修订版社区老年人冷漠评估量表--自我的可靠性和有效性。

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2024-07-24 DOI:10.1080/07317115.2024.2383924
Xinyu Qiao, Ziqi Guan, Fangfang Pang, Juzhe Xi, Ruiyuan Guan
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引用次数: 0

摘要

调查目的冷漠自评量表(AES-S)已在全球范围内被广泛采用,并显示出较高的信度和效度。然而,将 AES 直接翻译成中文并不适合中国的文化背景,因此需要对其进行结构化的全面修订,以获得高信度和效度的量表版本:本研究使用修订版 AES-S 对来自北京两个社区的 436 名年龄≥ 60 岁的成年人进行了评估。研究方法包括项目分析、探索性因素分析和确认性因素分析。该量表的效度通过愉悦体验时态量表(TEPS)和迷你精神状态检查(MMSE)进行检验。信度评估包括重测信度、内部一致性信度和分半信度:结果:在中国老年人群体中,修订后的冷漠自评量表(AES-S-C)呈现出一阶四因子结构,其信度和效度均高于原版:结论:修订版 AES-S-C 更适合中国社区老年人:临床意义:该自评量表适用于筛查社区或养老机构中的老年人的冷漠症,有助于识别认知障碍,促进心理健康。
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Reliability and Validity of Revised Apathy Evaluation Scale-Self in Community-Dwelling Older Adults.

Objectives: The questionnaire Apathy Evaluation Scale-Self (AES-S) has been widely adopted globally, demonstrating high reliability and validity. However, direct translation of the AES into Chinese does not fit well into the Chinese cultural setting, so a structured and comprehensive revision is needed to obtain a high reliability and validity version of the scale.

Methods: In this study, 436 adults aged ≥ 60 years from two communities in Beijing were assessed using a modified AES-S. The methodology included item analysis, exploratory factor analysis, and confirmatory factor analysis. The scale's validity was tested using the Temporal Experience of Pleasure Scale (TEPS) and Mini-Mental State Examination (MMSE). Reliability assessment included retest reliability, internal consistency reliability, and split-half reliability.

Results: The modified Apathy Evaluation Scale-Self-Assessment (AES-S-C) presented a first-order four-factor structure with higher reliability and validity than the original version within the Chinese older adult community.

Conclusions: The revised AES-S-C is more suitable for the Chinese older adults in community settings.

Clinical implications: This self-rated scale is suitable for screening apathy among older adults in community or nursing facilities, aiding in the identification of cognitive impairment and promoting mental health.

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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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