Faculty Articles

The behavioral pathology in Alzheimer's Disease Scale (BEHAVE-AD): factor structure among community-dwelling Alzheimer's disease patients.

Publication Title

International journal of geriatric psychiatry

ISSN

0885-6230

Publication Date

11-1-1998

Keywords

Activities of Daily Living, Aged, Aged, 80 and over, Alzheimer Disease, Ambulatory Care, Cross-Sectional Studies, Female, Geriatric Assessment, Humans, Male, Mental Status Schedule, Neuropsychological Tests, Psychometrics, Reproducibility of Results, Social Behavior Disorders

Abstract

OBJECTIVE: The aims of this study were to (a) determine the factor structure of the Behavioral Pathology in Alzheimer's Disease Scale (BEHAVE-AD), and (b) examine the associations of the observed factors to the level of cognitive impairment.

DESIGN: Cross-sectional study of geriatric patients evaluated at an outpatient memory disorders clinic.

SAMPLE: One hundred and fifty-one consecutive patients diagnosed with Alzheimer's disease (AD) according to NINCDS-ADRDA diagnostic criteria.

RESULTS: Principal factors analysis with Varimax rotation resulted in a five-factor solution that accounted for 40.0% of the common variance. The factors included agitation/anxiety (agitation, anxiety of upcoming events; other anxiety), psychosis (delusions of theft, suspiciousness/paranoia; visual hallucinations), aggression (verbal aggressiveness; physical threats/violence; fear of being left alone; other delusions), depression (tearfulness; depressed mood) and activity disturbance (wandering; delusion one's house is not one's home). Several factors were associated with level of cognitive impairment as assessed by the Mini-Mental State Examination (MMSE).

CONCLUSION: The results of this study suggest that the BEHAVE-AD measures a wide range of behavioral pathology that can be empirically represented by five independent symptom clusters among outpatient AD patients.

Volume

13

Issue

11

First Page

793

Last Page

800

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

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