Sakar Hormozi, Mahtab Alizadeh-Khoei, Farshad Sharifi, Fahimeh Taati, Mirzadeh Fatemeh Sadat, Hossien Fakhrzadeh
Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences , Tehran , Iran.
Gerontology & Geriatric Department, Medical School, Tehran University of Medical Sciences , Tehran , Iran.
J Gerontol Soc Work. 2019 Aug-Sep;62(6):649-662. doi: 10.1080/01634372.2019.1640824. Epub 2019 Jul 17.
Since abuse screening is difficult among the elderly with dementia, detection of elder abuse is a serious issue; meanwhile, the number of available tools to assess elder abuse by caregivers is limited. The aim was to evaluate validity and reliability of the Iranian version Caregiver Abuse Screen (CASE) tool. After the translating process of the tool to the Farsi language for 236 dementia participants ≥60 years old and their informal caregivers' from outpatient' clinics, in a cross-sectional method then the validity, reliability and factorial structure of the CASE was evaluated. The translated Iranian version CASE reveals a good psychometric property (α = 0.868) with strong internal consistency and reliability. Some variables (depression, burden, dementia intensity, and ADLs) were associated with abuse in dementia elderly. The two-factor structure was obtained in exploratory factor analysis labeled interpersonal abuse and neglect. Generally, the Iranian version of CASE approved with sufficient validity and reliability as a suitable instrument to find the risk of elder abuse among dementia caregivers.
由于在患有痴呆症的老年人中进行虐待筛查很困难，因此发现老年人虐待是一个严重问题；与此同时，评估照顾者对老年人虐待情况的可用工具数量有限。目的是评估伊朗版照顾者虐待筛查（CASE）工具的有效性和可靠性。在将该工具翻译成波斯语后，对来自门诊诊所的236名年龄≥60岁的痴呆症参与者及其非正式照顾者采用横断面方法，然后评估CASE的有效性、可靠性和因子结构。翻译后的伊朗版CASE显示出良好的心理测量特性（α = 0.868），具有很强的内部一致性和可靠性。一些变量（抑郁、负担、痴呆严重程度和日常生活活动能力）与痴呆症老年人的虐待情况相关。在探索性因子分析中得到了人际虐待和忽视这两个因子结构。总体而言，伊朗版CASE经证实具有足够的有效性和可靠性，是发现痴呆症照顾者中老年人虐待风险的合适工具。
