Validation of the Japanese Version of the Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID).
Validation of the Japanese Version of the Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID).
复制标题
日本版智力障碍者痴呆症筛查问卷 (DSQIID) 的验证。
DOI：
10.1111/jir.12788
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Yamada N.
中科院分区：
文献类型：
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作者：
Takenoshita S;Terada S;Kuwano R;Inoue T;Thoju A;Suemitsu S;Yamada N.
研究背景智力残疾（ID）患者的痴呆症很难被发现，因为他们之前就存在认知缺陷.需要有效的筛选方法。痴呆症筛查问卷的个人与智力残疾（DSQIID）的开发作为一个观察员的评级工具，以筛选痴呆症的人ID。本研究的目的是验证筛选的准确性DSQIID为日本人ID。MethodsFour-hundred-nine-three科目ID参加了这项研究。观察参与者超过2年的护理人员对参与者的日语版DSQIID（DSQIID-J）进行了评分。三名医生直接检查参与者，并使用精神疾病诊断和统计手册第五版标准诊断痴呆症。为了确定预测痴呆症的关键筛选项目，一个单一的和对项目的特异性与100%的灵敏度进行了评估相对于痴呆diagnosis.ResultsOf 493参与者，34人与唐氏综合征（DS），和459人没有DS。17名参与者被诊断患有痴呆症。DSQIID-J筛查痴呆的合适临界值为10/11（灵敏度100%，特异性96.8%）。DSQIID-J的评定者间信度、重测信度和内部一致性都很好。关于关键项目，没有一个项目的灵敏度为100%，最好的两个项目组合是一对“不能没有帮助穿衣服”和“走得慢”（灵敏度为100%，特异性为93.5%）。
BackgroundDementia in people with intellectual disabilities (IDs) is difficult to detect because of preexisting cognitive deficits. An effective screening method is required. The Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID) was developed as an observer rating tool to screen dementia in people with ID. The aim of this study was to verify the screening accuracy of the DSQIID for Japanese people with ID.MethodsFour‐hundred ninety‐three subjects with ID participated in this study. Caregivers who had observed the participants for more than 2 years scored the Japanese version of the DSQIID (DSQIID‐J) of the participants. Three doctors examined participants directly and diagnosed dementia using theDiagnostic and Statistical Manual of Mental Disorders, Fifth Editioncriteria. To identify the key screening items that predict dementia, the specificities of a single and pairs of items with 100% sensitivity were evaluated relative to the dementia diagnosis.ResultsOf 493 participants, 34 were people with Down syndrome (DS), and 459 were people without DS. Seventeen participants were diagnosed with dementia. The suitable cut‐off score of the DSQIID‐J was 10/11 (sensitivity 100% and specificity 96.8%) for screening dementia. The inter‐rater reliability, test–retest reliability and internal consistency of the DSQIID‐J were excellent. Regarding key items, there was no single item with 100% sensitivity, and the best two‐item combination was the pair of ‘Cannot dress without help’ and ‘Walks slower’ (sensitivity 100% and specificity 93.5%).ConclusionsWe identified several important question items of the DSQIID‐J related to the diagnosis of dementia in people with ID. The DSQIID‐J is a useful screening tool for dementia in adults with ID.