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首页> 外文期刊>Nordic journal of psychiatry. >Validation of the icelandic version of the neuropsychiatric inventory with caregiver distress (NPI-D)
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Validation of the icelandic version of the neuropsychiatric inventory with caregiver distress (NPI-D)

机译：验证带有照顾者困扰的冰岛精神神经病学目录（NPI-D）

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Background: Dementia is a complex and often debilitating illness, presenting with not only wide-ranging cognitive impairment but also neuropsychiatric challenges, which can have diverse consequences in quality of life for both patient and caregiver. Aim: Studying the validity and reliability of an Icelandic translation of the Neuropsychiatric Inventory with Caregiver Distress (NPI-D). Methods: NPI-D was administered to 38 primary caregivers of dementia patients. The concurrent validity was explored by statistically comparing the NPI-D to the Behavioural Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD) and the Geriatric Depression Scale (GDS). Regarding caregiver distress, concurrent validity was established between NPI-D, BEHAVE-AD Global Rating and two other caregiver distress scales. Results: Significant correlation was found when total score on the BEHAVE-AD was compared with total score on the NPI-D. All NPI-D subscales achieved significant correlation with the corresponding BEHAVE-AD subscales apart from the 'depression/dysphoria subscale'. This NPI-D subscale correlated however, significantly with the GDS depression scale, a frequent and well validated measure of depressive symptoms in the elderly population. Cronbach's alpha coefficient indicated a high degree of overall internal consistency among the items of the NPI-D. Interestingly, apathy was the most frequent neuropsychiatric disturbance and the only subscale that differed significantly between dementia severity levels. Finally, when studying caregiver distress, the NPI-D showed good concurrent validity with other measures of caregiver burden and distress. Conclusions: The results demonstrate an acceptable level of validity and reliability; therefore the Icelandic translation of the NPI-D is well suited for identifying neuropsychiatric symptoms in dementia and associated caregiver burden.
机译：背景：痴呆症是一种复杂且常常使人衰弱的疾病，不仅带来广泛的认知障碍，而且还带来神经精神方面的挑战，这可能对患者和护理人员的生活质量产生不同的影响。目的：研究带有照顾者困扰的神经精神病学目录（NPI-D）的冰岛语翻译的有效性和可靠性。方法：对38名痴呆患者的初级护理人员进行了NPI-D治疗。通过统计比较NPI-D与阿尔茨海默氏病病情分级量表（BEHAVE-AD）和老年抑郁量表（GDS）的行为病理学，探讨了并发有效性。关于照料者的困扰，在NPI-D，BEHAVE-AD全球评级与其他两个照料者的痛苦量表之间建立了并发效度。结果：将BEHAVE-AD的总得分与NPI-D的总得分进行比较，发现显着相关。除“抑郁/烦躁不安子量表”外，所有NPI-D子量表均与相应的行为-AD子量表显着相关。但是，该NPI-D子量表与GDS抑郁量表显着相关，GDS抑郁量表是老年人群中抑郁症状的常见且有效的量度。克朗巴赫（Cronbach）α系数表明NPI-D各项之间的整体内部一致性很高。有趣的是，冷漠是最常见的神经精神障碍，并且是痴呆症严重程度之间差异显着的唯一分量表。最后，在研究照顾者的痛苦时，NPI-D与其他照顾者负担和痛苦的测量方法显示出良好的并发有效性。结论：结果表明可接受的有效性和可靠性水平;因此，NPI-D的冰岛语翻译非常适合识别痴呆症和相关护理人员负担中的神经精神症状。

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