluency, other subtests＇raw scales declined with the increase of age through the subjects （e. g. , the raw scores of Coding through all age groups were remarkable different as scores were 54, 46, 38, 33, 25, and 17, respectively （Ps 〈0. 001） . （4） All scale scores ascended with the going up of the educational level of the subjects （e. g. , there was significant difference between subjects with middle school education and those with high school education in the total scales scores {97 vs. 102, P =0. 008） . Conclusion： The profile of administration performance of Chinese Version of RBANS of representative normal persons in Beijing has been built. And it shows that it is

关 键 词：重复性成套神经心理状态测验 性别 年龄 受教育程度 北京 抽样 

分 类 号：B845.1[哲学宗教—心理学]