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References

Gold, J. M., Goldberg, R., McNary, S., Dixon, L., & Lehman, A. (2002). Cognitive correlates of job tenure among patients with severe mental illness. Am J Psychiatry, 159(8), 1395-1402.

Hobart, M. P., Goldberg, R., Bartko, J. J., & Gold, J. M. (1999).

Repeatable battery for the assessment of neuropsychological status as a screening test in schizophrenia, II: convergent/discriminant validity and diagnostic group comparisons. Am J Psychiatry, 156(12), 1951-1957.

Horstmann, M. (2011). Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): Cognitive profile comparisons and cortical-subcortical deviation score classifications. Retrieved from http://books.google.com/books?id=hmwyZaf5R08C&pg=PA24&lpg=PA24&dq=rbans+psychometrics&source=bl&ots=8Tvy1-wlZS&sig=ONO2i4PKgbWQtYJib54BgGG-7RU&hl=en&sa=X&ei=8ZlnUOiDOnYyQHE54HwAg&sqi=2&ved=0CGcQ6AEwBg#v=onepage&q=rbans%20psychometrics&f=false

Staruss, E. , Sherman, E. M. (2006). A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary (3.ed.) (pp. 237-257). Oxford: Oxford University Press.

Wilk, C. M., Gold, J. M., Bartko, J. J., Dickerson, F., Fenton, W. S., Knable, M., et al. (2002). Test-retest stability of the Repeatable Battery for the Assessment of Neuropsychological Status in schizophrenia. Am J Psychiatry, 159(5), 838-844.

Validity

There is evidence of construct and convergent validity. RBANS subtests are continually compared to neuropsychological measures with resulting high correlations. Overall, there is an intercorrelation for the index scores and the six standardization groups. The different index's measure distinctive constructs.

Schizophrenic Studies

Hobart, Hobart, M. P., Goldberg, R., Bartko, J. J., & Gold, J. M. (1999) Repeatable battery for the assessment of neuropsychological status as a screening test in schizophrenia, II: convergent/discriminant validity and diagnostic group comparisons.

Researchers sought to ascertain whether the convergent validity of the RBANS could be replicated through a sample drawn from a public mental health system.they sought to pinpoint the relationship between a broader neuropsychological battery to RBANS and compare schizophrenic patients performance to bipolar patients on the RBANS and a neuropsychological battery. Both measures were given to approximately 150 patients drawn from a large vocational rehabilitation study. Results showed high correlations between scores of the RBANS and the neuropsychological battery (which included the WAIS-111 and the Wechsler Memory Scale, 3rd ed.). Composite z scores from the twenty two standard measures of IQ, Memory, language, motor, executive cognitive function, and attention. The highest correlation was with a genera ability factor and the lowest were with motor skills, vigilance, and executive function. There were greater deficits with schizophrenic patients performance with the neuropsychological battery and RBANS than bipolar patients

History

My Thoughts

Reliability

Gold, J. M., Queern, C., Iannone, V. N., & Buchanan, R. W. (1999) Repeatable Battery for the Assessment of Neuropsychological Status as a Screening Test in Schizophrenia, I: Sensitivity, Reliability, and Validity.

RBANS data was retrieved from 129 schizophrenic patients from the Maryland Psychiatric Research Center as well. This data was correlated with two other measures: WAIS –III and the Wechsler Memory Scale 3rd ed. in 38 patients. The reliability data for alternate forms of the test were obtained from a group of fifty three patients. Symptoms ratings came from 48 patients, and employment status came from a population of 77 participants. With a mean score of 71.4, schizophrenic patients showcased significant impairment on the RBANS. RBANS had a high correlation with memory and there was less impairment found with language and visual functions in comparison with memory and attention. The total score demonstrates overall good reliability.

Wilk et al. (2002) Test-Retest Stability of the Repeatable Battery for the Assessment of Neuropsychological Status in Schizophrenia.

Testing Population and Normative Sample Characteristics

Author: Christopher Randolph, PhD, APBB-CN

Publisher: PEARSON

Publication Date: 1998

Revision: 2012

Age: 12-89 years old

Time: 30 minutes

Language: English (All forms) and Spanish (Forms A and B)

RBANS: Repeatable Battery for the Neuropsychological Status

Overall I liked how the test is very specific in what it measures. Its ability to function as neuropsychological battery is evident. Furthermore, separate distinctive cognitive domains can be assessed with the subtest scores to improve accuracy of diagnosis and development of effective treatment plans that focus on one area. The subtest measures aren’t very lengthy nor are they dull. I found the downward age extension to accommodate a wider range of individuals and ailments a positive step forwards from the original objective of the test.

. 181 patients with schizophrenia/schizoaffective disorder were pooled from the Maryland Psychiatric Research Center, Sheppard Pratt Health System and Chestnut Lodge Hospital, and the normal healthy standardization sample. To assess the effectiveness of test-retest, the groups are given two forms of the RBANS at two different dates with intervals ranging from 1-134 days. The ICC reliability for the RBANS total score was .84 for schizophrenic patients. The ICC reliability for the RBANS total score was .77 for the healthy standardization group.

Reliability Coeffieicients (6 Age Groups): .80-.88

Reliability coefficient (Total Scaled Score): .94

Average SEM (6 Age Groups): 5.31-6.65

Average SEM (Total Scaled Score): 3.84

Test-Retest Reliability Coefficient (Total Scaled Score):.82-.88

Originally designed for middle aged adults and elderly individuals who had dementia , the recent revision in 2012 has included a downward age extension to 12 years old. The new age range is 12-89 years old for a vast range of neuropsychological ailments such as Alzheimer’s disease, Parkinson’s disease, Stroke, Multiple Sclerosis, Schizophrenia, Bipolar Disorder, etc.

The standardization sample was a representative sample from the U.S. Bureau of the Census (1995) of 540 U.S. adults ranging in age from 20-89 years old. There were approximately ninety adults in each age group (6 age groups: 20-39, 40-49, 50-59 etc.)

RBANS Function and Recommended Use

Subscales, Purpose, and Scoring

Purpose:

RBANS is a standardized neuropsychological test battery chiefly employed as a clinical diagnostic measure for a variety of neuropsycholgical ailments. This measure is a screening instrument that assess' neuropsychological functioning in a brief administration time. This cognitive screening test provides one total scaled score as well as five specific cognitive ability index scores.

Immediate Memory: List Learning, Story Memory

Visuospatial: Figure Copy, Line Orientation

Language: Picture Naming, Semantic Fluency

Attention: Digit Span, Coding

Delayed Memory: List Learning Free Recall, List Learning Recognition, Story Memory Free Recall, Figure Free Recall

Scoring: Subtest raw scores are scaled together to create index scores. Afterwards they're summed for conversion to a total scale score.

Purpose: Clinical Diagnosis for adults and adolescents

Repeatable Battery for the Assessment of Neuropsychological Status

Presenter: Shawnice Nickens

May 5, 2014

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