[日语版简化版鲁本社会网络量表的信度与效度]

[Reliability and validity of the Japanese version of the abbreviated Lubben Social Network Scale].

作者信息

Kurimoto Ayumi, Awata Shuichi, Ohkubo Takayoshi, Tsubota-Utsugi Megumi, Asayama Kei, Takahashi Kouko, Suenaga Katsuko, Satoh Hiroshi, Imai Yutaka

机构信息

Nursing Science of Community Health Care Systems, Tohoku University Graduate School of Medicine.

出版信息

Nihon Ronen Igakkai Zasshi. 2011;48(2):149-57. doi: 10.3143/geriatrics.48.149.

DOI:10.3143/geriatrics.48.149

PMID:21778631

Abstract

AIM

To investigate the reliability and validity of the Japanese version of the abbreviated Lubben Social Network Scale (LSNS-6), which is used worldwide as a screening tool for social isolation in elderly individuals.

METHODS

An interview-format questionnaire survey was given to 232 elderly community residents undergoing general health checkups. In addition to the Japanese version of the LSNS-6, other questionnaire items regarding social support, the Japanese version of the Zung Self-Rating Depression Scale (SDS), base attributes, and self-ratings of health, physical function and suicidal ideation were obtained. The internal consistency, test-retest, and interrater reliability of the Japanese version of the LSNS-6 were determined using the Cronbach α correlation, Spearman correlation, and intraclass correlation coefficients, respectively. Construct validity was investigated by comparison with the results of a previous study, while concurrent validity was determined in relation to SDS scores as well as questionnaire items on social support.

RESULTS

The Cronbach α coefficient was 0.82, the correlation coefficient for the test-retest was 0.92 (P<0.001), and the intraclass correlation coefficient for interrater reliability was 0.96 (95% confidence interval [CI] 0.90-0.99). Mean scores on the Japanese version of the LSNS-6 increased as the number of household members increased (P=0.033), but decreased among elderly individuals at risk of suicide (P=0.026), and tended to decrease among those with a poor self-rated health score (P=0.081). Scores on the Japanese version of the LSNS-6 had a significant negative correlation with SDS scores (P<0.001) On 4 of the 5 questionnaire items on social support, and those without social support had significantly lower mean scores on the Japanese version of the LSNS-6 (P<0.05) than those with social support.

CONCLUSIONS

We confirmed the reliability and validity of the Japanese version of the abbreviated LSNS-6.

摘要

目的

调查日本版简化版鲁本社会网络量表（LSNS - 6）的信度和效度，该量表在全球范围内用作老年人社会隔离的筛查工具。

方法

对232名接受一般健康检查的老年社区居民进行了访谈式问卷调查。除了日本版的LSNS - 6外，还获取了其他有关社会支持的问卷项目、日本版的zung自评抑郁量表（SDS）、基本属性以及健康、身体功能和自杀意念的自评。日本版LSNS - 6的内部一致性、重测信度和评分者间信度分别使用Cronbach α相关性、Spearman相关性和组内相关系数来确定。通过与先前研究的结果进行比较来调查结构效度，同时根据SDS得分以及社会支持问卷项目来确定同时效度。

结果

Cronbach α系数为0.82，重测相关系数为0.92（P<0.001），评分者间信度的组内相关系数为0.96（95%置信区间[CI] 0.90 - 0.99）。日本版LSNS - 6的平均得分随着家庭成员数量的增加而增加（P = 0.033），但在有自杀风险的老年人中得分降低（P = 0.026），并且在自评健康得分较低的人群中得分有下降趋势（P = 0.081）。日本版LSNS - 6的得分与SDS得分呈显著负相关（P<0.001）。在5项社会支持问卷项目中的4项上，没有社会支持的人群在日本版LSNS - 6上的平均得分显著低于有社会支持的人群（P<0.05）。