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帕金森病睡眠量表:西班牙语版本的效度研究

Parkinson's Disease Sleep Scale: validation study of a Spanish version.

作者信息

Martínez-Martín Pablo, Salvador Carlos, Menéndez-Guisasola Luis, González Sonia, Tobías Aurelio, Almazán Javier, Chaudhuri K Ray

机构信息

Neuroepidemiology Unit, National Centre for Epidemiology, Carlos III Institute of Public Health, and the Spanish Network HOHSR, Madrid, Spain.

出版信息

Mov Disord. 2004 Oct;19(10):1226-32. doi: 10.1002/mds.20144.

Abstract

The Parkinson's Disease Sleep Scale (PDSS) is the first published bedside clinical tool to specifically measure sleep disturbances in Parkinson's disease (PD). The objective of the present study was to carry out a metric analysis of a Spanish version (PDSS-SV) using a cross-sectional study of 100 PD patients who participated in the study. Usual measures for PD and mental status were applied by neurologists. Patients completed the Epworth Sleepiness Scale, Parkinson's Disease Questionnaire-39 Items (PDQ-39), and PDSS-SV. PDSS internal consistency (Cronbach's alpha, 0.77; significant item-total correlation for 11 items) was satisfactory. PDSS showed high test-retest reliability (intraclass correlation coefficient for items, 0.79-0.99; for total score, 0.94). Standard error of measurement was 9.80 (crossover) and 5.01 (longitudinal). Scores were distributed uniformly, with low floor and ceiling effect (1%). PDSS scores were correlated significantly with depression (Hamilton Depression Rating Scale, r(S) = -0.55; P < 0.0001) and quality of life (PDQ-39 Summary Index, r(S) = -0.26; P = 0.007), but not with clinical variables. Self-perception of mood disorder, pain, or hallucinations correlated individually with PDSS scores, and a factor explaining 65% of the variance was found. The assessment of PD sleep disorders with the PDSS met some basic standards required for health status measures.

摘要

帕金森病睡眠量表(PDSS)是首个公开发表的专门用于测量帕金森病(PD)睡眠障碍的床边临床工具。本研究的目的是通过对100名参与研究的PD患者进行横断面研究,对西班牙语版本(PDSS-SV)进行计量分析。神经科医生采用了PD和精神状态的常规测量方法。患者完成了爱泼华嗜睡量表、帕金森病39项问卷(PDQ-39)和PDSS-SV。PDSS的内部一致性(克朗巴赫α系数为0.77;11个项目的项目总分相关性显著)令人满意。PDSS显示出较高的重测信度(项目的组内相关系数为0.79 - 0.99;总分的组内相关系数为0.94)。测量的标准误为9.80(交叉)和5.01(纵向)。分数分布均匀,地板效应和天花板效应较低(1%)。PDSS分数与抑郁(汉密尔顿抑郁量表,r(S)= -0.55;P < 0.0001)和生活质量(PDQ-39总结指数,r(S)= -0.26;P = 0.007)显著相关,但与临床变量无关。情绪障碍、疼痛或幻觉的自我认知与PDSS分数单独相关,并且发现了一个解释65%方差的因素。使用PDSS评估PD睡眠障碍符合健康状况测量所需的一些基本标准。

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