Skip to main content
Search
Search
    Quick Search anywhere
    Quick search in Citations
Advanced Search
Skip main navigationClose Drawer MenuOpen Drawer Menu
Previous article
Next article
Originalia

Erfahrungen mit einer deutschsprachigen Version der SIB

Experience with a German Version of the SIB

Published Online:September 01, 2006https://doi.org/10.1024//1011-6877.14.2.75

Abstract

Zusammenfassung: Die SIB (Severe Impairment Battery) wurde in den USA für die Untersuchung kognitiver Funktionen bei Schwerdementen entwickelt. Ziel der hier dargestellten Arbeit war die empirische Anwendung und Überprüfung einer deutschsprachigen Version der SIB hinsichtlich Objektivität, Reliabilität, Konstrukt-Validität und weiterer klinisch relevanter Aspekte. Eine Gruppe von 57 hospitalisierten dementen Patienten verschiedener Ätiologie (42ÿw, 15ÿm; Alter (SD) 83.0 (9.0) Jahre; mittlerer MMSE Score 5.6) wurde untersucht. Ergebnisse: Die SIB zeigte eine hohe Inter-Rater Reliabilität (0.99) und Interne Konsistenz (0.98). Die benötigte Testzeit lag zwischen 20 und 40 Minuten. Die Korrelation des SIB-Gesamtwertes mit dem MMSE-Score betrug 0.91, doch lieferte die SIB bei 11 von 14 Patienten, die im MMSE Nullwerte erreichten, noch Messergebnisse. Mit den kognitiven Dimensionen der NOSGER fanden sich hoch signifikante Korrelationen. Keine signifikanten Zusammenhänge bestanden psychopathologischen Merkmalen, und eine Unterscheidung verschiedener Demenzformen anhand der SIB-Ergebnisse war nicht möglich. Die deutschsprachige SIB kann als ökonomisches, zuverlässiges, empfindliches und valides Instrument zur Erfassung kognitiver Funktionen bei Schwerdementen empfohlen werden.


Summary: The SIB (Severe Impairment Battery) was developed in the USA as an instrument for assessing cognitive functions in severely demented patients. The current study used a German translation of the SIB and was concerned with some practical aspects of the instrument, its objectivity, reliability, construct validity and other clinically relevant issues. Fifty-seven hospitalized patients with dementia of various etiologies (42f., 15ÿm; age (SD)83.0 (9.0) years; mean MMSE score 5.6) were studied. Results:The SIB showed high inter-rater reliability (0.99) and internal consistency (0.98). Time needed for testing was between 20 and 40 minutes. The correlation between the SIB total score and the MMSE-score was 0.91; however, the SIB provided measurable values on 11 of 14 patients who had scored zero on the MMSE. Correlations with the cognitive dimensions of the NOSGER were all highly significant. No significant relationships were found between the SIB total scores and various assessments of psychopathology, and no differential SIB profile was found for several subtypes of dementia. The German version of the SIB can be recommended as an economical, reliable, sensitive and valid instrument to be used in the assessment of cognitive functions of severely demented patients.

Literatur

  • Albert, M. , Cohen, C. (1992). The Test for Severe Impairment: An instrument for the assessment of patients with severe cognitive dysfunction.. Journal of the American Geriatrics Society, 40, 449– 453 First citation in articleCrossref, Google Scholar

  • American Psychiatric Association (1987). Diagnostic criteria and statistical manual of mental disorders (DSM-III-R)... Washington, DC: APA. First citation in articleGoogle Scholar

  • American Psychiatric Association (1994). Diagnostic criteria and statistical manual of mental disorders (DSM-IV)... Washington, DC: APA. First citation in articleGoogle Scholar

  • Auer, S. , Sclan, S. , Yaffee, R. , Reisberg, B. (1994). The neglected half of Alzheimer disease: Cognitive and functional concomitants of severe dementia.. Journal of the American Geriatrics Society, 42, 1266– 1272 First citation in articleCrossref, Google Scholar

  • Benesch, C. , Mc Daniel, K. , Cox, C. , Hamill, R. (1993). End-stage Alzheimer's disease. Glasgow Coma Scale and the neurologic examination.. Archives of Neurology, 50, 1309– 1315 First citation in articleCrossref, Google Scholar

  • Bortz, J. (1984). Lehrbuch der empirischen Forschung für Sozialwissenschaftler... Berlin: Springer-Verlag. First citation in articleCrossref, Google Scholar

  • Cummings, J.L. (1997). The Neuropsychiatric Inventory: Assessing psychopathology in dementia patients.. Neurology, 48 (Suppl 6), S10– S16 First citation in articleGoogle Scholar

  • Feldman, D. , Haycock, A. , Roth, J. , Gagnon, J. , Finzer, W. , Soper, C. (1992). Stat View 4.02... Berkeley: Abacus Concepts Inc. First citation in articleGoogle Scholar

  • Folstein, M.F. , Folstein, S.E. , Mc Hugh, P.R. (1975). “Mini Mental State” - A practical method for grading the cognitive state of patients for the clinician.. Journal of Psychiatric Research, 12, 189– 198 First citation in articleCrossref, Google Scholar

  • Gifford, D.R. , Lapane, K.L. , Gambassi, G. , Landi, F. , Mor, V. , Bernabei, R. (1999). Tacrine use in nursing homes: implications for prescribing new cholinesterase inhibitors. SAGE Study Group. Systematic Assessment of Geriatric Drug Use via Epidemiology.. Neurology, 52, 238– 244 First citation in articleCrossref, Google Scholar

  • Llinas Regla, J. , Lozano Gallego, M. , Lopez, O.L. , et al. (1995). Validation of the Spanish version of the Severe Impairment Battery.. Neurologia, 10, 14– 18 First citation in articleGoogle Scholar

  • Mattis, S. (1988). Dementia Rating Scale. Professional manual... Odessa, FL: Psychological Assessment Resources. First citation in articleGoogle Scholar

  • Panisset, M. , Roudier, M. , Saxton, J. , Boller, F. (1992). A battery of neuropsychological tests for severe dementia. An evaluation study.. Presse med, 21, 1271– 1274 First citation in articleGoogle Scholar

  • Panisset, M. , Roudier, M. , Saxton, J. , Boller, F. (1994). Severe Impairment Battery. A neuropsychological test for severely demented patients.. Archives of Neurology, 51, 41– 45 First citation in articleCrossref, Google Scholar

  • Peavy, G. , Salmon, P. , Rice, V. , Galasko, D. , Samuel, W. , Taylor, I. , Ernesto, C. , Butters, N. , Thal, L. (1996). Neuropsychological assessment of severely demented elderly: The Severe Cognitive Impairment Profile.. Archives of Neurology, 53, 367– 372 First citation in articleCrossref, Google Scholar

  • Pippi, M. , Mecocci, P. , Saxton, J. , et al. (1999). Neuropsychological assessment of the severely impaired elderly patient: validation of the Italian short version of the Severe Impairment Battery (SIB).. Aging (Milano), 11, 221– 226 First citation in articleGoogle Scholar

  • Reisberg, B. (1988). Functional Assessment staging (FAST).. Psychopharmacology Bulletin, 24, 653– 659 First citation in articleGoogle Scholar

  • Rosen, W.G. , Mohs, R.C. , Davis, K.L. (1984). A new rating scale for Alzheimer's disease.. American Journal of Psychiatry, 141, 1356– 1364 First citation in articleCrossref, Google Scholar

  • SAS Institute Inc. (1990). SAS/GRAPH™, Software: Reference, Version 6 first edition... Cary, NC: SAS Institute Inc. First citation in articleGoogle Scholar

  • Saxton, J. , Mc Gonigle, K. , Swihart, A. , Boller, F. (1993). The Severe Impairment Battery... Bury St. Edmunds: Thames Valley Test Company. First citation in articleGoogle Scholar

  • Saxton, J. , McGonigle, K. , Swihart, A. , Miller, M. , Boller, F. (1990). Assessment of the severely impaired patient: description and validation of a new neuropsychological test battery.. Psychological Assessment, 2, 298– 303 First citation in articleCrossref, Google Scholar

  • Schmitt, F.A. , Ashford, W. , Ernesto, Ch. , et al. (1997). The Severe Impairment Battery: Concurrent validity and the assessment of longitudinal change in Alzheimer's disease.. Alzheimer Disease and Associated Disorders, 11 (Suppl. 2), S51– S56 First citation in articleGoogle Scholar

  • Schneider, L.S. (1998). New therapeutic approaches to cognitive impairment.. Journal of Clinical Psychiatry, 59, 8– 13 First citation in articleCrossref, Google Scholar

  • Sclan, S. , Foster, J. , Reisberg, B. , et al. (1990). Application of Piagetian measures of cognition in severe Alzheimer's disease.. Psychiatric Journal of the University of Ottawa, 15, 221– 226 First citation in articleGoogle Scholar

  • Spiegel, R. , Brunner, C. , Ermini-Fünfschilling, D. , Monsch, A. , Notter, M. , Puxty, J. , Tremmel, L. (1991). A new behavioral assessment scale for geriatric out- and inpatients: The NOSGER (Nurses' Observation Scale for Geriatric Patients).. Journal of the American Geriatrics Society, 39, 339– 347 First citation in articleCrossref, Google Scholar

  • Teasdale, G. , Jennett, B. (1974). The Glasgow Coma Scale.. Lancet, 2, 81– First citation in articleCrossref, Google Scholar

  • Thalmann, B. (1996). Überprüfung der Screening-Eigenschaft und Akzeptanz des “Uhren-Tests” in Kombination mit dem Mini-Mental Status bei Senioren mit kognitiven Störungen... Basel: Lizentiatsarbeit, Institut für Psychologie. First citation in articleGoogle Scholar

  • Volicer, L. , Hurley, A. , Lathi, D. , Kowall, N. (1994). Measurement of severity in advanced Alzheimer's disease.. Journal of Gerontology: Medical Sciences, 49, M223– M226 First citation in articleGoogle Scholar

  • WHO (1993). Internationale Klassifikation psychischer Störungen: ICD-10, Kapitel V (F), Klinisch diagnostische Leitlinien... Bern: Huber. (Original: WHO, The ICD-10 Classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines, Geneva, 1992). First citation in articleGoogle Scholar

  • Wild, K. , Kaye, J. (1995). Cognitive function and activities of daily living in severely impaired dementia patients.. Clinical Gerontologist, 15, 3– 16 First citation in articleCrossref, Google Scholar