Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Via Fossato di Mortara 64, 44121, Ferrara, Italy.
Department of Psychiatry and Department of Epidemiology and Biostatistics, Western University, London, ON, Canada.
Community Ment Health J. 2020 Nov;56(8):1411-1418. doi: 10.1007/s10597-020-00583-x. Epub 2020 Feb 19.
Cognitive impairments have profound implications for the management of severe mental disorders; however, they are rarely assessed in everyday clinical practice due to constraints in time, resource and expertise. Novel and short instruments, such as the Screen for Cognitive Impairment in Psychiatry (SCIP), which overcome such limitations are greatly needed. The study aims to assess the validity and reliability, among healthy subjects, of the Italian translation of the SCIP, a brief, accessible tool to detect cognitive impairments among individuals suffering from mental disorders, as the first step to validate the instrument in clinical settings. One-hundred and twenty healthy subjects completed two of the three alternative forms of the SCIP. Cronbach Alpha (0.70) supported the reliability of the SCIP scores. Correlation coefficients supported the test-retest reliability of the tool. Learning effects were observed despite the use of alternative forms. Factor analysis indicated a two-factor solution explaining 55.4% of the total variance: the first factor ("memory") loading for VLT-I and VLT-D and less for WMT; the second factor ("executive function") loading for VFT and PST and less for WMT. The study proved the validity and reliability of the Italian version of the SCIP as a reliable and simple instrument to screen for cognitive impairment in the general population.
认知障碍对严重精神障碍的管理有深远影响；然而，由于时间、资源和专业知识的限制，它们在日常临床实践中很少得到评估。需要新型的简短工具，如精神科认知障碍筛查工具 (SCIP)，以克服这些限制。本研究旨在评估 SCIP 的意大利语翻译在健康受试者中的有效性和可靠性，SCIP 是一种简短、易于使用的工具，可用于检测患有精神障碍的个体的认知障碍，这是在临床环境中验证该工具的第一步。120 名健康受试者完成了 SCIP 的三个备选形式中的两个。Cronbach Alpha（0.70）支持 SCIP 分数的可靠性。相关系数支持该工具的重测信度。尽管使用了替代形式，但仍观察到学习效果。因子分析表明，有两个因素可以解释总方差的 55.4%：第一个因素（“记忆”）对 VLT-I 和 VLT-D 进行加载，对 WMT 的加载较少；第二个因素（“执行功能”）对 VFT 和 PST 进行加载，对 WMT 的加载较少。该研究证明了 SCIP 的意大利语版本具有有效性和可靠性，是一种可靠且简单的工具，可用于筛查一般人群中的认知障碍。
