Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Reliability and Validity of Clock Drawing Test as a Screening Tool for Cognitive Impairment in Clients after Cerebrovascular Accident

뇌졸중 클라이언트의 인지 손상 선별 도구로서 CDT의 신뢰도 및 타당도

  • Lee, Sang-Heon (Dept. of Occupational Therapy, College of Medical Sciences, SoonChunHyang University)
  • 이상헌 (순천향대학교 의료과학대학 작업치료학과)
  • Received : 2012.07.13
  • Accepted : 2012.10.11
  • Published : 2012.10.31
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Abstract

The purpose of this study was to analyze the reliability and validity of CDT as a screening tool for cognitive impairment for stroke clients living in local community. Two evaluator assessed 51 clients' cognitive function using CDT and K-MMSE from October 2010 to August 2011 year. The researcher analyzed test-retest reliability, interrater reliability, construct validity, construct validity. The test-retest and interrater reliability was higher than .54(p<.01). The construct validity and concurrent validity was statistically significant(p<.01). So, The CDT using productive method and scoring system of Freedman et al., may be applied to screen cognitive impairment of clients with stroke.

본 연구는 지역사회에 거주하는 뇌졸중 클라이언트에서 생산과제의 세 가지 방법을 모두 이용하고 Freedman 등의 양적 채점 방법을 사용하여 인지 손상 선별 검사로서 CDT(Clock Drawing Test)의 신뢰도 및 타당도를 분석하였다. 2010년 11월 부터 2011년 8월 까지 지역사회에 거주하는 뇌졸중 클라이언트 51명을 대상으로 CDT와 K-MMSE(Korean Version of Mini Mental State Examination)를 검사하였다. 스피어맨 순위 상관계수 분석으로 CDT의 검사-재검사 신뢰도, 검사자간 신뢰도, 동시타당도를 분석하였고, 맨 휘트니 유 검정을 사용하여 구성타당도를 분석하였다. 검사재검사 신뢰도, 검사자간 신뢰도, 구성타당도, 동시타당도 분석 모두에서 통계학적으로 유의하였다(p<.01). 본 연구의 결과에서 생산과제 방법을 이용하고 Freedman 등의 양적 채점 방법을 사용한 CDT는 인지손상을 선별하는 검사로서 지역사회에 거주하는 뇌졸중 클라이언트에게 적용될 수 있을 것이다.

Keywords

References

  1. S. H. Lee, S. A. Lee, & S. Y Park, "The Reliability and Validity of Clock Drawing Test". The Journal of Korean academy of occupational therapy, Vol. 19, No. 3, pp. 89-100. 2011.
  2. H. Jeong, "Aspects of clock drawing test(CDT) in patients with poststroke dementia", Catholic university, 2008.
  3. T. J. Sunderland, L. Hill, A. Mellow, M. B. A. Lawlor, J. Gundersheimer, P. A. Newhouse, & J. F. Grafman, "Clock drawing in Alzheimer's disease: A novel measure of dementia severity", Journal of American Geriatrics Society, Vol. 37, No. 8, pp. 725-729, 1989. https://doi.org/10.1111/j.1532-5415.1989.tb02233.x
  4. M. Freedman, L. Leach, E. Kaplan, G. Winocur, K. L. Shulman, & D. C. Delis, "Clock drawing: a neuropsychological analysis", Oxford University Press, 1994.
  5. S. J. Im, "(A) Comparison of the Clock Drawing Test Between Positive Schizophrenics and Negative Schizophrenics", Chonnam university, 2010.
  6. J. Heo, C. N. Son, & S. H. Kook, "The efficiency of the Clock Drawing Test as a screening test for detecting dementia", The Korean Journal of Clinical Psychology, Vol. 20, No. 3, pp. 519-533, 2001.
  7. J. Heo, S. H. Kook, J. S. Yoon, & H. Y. Lee, "The efficiency of the Clock Drawing Test for differentiating mild dementia from geriatric depression", The Korean Journal of Clinical Psychology, Vol. 23, No. 1, pp. 189-205. 2004.
  8. B. Y. Kim, "Preliminary study for expanding the licnial utility of clock drawing test", Sungshin women's university. 2003.
  9. S. J. Choi, & S. H. Kook, "The response of the Clock Drawing Test in patients with traumatic Brain injury", The Korean Journal of Clinical Psychology, Vol. 24, No.1, pp. 225-241, 2005.
  10. E. K. Lee, & H. S. Lee, "Aspects of Clock Drawing Test(CDT) in patients with Schizophrenia", The Korean Journal of Clinical Psychology, Vol. 26, No.2, pp. 511-532, 2007. https://doi.org/10.15842/kjcp.2007.26.2.029
  11. P. R. Solomon, A. Hirschoff, B. Kelly, M, Relin, M. Brush, R. D. DeVeaux, & W. W. Pendlebury, "A 7 neurocognitive screening battery highly sensitive to Alzheimer's disease", Archives of Neurology, Vol. 55, No. 1, pp. 349-355, 1998. https://doi.org/10.1001/archneur.55.3.349
  12. I. Rouleau, D. P. Solomon, N. Butters, & C. Kennedy, "Longitudinal analysis of clock drawing in Alzheimer's disease patients". Brain & Cognition, Vol. 31, No. 1, 17-34, 1996. https://doi.org/10.1006/brcg.1996.0022
  13. M. F. Folstein, S. E. Fostein, & P. R. Mchugh, "Mini-Mental State": a practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatry Research, Vol. 12, No. 3, pp. 189-198, 1975. https://doi.org/10.1016/0022-3956(75)90026-6
  14. Y. W. Kang, D, L. Na, & S. H. Han, "A Validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients", Journal of the Korean Neurological Association, Vol. 15, No. 2, pp. 300-308, 1997.
  15. D. Kim, D. Na, B, Yeon, Y. Kang, K. Min, S. Lee, M. Pyo, O. Park, S. Kim, & S. Bae, "Prevalence of Dementia in the elderly of an urban community in Korea", Journal of Preventive Medicine and Public Health, Vol. 32, No. 3, pp. 306-312, 1999.
  16. M. F. Folstein, S. E. Fostein, & G. Fanjiang, "Mini-Mental State Examination: Clinical guide", PAR, 2001.
  17. S. Y. Park, & E. Y. Yoo, "The use of occupational therapy assessment tool by korean occupational therapist". The Journal of Korean Academy of Occupational Therapy, Vol.10, No.2, pp. 88-108, 2002.
  18. H. Brodaty, & C. M. Moore, "The clock drawing test for dementia of the Alzheimer's type: a comparison of three scoring methods in a memory disorders clinic". International journal of geriatric psychiatry, Vol. 12, pp. 619-627.
  19. S. S. Can, A. Gencary-Can, & Z. Gunendi, "Validity and reliability of the clock drawing test as a screening tool for cognitive impairment in patients with fibromyalgia, Comprehensive psychiatry", Vol.53, pp. 81-86, 2012. https://doi.org/10.1016/j.comppsych.2011.02.001
  20. D. R. Royall, J. A. Cordes, & M. Polk, "CLOX: an executive clock drawing task", Journal of Geriatric Psychiatry, Vol. 64, No. 5, pp. 588-594, 1998.
  21. K. W. Kim, D. Y. Lee, S. Y. Ahn, J. H. Jhoo, & Y. N, Kil, "Reliability and validity of the Korean Version of Hasegawa Dementia Scale(HDS-K) as a dementia screening instrument", Journal of The Korean Neuropsychiatric Association, Vol. 41, No. 3, pp. 526-537, 2002.