EpiMaCT - Epidémiologie des maladies chroniques en zone tropicale, Institut d'Epidémiologie et de Neurologie Tropicale, Inserm U1094, IRD UMR270, Univ. Limoges, CHU Limoges, OmegaHealth, Limoges, France.
Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB), Beirut, Lebanon.
BMC Psychiatry. 2023 Jun 9;23(1):415. doi: 10.1186/s12888-023-04925-3.
Several subjective scales have been used to measure cognitive complaints in patients with schizophrenia, such as the Self-Assessment Scale of Cognitive Complaints in Schizophrenia (SASCCS), which was designed to be clear, simple, and easy to use. This study aimed to examine the ability of SASCCS as a validated tool to collect and assess subjective cognitive complaints of patients with schizophrenia.
A cross-sectional study among 120 patients with schizophrenia was performed between July 2019 and Mars 2020 at the Psychiatric Hospital of the Cross, Lebanon. The SASCCS was used to assess how patients with schizophrenia perceived their cognitive impairment.
The internal consistency of the SASCCS scale was 0.911, and the intra-class correlation coefficient was 0.81 (p < 0.001), suggesting a good stability over time. The factor analysis of the SASCCS scale showed a 5-factor solution using the Varimax rotated matrix. The SASCCS total score positively correlated with their own factors. A negative correlation was found between the objective cognitive scale and subjective cognitive complaints, which were positively correlated with clinical symptoms and depression. No significant association was found between insight and subjective cognitive complaints.
The SASCCS scale showed appropriate psychometric properties, with high internal consistency, good construct validity, and adequate concurrent validity, which makes it valuable for the evaluation of subjective cognitive complaints in patients with schizophrenia.
有几种主观量表被用于测量精神分裂症患者的认知主诉,例如专门设计为清晰、简单和易用的精神分裂症认知主诉自评量表(SASCCS)。本研究旨在检验 SASCCS 作为一种经过验证的工具,用于收集和评估精神分裂症患者主观认知主诉的能力。
2019 年 7 月至 2020 年 3 月,在黎巴嫩十字架精神病院进行了一项针对 120 名精神分裂症患者的横断面研究。使用 SASCCS 评估精神分裂症患者对自身认知障碍的感知。
SASCCS 量表的内部一致性为 0.911,组内相关系数为 0.81(p<0.001),提示在时间上具有较好的稳定性。SASCCS 量表的因子分析采用 Varimax 旋转矩阵显示 5 个因子解决方案。SASCCS 总分与自身因子呈正相关,与客观认知量表呈负相关,与临床症状和抑郁呈正相关,与洞察力无显著相关性。
SASCCS 量表表现出适当的心理计量学特性,具有较高的内部一致性、良好的结构效度和足够的同时效度,使其在评估精神分裂症患者的主观认知主诉方面具有价值。