Neuropsychiatr Dis Treat. 2013;9:875-81. doi: 10.2147/NDT.S44973. Epub 2013 Jun 21.
Applicability of the Rivermead Behavioural Memory Test - Third Edition (RBMT-3) in Korsakoff's syndrome and chronic alcoholics.
Neuropsychiatric disease and treatment
Arie J Wester, Judith C van Herten, Jos Im Egger, Roy Pc Kessels
Affiliations
Affiliations
- Korsakoff Clinic, Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands.
PMID: 23818787
PMCID: PMC3693815 DOI: 10.2147/NDT.S44973
Abstract
PURPOSE: To examine the applicability of the newly developed Rivermead Behavioural Memory Test - Third Edition (RBMT-3) as an ecologically-valid memory test in patients with alcohol-related cognitive disorders.
PATIENTS AND METHODS: An authorized Dutch translation of the RBMT-3 was developed, equivalent to the UK version, and administered to a total of 151 participants - 49 patients with amnesia due to alcoholic Korsakoff's syndrome, 49 patients with cognitive impairment and a history of chronic alcoholism, not fulfilling the Korsakoff criteria, and 53 healthy controls. Between-group comparisons were made at subtest level, and the test's diagnostic accuracy was determined.
RESULTS: Korsakoff patients performed worse than controls on all RBMT-3 subtests (all P-values < 0.0005). The alcoholism group performed worse than controls on most (all P-values < 0.02), but not all RBMT-3 subtests. Largest effects were found between the Korsakoff patients and the controls after delayed testing. The RBMT-3 had good sensitivity and adequate specificity.
CONCLUSION: The RBMT-3 is a valid test battery to demonstrate everyday memory deficits in Korsakoff patients and non-Korsakoff patients with alcohol abuse disorder. Korsakoff patients showed an impaired performance on subtests relying on orientation, contextual memory and delayed testing. Our findings provide valuable information for treatment planning and adjustment in patients with alcohol-related cognitive impairments.
Keywords: Korsakoff’s syndrome; alcohol-induced persisting amnestic disorder; ecological validity; episodic memory; neuropsychological assessment; treatment outcome
References
- Int J Psychiatry Clin Pract. 2013 Oct;17(4):286-91 - PubMed
- Psychopharmacology (Berl). 1994 Sep;116(1):85-8 - PubMed
- Psychol Med. 1994 Feb;24(1):155-65 - PubMed
- Exp Brain Res. 2011 Oct;214(3):427-35 - PubMed
- Neuropsychiatr Dis Treat. 2007 Dec;3(6):907-18 - PubMed
- Exp Clin Psychopharmacol. 2002 Aug;10(3):193-212 - PubMed
- Int J Geriatr Psychiatry. 1998 Apr;13(4):203-12 - PubMed
- Neuropsychol Rev. 2012 Jun;22(2):154-69 - PubMed
- Neuropsychology. 2009 Mar;23(2):144-57 - PubMed
- Neuropsychologia. 1989;27(4):437-60 - PubMed
- Alcohol Clin Exp Res. 2013 Jun;37(6):1025-32 - PubMed
- Neuropsychol Rev. 2012 Jun;22(2):117-31 - PubMed
- Neuropsychologia. 1996 Dec;34(12):1143-50 - PubMed
- Neurology. 2012 Apr 24;78(17):1330-3 - PubMed
- Arch Clin Neuropsychol. 2000 Apr;15(3):185-204 - PubMed
- Addiction. 2003 Nov;98(11):1521-9 - PubMed
- Alcohol Alcohol. 2009 Mar-Apr;44(2):155-65 - PubMed
- Am J Geriatr Psychiatry. 2009 Sep;17(9):793-801 - PubMed
- Brain. 2002 Oct;125(Pt 10):2152-90 - PubMed
- Tijdschr Gerontol Geriatr. 1991 Feb;22(1):15-9 - PubMed
- J Neurol Neurosurg Psychiatry. 1999 Dec;67(6):774-8 - PubMed
- Brain Res. 2012 Jan 18;1433:98-103 - PubMed
- J Clin Exp Neuropsychol. 2002 Sep;24(6):840-51 - PubMed
- Alcohol Clin Exp Res. 2006 Apr;30(4):680-7 - PubMed
- Neuropsychopharmacol Hung. 2009 Sep;11(3):135-9 - PubMed
- J Clin Exp Neuropsychol. 1989 Dec;11(6):855-70 - PubMed
- Alcohol Clin Exp Res. 2010 Mar 1;34(3):443-50 - PubMed
Publication Types