{"title":"[日文版神经精神量表照顾者痛苦量表(NPI D)和神经精神量表简要问卷(NPI- q)的效度和信度]。","authors":"Naomi Matsumoto, Manabu Ikeda, Ryuji Fukuhara, Takayuki Hyodo, Tomohisa Ishikawa, Takaaki Mori, Yasutaka Toyota, Teruhisa Matsumoto, Hiroyoshi Adachi, Shunichiro Shinagawa, Kazuhiko Hokoishi, Hirotaka Tanabe, Nobutsugu Hirono","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Neuropsychiatric disturbances are common and burdensome symptoms of dementia. Assessment and measurement of neuropsychiatric disturbances are indispensable to the management of patients with dementia. Neuropsychiatric Inventory (NPI) is a comprehensive assessment tool that evaluates psychiatric symptoms in dementia. We translated the NPI-Caregiver Distress Scale part of NPI (NPI-D) and NPI-Brief Questionnaire Form (NPI-Q) into Japanese and examined their validity and reliability.</p><p><strong>Subjects and methods: </strong>The subjects were 152 demented patients and the caregivers who lived with them. These patients consisted of 76 women and 76 men; their mean age was 73.9 +/- 7.8 (S.D.; range: 49 to 93) years. Their caregivers consisted of 46 men and 106 women; their mean age was 65.0 +/- 11.4 (S.D.; range: 35 to 90) years. The Mini-Mental State Examination (MMSE) was conducted with all patients and NPI-Q, NPI, NPI-D, and the Zarit caregiver burden interview (ZBI) were conducted with all caregivers. We examined validity of NPI-D by comparing its score with the MMSE and ZBI scores, and the validity of NPI-Q by comparing its score with the NPI and NPI-D scores. In order to evaluate test-retest reliability, NPI-D was re-adopted to 30 randomly selected caregivers by a different examiner one month later and NPI-Q was re-executed by 27 randomly selected caregivers one day later.</p><p><strong>Results: </strong>Total NPI-D score was significantly correlated with ZBI (rs = 0.59, p < 0.01). Test-retest reliability of NPI-D was adequate (ri = 0.47, p < 0.01). Total NPI-Q severity score and distress score were strongly correlated with NPI (r = 0.77, p < 0.01) and NPI-D (r = 0.80, p < 0.01) scores, respectively. Test-retest reliability of the scores of NPI-Q was acceptably high (the severity score; ri = 0.81, p < 0.01, the distress score; ri = 0.80, p < 0.01).</p><p><strong>Conclusion: </strong>The Japanese version of NPI-D and NPI-Q demonstrated sufficient validity and reliability as well as the original version of them. These are useful tools for evaluating psychiatric symptoms in demented patients and their caregivers' distress attributable to these symptoms.</p>","PeriodicalId":19163,"journal":{"name":"No to shinkei = Brain and nerve","volume":"58 9","pages":"785-90"},"PeriodicalIF":0.0000,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Validity and reliability of the Japanese version of the Neuropsychiatric Inventory Caregiver Distress Scale (NPI D) and the Neuropsychiatric Inventory Brief Questionnaire Form (NPI-Q)].\",\"authors\":\"Naomi Matsumoto, Manabu Ikeda, Ryuji Fukuhara, Takayuki Hyodo, Tomohisa Ishikawa, Takaaki Mori, Yasutaka Toyota, Teruhisa Matsumoto, Hiroyoshi Adachi, Shunichiro Shinagawa, Kazuhiko Hokoishi, Hirotaka Tanabe, Nobutsugu Hirono\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Neuropsychiatric disturbances are common and burdensome symptoms of dementia. Assessment and measurement of neuropsychiatric disturbances are indispensable to the management of patients with dementia. Neuropsychiatric Inventory (NPI) is a comprehensive assessment tool that evaluates psychiatric symptoms in dementia. We translated the NPI-Caregiver Distress Scale part of NPI (NPI-D) and NPI-Brief Questionnaire Form (NPI-Q) into Japanese and examined their validity and reliability.</p><p><strong>Subjects and methods: </strong>The subjects were 152 demented patients and the caregivers who lived with them. These patients consisted of 76 women and 76 men; their mean age was 73.9 +/- 7.8 (S.D.; range: 49 to 93) years. Their caregivers consisted of 46 men and 106 women; their mean age was 65.0 +/- 11.4 (S.D.; range: 35 to 90) years. The Mini-Mental State Examination (MMSE) was conducted with all patients and NPI-Q, NPI, NPI-D, and the Zarit caregiver burden interview (ZBI) were conducted with all caregivers. We examined validity of NPI-D by comparing its score with the MMSE and ZBI scores, and the validity of NPI-Q by comparing its score with the NPI and NPI-D scores. In order to evaluate test-retest reliability, NPI-D was re-adopted to 30 randomly selected caregivers by a different examiner one month later and NPI-Q was re-executed by 27 randomly selected caregivers one day later.</p><p><strong>Results: </strong>Total NPI-D score was significantly correlated with ZBI (rs = 0.59, p < 0.01). Test-retest reliability of NPI-D was adequate (ri = 0.47, p < 0.01). Total NPI-Q severity score and distress score were strongly correlated with NPI (r = 0.77, p < 0.01) and NPI-D (r = 0.80, p < 0.01) scores, respectively. Test-retest reliability of the scores of NPI-Q was acceptably high (the severity score; ri = 0.81, p < 0.01, the distress score; ri = 0.80, p < 0.01).</p><p><strong>Conclusion: </strong>The Japanese version of NPI-D and NPI-Q demonstrated sufficient validity and reliability as well as the original version of them. These are useful tools for evaluating psychiatric symptoms in demented patients and their caregivers' distress attributable to these symptoms.</p>\",\"PeriodicalId\":19163,\"journal\":{\"name\":\"No to shinkei = Brain and nerve\",\"volume\":\"58 9\",\"pages\":\"785-90\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2006-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"No to shinkei = Brain and nerve\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"No to shinkei = Brain and nerve","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:神经精神障碍是痴呆的常见和沉重的症状。神经精神障碍的评估和测量对于痴呆患者的管理是不可或缺的。神经精神量表(NPI)是一种评估痴呆患者精神症状的综合评估工具。我们将NPI-照顾者痛苦量表部分(NPI- d)和NPI-简要问卷表(NPI- q)翻译成日文，并检验了它们的效度和信度。研究对象与方法:研究对象为152例痴呆患者及其护理人员。这些患者包括76名女性和76名男性;平均年龄73.9±7.8岁(S.D.;年龄范围:49 - 93岁。他们的照顾者包括46名男性和106名女性;平均年龄65.0±11.4岁(S.D.;年龄范围:35至90岁。对所有患者进行简易精神状态检查(MMSE)，并对所有照顾者进行NPI- q、NPI、NPI- d和Zarit照顾者负担访谈(ZBI)。我们通过比较NPI- d得分与MMSE和ZBI得分来检验NPI- d的效度，通过比较NPI- q得分与NPI和NPI- d得分来检验NPI- q的效度。为了评估重测信度，一个月后，随机选择30名照顾者由不同的考官重新采用NPI-D，一天后，随机选择27名照顾者重新执行NPI-Q。结果:NPI-D总分与ZBI呈显著相关(rs = 0.59, p < 0.01)。NPI-D重测信度较好(ri = 0.47, p < 0.01)。NPI- q严重程度总分和焦虑总分分别与NPI评分(r = 0.77, p < 0.01)和NPI- d评分(r = 0.80, p < 0.01)呈显著正相关。NPI-Q评分的重测信度可接受高(严重性评分;Ri = 0.81, p < 0.01，苦恼评分;Ri = 0.80, p < 0.01)。结论:日文版NPI-D和NPI-Q量表具有与原版相同的信度和效度。这些是评估精神症状的有用工具在痴呆患者和他们的照顾者的痛苦可归因于这些症状。
[Validity and reliability of the Japanese version of the Neuropsychiatric Inventory Caregiver Distress Scale (NPI D) and the Neuropsychiatric Inventory Brief Questionnaire Form (NPI-Q)].
Objective: Neuropsychiatric disturbances are common and burdensome symptoms of dementia. Assessment and measurement of neuropsychiatric disturbances are indispensable to the management of patients with dementia. Neuropsychiatric Inventory (NPI) is a comprehensive assessment tool that evaluates psychiatric symptoms in dementia. We translated the NPI-Caregiver Distress Scale part of NPI (NPI-D) and NPI-Brief Questionnaire Form (NPI-Q) into Japanese and examined their validity and reliability.
Subjects and methods: The subjects were 152 demented patients and the caregivers who lived with them. These patients consisted of 76 women and 76 men; their mean age was 73.9 +/- 7.8 (S.D.; range: 49 to 93) years. Their caregivers consisted of 46 men and 106 women; their mean age was 65.0 +/- 11.4 (S.D.; range: 35 to 90) years. The Mini-Mental State Examination (MMSE) was conducted with all patients and NPI-Q, NPI, NPI-D, and the Zarit caregiver burden interview (ZBI) were conducted with all caregivers. We examined validity of NPI-D by comparing its score with the MMSE and ZBI scores, and the validity of NPI-Q by comparing its score with the NPI and NPI-D scores. In order to evaluate test-retest reliability, NPI-D was re-adopted to 30 randomly selected caregivers by a different examiner one month later and NPI-Q was re-executed by 27 randomly selected caregivers one day later.
Results: Total NPI-D score was significantly correlated with ZBI (rs = 0.59, p < 0.01). Test-retest reliability of NPI-D was adequate (ri = 0.47, p < 0.01). Total NPI-Q severity score and distress score were strongly correlated with NPI (r = 0.77, p < 0.01) and NPI-D (r = 0.80, p < 0.01) scores, respectively. Test-retest reliability of the scores of NPI-Q was acceptably high (the severity score; ri = 0.81, p < 0.01, the distress score; ri = 0.80, p < 0.01).
Conclusion: The Japanese version of NPI-D and NPI-Q demonstrated sufficient validity and reliability as well as the original version of them. These are useful tools for evaluating psychiatric symptoms in demented patients and their caregivers' distress attributable to these symptoms.
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