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[痴呆的神经精神症状:荷兰神经精神科问卷(NPI)的心理测量学方面]

[Neuropsychiatric symptoms of dementia: psychometric aspects of the Dutch Neuropsychiatric Inventory (NPI)].

作者信息

Kat M G, de Jonghe J F M, Aalten P, Kalisvaart C J, Dröes R M, Verhey F R J

机构信息

Medisch Centrum Alkmaar.

出版信息

Tijdschr Gerontol Geriatr. 2002 Sep;33(4):150-5.

PMID:12378786
Abstract

Behavioral and psychological symptoms are highly prevalent in dementia. The Neuropsychiatric Inventory was constructed to measure these symptoms. Data from three studies are presented concerning psychometric aspects of the NPI Dutch version. The NPI was compared to the Revised Memory and Behavioral Problems Checklist (RMBPC) and the Mini Mental State Examination (MMSE). In the three selected patient samples prevalence of behavioral or psychological symptoms was as high as 90%. Interrater agreement (n = 19) was very high (kappa > .90). Factor analysis (n = 199) supports NPI construct validity. The NPI items correlated reasonably high (R = .35 - .60) with the relevant RMBPC subscales (n = 24). Although some NPI items did, the NPI total score was not significantly related to the MMSE. The NPI Dutch version can be scored objectively and it is a valid rating scale for measuring a wide range of behavioral and psychological symptoms of dementia.

摘要

行为和心理症状在痴呆症中极为普遍。神经精神科问卷旨在测量这些症状。本文呈现了来自三项研究的关于荷兰版神经精神科问卷心理测量方面的数据。将神经精神科问卷与修订版记忆与行为问题清单(RMBPC)以及简易精神状态检查表(MMSE)进行了比较。在三个选定的患者样本中,行为或心理症状的患病率高达90%。评分者间一致性(n = 19)非常高(kappa >.90)。因子分析(n = 199)支持神经精神科问卷的结构效度。神经精神科问卷项目与相关的修订版记忆与行为问题清单子量表(n = 24)的相关性较高(R =.35 -.60)。尽管部分神经精神科问卷项目相关,但神经精神科问卷总分与简易精神状态检查表并无显著关联。荷兰版神经精神科问卷能够进行客观评分,是用于测量痴呆症广泛行为和心理症状的有效评定量表。

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