Huynh Tan Thanh, Nguyen Nguyen Tran Thanh, Nguyen Tien Dong Phuong, Tran Thang Cong
Department of Psychiatry, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Bachelor of Psychological Science, James Cook University, Singapore, Singapore.
Dement Geriatr Cogn Dis Extra. 2022 Mar 24;12(1):34-42. doi: 10.1159/000522623. eCollection 2022 Jan-Apr.
In Vietnam, there has been, currently, no standardized tool for depression assessment for people with dementia (PWD). Cornell Scale for Depression in Dementia (CSDD) is a widely studied and used scale for PWD worldwide.
The aim of this study was to standardize the Vietnamese version of the CSDD (V-CSDD) in depression assessment in PWD through reliability and validity examination.
V-CSDD was rated in terms of reliability and validity with gold standard regarding "major depressive episode" and "major depressive-like episode" of DSM-5. Cronbach's α, ICC, exploratory factor analysis (EFA), and receiver operating characteristic analysis were performed.
V-CSDD was found to have a high internal consistency reliability (Cronbach's α = 0.80), inter-rater reliability at sound ranking (ICC = 0.89; 95% CI = 0.81-0.94), maximum cut-off mark of 13 (sensitivity = 70%, specificity = 92%), and EFA, which suggested that V-CSDD may comprise 5 factors.
Results indicate the V-CSDD to be a reliable and valid assessment and to be beneficial in classifying and diagnosing depression in dementia outpatients in clinical contexts.
在越南,目前尚无用于痴呆症患者抑郁评估的标准化工具。康奈尔痴呆抑郁量表(CSDD)是一种在全球范围内被广泛研究和用于痴呆症患者的量表。
本研究旨在通过可靠性和有效性检验,对越南版的康奈尔痴呆抑郁量表(V-CSDD)在痴呆症患者抑郁评估方面进行标准化。
依据DSM-5中“重度抑郁发作”和“类重度抑郁发作”的金标准,对V-CSDD进行可靠性和有效性评级。进行了克朗巴哈α系数、组内相关系数(ICC)、探索性因素分析(EFA)以及受试者工作特征分析。
发现V-CSDD具有较高的内部一致性可靠性(克朗巴哈α系数=0.80),评分者间可靠性处于良好水平(ICC=0.89;95%置信区间=0.81-0.94),最大截断分数为13(敏感性=70%,特异性=92%),且探索性因素分析表明V-CSDD可能包含5个因素。
结果表明V-CSDD是一种可靠且有效的评估工具,有助于在临床环境中对痴呆症门诊患者的抑郁进行分类和诊断。