Vol. 7 nº 2 - Apr/May/Jun de 2013
Original Article Páginas: 164 a 170

Brief cognitive assessment of Alzheimer's disease in advanced stages: Proposal for a Brazilian version of the Short Battery for Severe Impairment (SIB-8)

Authors José Roberto Wajman; Paulo Henrique Ferreira Bertolucci


keywords: cognitive assessment, severe impairment, dementia, Alzheimer's disease.

The measurement of cognitive abilities of patients with severe dementia can serve a wide range of methodological and clinical needs.
OBJECTIVE: To validate a proposed severe impairment battery SIB-8 for a Brazilian population sample as part of the neuropsychological assessment of patients with Alzheimer's disease (AD) in advanced stages.
METHODS: After a systematic process of translation and back-translation, the SIB-8 was applied to 95 patients with AD at different stages; moderate, moderately severe and severe according to FAST subdivisions (5, 6 and 7), with scores on the Mini-Mental State Examination (MMSE) of between 5 and 15 and followed by the Division of Behavioral Neurology and the Center for Aging Brain of the Federal University of São Paulo - UNIFESP.
RESULTS: Inferential data revealed that the SIB-8 instrument behaved differently at each stage of the disease with a statistical value of sensitivity p<0.001, gradually reflecting the expected course of the dementia, inherent with the decline of cognitive functions.
CONCLUSION: Findings indicated that the SIB-8 is a useful tool for the evaluation and prospective comparison of AD patients in advanced stages, retaining its original characteristics in our population.


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