J Korean Neurosurg Soc.  2021 Jan;64(1):125-135. 10.3340/jkns.2020.0090.

The Korean Repeatable Battery for the Assessment of Neuropsychological Status-Update : Psychiatric and Neurosurgery Patient Sample Validity

Affiliations
  • 1Department of Psychology, College of Social Science, Kyungpook National University, Daegu, Korea
  • 2Department of Psychiatry, College of Medicine, Yeungnam University, Daegu, Korea
  • 3Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea

Abstract


Objective
: This study aimed to validate the Korean version of the Repeatable Battery for the Assessment of Neuropsychological Status Update (K-RBANS).
Methods
: We performed a retrospective analysis of 283 psychiatric and neurosurgery patients. To investigate the convergent validity of the K-RBANS, correlation analyses were performed for other intelligence and neuropsychological test results. Confirmatory factor analysis was used to test a series of alternative plausible models of the K-RBANS. To analyze the various capabilities of the K-RBANS, we compared the area under the receiver operating characteristic (ROC) curves (AUC).
Results
: Significant correlations were observed, confirming the convergent validity of the K-RBANS among the Total Scale Index (TSI) and indices of the K-RBANS and indices of intelligence (r=0.47–0.81; p<0.001) and other neuropsychological tests at moderate and above significance (r=0.41–0.63; p<0.001). Additionally, the results testing the construct validity of the K-RBANS showed that the second-order factor structure model (model 2, similar to an original factor structure of RBANS), which includes a first-order factor comprising five index scores (immediate memory, visuospatial capacity, language, attention, delayed memory) and one higher-order factor (TSI), was statistically acceptable. The comparative fit index (CFI) (CFI, 0.949) values and the goodness of fit index (GFI) (GFI, 0.942) values higher than 0.90 indicated an excellent fit. The root mean squared error of approximation (RMSEA) (RMSEA, 0.082) was considered an acceptable fit. Additionally, the factor structure of model 2 was found to be better and more valid than the other model in χ2 values (Δχ2=7.69, p<0.05). In the ROC analysis, the AUCs of the TSI and five indices were 0.716–0.837, and the AUC of TSI (AUC, 0.837; 95% confidence interval, 0.760–0.896) was higher than the AUCs of the other indices. The sensitivity and specificity of TSI were 77.66% and 78.12%, respectively.
Conclusion
: The overall results of this study suggest that the K-RBANS may be used as a valid tool for the brief screening of neuropsychological patients in Korea.

Keyword

K-RBANS; Convergent validity; Construct validity

Figure

  • Fig. 1. Second-order factor structure of the K-RBANS among 256 participants. K-RBANS : the Korean version of the Repeatable Battery for the Assessment of Neuropsychological Status Update.

  • Fig. 2. The receive operating characteristic curve of the Total Scale Index in K-RBANS among 126 participants. K-RBANS : the Korean version of the Repeatable Battery for the Assessment of Neuropsychological Status Update, AUC : area under the curve.


Cited by  1 articles

A Study on Verification of Equivalence and Effectiveness of Non-Pharmacologic Dementia Prevention and Early Detection Contents : Non-Randomly Equivalent Design
Hyun-Seok Jeong, Oh-Lyong Kim, Bon-Hoon Koo, Ki-Hyun Kim, Gi-Hwan Kim, Dai-Seg Bai, Ji-Yean Kim, Mun-Seon Chang, Hye-Geum Kim
J Korean Neurosurg Soc. 2022;65(2):315-324.    doi: 10.3340/jkns.2021.0153.


Reference

References

1. Arbuckle J. Amos 25.0: computer program [CD-ROM]. Chicago: IBM SPSS;2017.
2. Berg L, Miller JP, Storandt M, Duchek J, Morris JC, Rubin EH, et al. Mild senile dementia of the Alzheimer type: 2. Longitudinal assessment. Ann Neurol. 23:477–484. 1988.
Article
3. Bryant FB, Yarnold PR. Principal-components analysis and exploratory and confirmatory factor analysis. In : Grimm LG, Yarnold PR, editors. Reading an Understanding Multivariate Statistics. Washington DC: American Psychological Association;1995. p. 99–136.
4. Byrne BM. Factor analytic models: viewing the structure of an assessment instrument from three perspectives. J Pers Assess. 85:17–32. 2005.
Article
5. Cheng Y, Wu W, Wang J, Feng W, Wu X, Li C. Reliability and validity of the repeatable battery for the assessment of neuropsychological status in community-dwelling elderly. Arch Med Sci. 7:850–857. 2011.
6. De la Torre GG, Suárez-Llorens A, Caballero FJ, Ramallo MA, Randolph C, Lleó A, et al. Norms and reliability for the Spanish version of the repeatable battery for the assessment of neuropsychological status (RBANS) form A. J Clin Exp Neuropsychol. 36:1023–1030. 2014.
Article
7. Emmert N, Schwarz L, Vander Wal J, Gfeller J. RBANS factor structure in older adults with suspected cognitive impairment: evidence for a 5-factor structure. Appl Neuropsychol Adult. 25:38–50. 2018.
Article
8. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 12:189–198. 1975.
9. Gregoire J. ITC guidelines for translating and adapting tests. Int J Test. 18:101–134. 2018.
10. Holden HM, Milano NJ, Horner MD. Five-factor structure of the RBANS is supported in an Alzheimer's disease sample: implications for validation of neuropsychological assessment instruments. Appl Neuropsychol Adult. 27:232–242. 2020.
Article
11. Hooper D, Coughlan J, Mullen MR. Structural equation modelling: guidelines for determining model fit. Electron J Bus Res Methods. 6:53–60. 2008.
12. Hughes CP, Berg L, Danziger WL, Coben LA, Martin RL. A new clinical scale for the staging of dementia. Br J psychiatry. 140:566–572. 1982.
Article
13. Hwang S, Kim J, Park K, Chey J, Hong S. Korean Wechsler Adult Intelligence Scale-IV. ed 4. Daegu: Korea Psychology;2012.
14. Kang Y, Na DL, Hahn S. A validity study on the Korean mini-mental state examination (K-MMSE) in dementia patients. J Korean Neurol Assoc. 15:300–308. 1997.
15. Kang Y, Na DL, Hahn S. Seoul Neuropsychological Screening Battery. Incheon: Human Brain Research & Consulting Co.;2003.
16. Kang YW, Jahng SM, Na DR. Seoul Neuropsychological Screening Battery (SNSB-II). ed 2. Incheon: Human Brain Research & Consulting;2012.
17. Kaufman AS. Manual for the Kaufman Assessment Battery for Children (K-ABC-II). Circle Pines: AGS;2004.
18. Kim JS, Kim OL, Seo WS, Koo BH, Joo Y, Bai DS. Memory dysfunctions after mild and moderate traumatic brain injury : comparison between patients with and without frontal lobe injury. J Korean Neurosurg Soc. 46:459–467. 2009.
Article
19. Kwak HW, Kim JY, Park JO, Park HG, Bai DS, Im JM, et al. Korean Version of Repeatable Battery for the Assessment of Neuropsychological Status: Update. Daegu: Korea Psychology Co.;2018.
20. Lee JH, Lee KU, Lee DY, Kim KW, Jhoo JH, Kim JH, et al. Development of the Korean version of the consortium to establish a registry for alzheimer's disease assessment packet (CERAD-K): clinical and neuropsychological assessment batteries. J Gerontol B Psychol Sci Soc Sci. 57:P47–P53. 2002.
Article
21. Lee JY, Lee DW, Cho SJ, Na DL, Jeon HJ, Kim SK, et al. Brief screening for mild cognitive impairment in elderly outpatient clinic: validation of the Korean version of the Montreal Cognitive Assessment. J Geriatr Psychiatry Neurol. 21:104–110. 2008.
Article
22. Lezak MD, Howieson DB, Bigler ED, Tranel D. Neuropsychological Assessment. ed 5. New York: Oxford University Press;2012. p. 3–14.
23. Loughan AR, Braun SE, Lanoye A. Repeatable battery for the assessment of neuropsychological status (RBANS): preliminary utility in adult neuro-oncology. Neurooncol Pract. 6:289–296. 2019.
Article
24. Malda M, Van De Vijver FJR, Srinivasan K, Transler C, Sukumar P, Rao K. Adapting a cognitive test for a different culture: an illustration of qualitative procedures. Psychol Sci Q. 50:451–468. 2008.
25. Mattis S. Dementia Rating Scale. Odessa: Psychological Assessment Resources;1988.
26. McKay C, Casey JE, Wertheimer J, Fichtenberg NL. Reliability and validity of the RBANS in a traumatic brain injured sample. Arch Clin Neuropsychol. 22:91–98. 2007.
Article
27. Moon SB. Manual for Korean K-ABC-II. Seoul: Hakjisa;2014.
28. Morris JC. Current vision and scoring rules The Clinical Dementia Rating (CDR). Neurology. 43:2412–2414. 1993.
29. Randolph C. RBANS manual. San Antonio: The Psychological Corporation;1988.
Article
30. Randolph C. RBANS update manual. San Antonio: The Psychological Corporation;2012.
31. Randolph C, Hilsabeck R, Kato A, Kharbanda P, Li YY, Mapelli D, et al. Neuropsychological assessment of hepatic encephalopathy: ISHEN practice guidelines. Liver Int. 29:629–635. 2009.
Article
32. Randolph C, Tierney MC, Mohr E, Chase TN. The repeatable battery for the assessment of neuropsychological status (RBANS): preliminary clinical validity. J Clin Exp Neuropsychol. 20:310–319. 1998.
Article
33. Suraweera C, Anandakumar D, Dahanayake D, Subendran M, Perera UT, Hanwella R, et al. Validation of the Sinhala version of the repeatable battery for assessment of neuropsychological status (RBANS). Ceylon Med J. 61:167–170. 2016.
Article
34. Swets JA. Measuring the accuracy of diagnostic systems. Science. 240:1285–1293. 1988.
Article
35. Torrence ND, John SE, Gavett BE, O'Bryant SE. An empirical comparison of competing factor structures for the repeatable battery for the assessment of neuropsychological status: a project FRONTIER study. Arch Clin Neuropsychol. 31:88–96. 2016.
Article
36. Weclser D. Wechsler Adult Intelligence Scale. ed 4. Bloomington: Pearson;2008.
37. Yamashima T, Yoshida M, Kumahashi K, Matsui M, Koshino Y, Higashima M, et al. The Japanese version of RBANS (repeatable battery for the assessment of neuropsychological status). No To Shinkei. 54:463–471. 2002.
Full Text Links
  • JKNS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr