帕金森病患者的冲动控制障碍：现有评估工具的心理计量学特性的系统评价。
Impulse control disorders in Parkinson's disease: A systematic review on the psychometric properties of the existing measures.
机构信息
NEUROFARBA Department, Section of Psychology, University of Florence, Italy.
Department of Developmental and Social Psychology, Sapienza University of Rome, Rome, Italy.
出版信息
PLoS One. 2019 Jun 4;14(6):e0217700. doi: 10.1371/journal.pone.0217700. eCollection 2019.
BACKGROUND
A significant percentage of patients suffering from Parkinson's Disease (PD) experience Impulse Control Disorders (ICDs), contributing to reduced quality of life. As they can be managed by reducing the dopamine dosage, the detection of their presence is crucial for PD treatment plan. Nevertheless, they tend to be under-recognized in clinical practice, since routine screening is not common-despite existing instruments that may support clinicians. This work presents a systematic review on the psychometric properties of instruments measuring ICDs in PD, to test whether clinicians dispose of valid tools that may help them in clinical assessment.
METHOD
A systematic literature search in three databases (EMBASE, MEDLINE, and PsycINFO) was conducted. Quality of the instruments' psychometric properties was evaluated with Terwee et al.'s criteria, and methodological quality of the studies was evaluated with the COSMIN Checklist.
RESULTS
Ten studies examining seven instruments were selected. The Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) and the Ardouin Scale of Behavior in Parkinson's Disease (ASBPD) resulted to be the best from a psychometric point of view.
CONCLUSIONS
Though the gold standard for diagnosis remains a detailed diagnostic interview, this review will encourage clinicians to use validated tools to accurately assess ICDs.
背景
相当比例的帕金森病（PD）患者患有冲动控制障碍（ICD），这降低了他们的生活质量。由于减少多巴胺剂量可以治疗这些障碍，因此检测它们的存在对于 PD 治疗计划至关重要。然而，尽管存在一些可能支持临床医生的工具，但由于常规筛查并不常见，这些障碍在临床实践中往往被低估。本研究对评估 PD 中 ICD 的工具的心理测量特性进行了系统综述，以检验临床医生是否拥有有助于临床评估的有效工具。
方法
在三个数据库（EMBASE、MEDLINE 和 PsycINFO）中进行了系统文献检索。使用 Terwee 等人的标准评估工具的心理测量特性质量，使用 COSMIN 清单评估研究的方法学质量。
结果
选择了 10 项研究，共涉及 7 种工具。从心理测量的角度来看，问卷式冲动-强迫障碍在帕金森病患者中的表现（QUIP）和帕金森病行为量表（ASBPD）是最好的。
结论
尽管详细的诊断访谈仍然是诊断的金标准，但本综述将鼓励临床医生使用经过验证的工具来准确评估 ICD。
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