Validade discriminante do Teste de Aprendizagem Auditivo-Verbal de Rey: comparaˋˋo entre idosos normais e idosos na fase inicial da doenˋa de Alzheimer

作者:Cotta; Mariana Fonseca; Malloy Diniz; Leandro Fernandes; Rocha; Fabio Lopes; Bicalho; Maria Aparecida Camargos; Nicolato; Rodrigo; Moraes; Edgar Nunes de; Paula; Jonas Jardim de
来源:Jornal Brasileiro de Psiquiatria, 2011.
DOI:10.1590/S0047-20852011000400004

摘要

objective: this transversal study aims to evaluate the discriminant validity of the rey auditory verbal learning test (ravlt) by comparing a sample of normal elderly with a patient at the initial stage of alzheimer*s disease. methods: age and educational attainment matched patients at the initial stages of alzheimer*s disease (n = 35) and normal elderly (n = 35) were submitted to the rey auditory verbal learning test, mini mental state examination and the geriatric depression scale. the performance of the two groups was compared using the mann-whitney test at each stage of the ravlt and by roc analysis the discriminant validity of the test in both populations was evaluated. results: the group at the initial stages of alzheimer*s disease had significantly worse performance in all steps of the ravlt compared to the control group, and the steps showed good diagnostic power, with areas under the curve ranging between 0.806 and 0.989 (a1 = 0,806; a2 = 0,869; a3 = 0,958; a4 = 0,947; a5 = 0,989; a6 = 0,962; a7 = 0,985; total = 0,975; lot = 0,895; rec = 0,915). conclusion: the results suggest that the rey auditory verbal learning test is effective for discriminating normal elderly seniors from the ones in early stages of alzheimer*s disease.

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