Kim Hyunkyung, Lee Miji, Kwon In Sun, Kim Jeong Lan
Department of Psychiatry, Chungnam National University Hospital, Daejeon, Republic of Korea.
Chungnam National University Hospital Clinical Trials Center, Daejeon, Republic of Korea.
Psychiatry Investig. 2018 Jan;15(1):6-12. doi: 10.4306/pi.2018.15.1.6. Epub 2018 Jan 16.
The Delirium Motor Subtype Scale (DMSS) is a validated and reliable instrument developed from various methods previously used to assess delirium motor subtypes. It focuses on pure motor disturbances with a relative specificity for delirium. The aim of this study was to investigate the validity and reliability of a Korean version of the DMSS (K-DMSS).
We recruited 145 patients who were older than 60 years and had been referred for psychiatric consultation for delirium. These patients were evaluated using the K-DMSS, Liptzin & Levkoff criteria, and the Korean version of the Delirium Rating Scale-Revised-98 (K-DRS-R98) to compare delirium motor subtypes.
The internal consistency of the K-DMSS in assessing delirium motor subtypes was acceptable (Cronbach's alpha=0.79). Delirium motor subtypes identified with the K-DMSS and K-DRS-R98 showed almost perfect agreement (Cohen's Kappa=0.81), while those identified with the K-DMSS and Liptzin & Levkoff criteria showed substantial agreement (Cohen's Kappa=0.78).
Our results suggest that the K-DMSS is a valid and reliable tool for identifying delirium subtypes.
谵妄运动亚型量表（DMSS）是一种经过验证且可靠的工具，它是根据先前用于评估谵妄运动亚型的各种方法开发而成。该量表专注于单纯的运动障碍，对谵妄具有相对特异性。本研究的目的是调查韩语版DMSS（K-DMSS）的有效性和可靠性。
我们招募了145名年龄在60岁以上且因谵妄被转介进行精神科咨询的患者。使用K-DMSS、利普津和列夫科夫标准以及韩语版谵妄评定量表修订版98（K-DRS-R98）对这些患者进行评估，以比较谵妄运动亚型。
K-DMSS在评估谵妄运动亚型方面的内部一致性是可接受的（克朗巴哈系数=0.79）。通过K-DMSS和K-DRS-R98识别出的谵妄运动亚型显示出几乎完美的一致性（科恩kappa系数=0.81），而通过K-DMSS和利普津与列夫科夫标准识别出的谵妄运动亚型显示出高度一致性（科恩kappa系数=0.78）。
我们的结果表明，K-DMSS是识别谵妄亚型的有效且可靠的工具。
