Spiegel R, Brunner C, Ermini-Fünfschilling D, Monsch A, Notter M, Puxty J, Tremmel L
Department of Psychology, University of Basle, Switzerland.
J Am Geriatr Soc. 1991 Apr;39(4):339-47. doi: 10.1111/j.1532-5415.1991.tb02897.x.
Although a great number of psychometric tests and rating scales for the assessment of psychogeriatric patients is available, there is still an urgent need, in research and practice, for a clinical rating instrument that meets the following main requirements: (1) applicable to institutionalized and community patients and covering a wide range of behavioral pathology; (2) acceptable and easy to use for professionals and lay persons alike; (3) covering a wide range of behavior relevant to daily functioning but independent of sex or social status of the individual assessed. The NOSGER contains 30 items of behavior, each rated on a 5-point scale according to frequency of occurrence. Item scores are summarized into 6 Dimension scores (memory, instrumental activities of daily life, self-care, mood, social behavior, and disturbing behavior) which are clinically relevant in dementia, depression, and other psychiatric disorders of old age. Validation studies with a preliminary version of the NOSGER indicated good acceptance of the scale, high inter-rater and test-retest reliability, and high correlations of all NOSGER Dimension scores with results of a variety of established assessment instruments. The NOSGER is currently being used in a number of European and North American centers and should turn out to be a useful instrument for longitudinal studies in psychogeriatrics.
尽管有大量用于评估老年精神科患者的心理测量测试和评定量表，但在研究和实践中，仍迫切需要一种满足以下主要要求的临床评定工具：(1) 适用于机构化患者和社区患者，涵盖广泛的行为病理学；(2) 专业人员和非专业人员都能接受且易于使用；(3) 涵盖与日常功能相关的广泛行为，但与被评估个体的性别或社会地位无关。NOSGER包含30项行为，每项根据发生频率按5级评分。项目得分汇总为6个维度得分（记忆、日常生活工具性活动、自我护理、情绪、社会行为和干扰行为），这些在痴呆、抑郁和其他老年精神疾病中具有临床相关性。对NOSGER初步版本的验证研究表明该量表具有良好的接受度、较高的评分者间信度和重测信度，并且所有NOSGER维度得分与各种既定评估工具的结果具有高度相关性。NOSGER目前正在多个欧洲和北美中心使用，应该会成为老年精神医学纵向研究的有用工具。
