Martí-Martínez S, Monge-Argilés J A, Sánchez-Payá J, Turpín-Fenoll L, Martín-Estefanía C, Leiva-Santana C
Servicio de Neurología, Hospital General Universitario de Alicante, 03010 Alicante, Espana.
Rev Neurol. 2009;49(11):577-80.
The Autonomic Symptom Profile (ASP) is a self-administered questionnaire that has been validated in English to assess autonomic symptoms and to differentiate between patients and healthy subjects according to said symptoms. Our group has studied its application in Spanish.
After translating the English version into Spanish and then back-translating it, the reliability and validity of criteria in the Spanish version of the ASP test were evaluated in a sample of 50 subjects (27 controls and 23 patients). All the patients with symptoms of autonomic dysfunction were studied by means of the Ewing and Clarke battery.
The reliability of the Spanish version of the ASP was high and an interclass correlation coefficient of 0.93 was obtained. A score of 47 or over in the test yields a sensitivity of 73.9% and a specificity of 100% for the detection of autonomic dysfunction. Furthermore, the score in the Spanish version of the ASP test showed statistically significant differences between the group of patients and the control group.
The Spanish version of the ASP is reliable and makes it possible to distinguish between patients with autonomic dysfunction and control subjects. As far as we are aware, this is the first test to evaluate the symptoms of the autonomic nervous system in a global manner and in Spanish.
自主神经症状量表(ASP)是一份自我管理的问卷,已在英文版本中得到验证,用于评估自主神经症状,并根据这些症状区分患者和健康受试者。我们团队研究了其在西班牙语中的应用情况。
将英文版本翻译成西班牙语,然后再回译,在50名受试者(27名对照者和23名患者)的样本中评估西班牙语版ASP测试标准的信度和效度。所有有自主神经功能障碍症状的患者均通过尤因和克拉克全套检查进行研究。
西班牙语版ASP的信度很高,组内相关系数为0.93。测试中得分47分及以上对于检测自主神经功能障碍的敏感度为73.9%,特异度为100%。此外,西班牙语版ASP测试的得分在患者组和对照组之间显示出统计学上的显著差异。
西班牙语版ASP是可靠的,能够区分自主神经功能障碍患者和对照者。据我们所知,这是首个以整体方式且以西班牙语评估自主神经系统症状的测试。