Are the available apathy measures reliable and valid? A review of the psychometric evidence.
Are the available apathy measures reliable and valid? A review of the psychometric evidence.
复制标题
DOI：
10.1016/j.jpsychores.2010.01.012
复制
发表时间：
2011-01
影响因子：
4.7
通讯作者：
Marin, Robert S.
中科院分区：
文献类型：
--
作者：
Clarke, Diana E.;Ko, Jean Y.;Kuhl, Emily A.;van Reekum, Robert;Salvador, Rocio;Marin, Robert S.
冷漠在神经精神病人群中非常普遍，并且与更高的发病率和更差的功能结果相关。尽管如此，它仍然没有得到充分研究和了解，这主要是由于缺乏共识定义和明确的冷漠诊断标准。如果没有定义和衡量冷漠的黄金标准，则必须提供可靠的经验衡量标准。本文对最常用的冷漠测量方法进行了心理测量回顾，并提供了使用和进一步研究的建议。我们检索了相关文献数据库，以确定所有可用的 18 岁及以上成年人冷漠评估工具。检查了量表的信度和效度的证据。如果验证文章是用英语撰写的，则还会评估量表的替代变体（例如非英语版本）。检查了十五个冷漠量表或子量表。用于评估任何疾病人群的冷漠情绪的最有力的心理测量指标似乎是冷漠评估量表和基于本综述中设定的标准的神经精神量表的冷漠子量表。对于特定人群的评估，阿尔茨海默病痴呆患者的痴呆冷漠访谈和评级、精神分裂症人群的阳性和阴性症状量表以及额颞叶缺陷患者的额叶系统行为量表是可靠且有效的措施。临床医生和研究人员有许多冷漠量表可用于广泛的和特定疾病的神经精神人群。我们对冷漠的理解将通过研究来推进，这些研究有助于就冷漠的定义和诊断达成共识，并进一步完善所有冷漠评估工具的心理测量特性。
Apathy is highly prevalent among neuropsychiatric populations and is associated with greater morbidity and worse functional outcomes. Despite this, it remains understudied and poorly understood, primarily due to lack of consensus definition and clear diagnostic criteria for apathy. Without a gold standard for defining and measuring apathy, the availability of empirically sound measures is imperative. This paper provides a psychometric review of the most commonly used apathy measures and provides recommendations for use and further research. Pertinent literature databases were searched to identify all available assessment tools for apathy in adults aged 18 and older. Evidence of the reliability and validity of the scales were examined. Alternate variations of scales (e.g., non-English versions) were also evaluated if the validating articles were written in English. Fifteen apathy scales or subscales were examined. The most psychometrically robust measures for assessing apathy across any disease population appear to be the Apathy Evaluation Scale and the apathy subscale of the Neuropsychiatric Inventory based on the criteria set in this review. For assessment in specific populations, the Dementia Apathy Interview and Rating for patients with Alzheimer’s dementia, the Positive and Negative Symptom Scale for schizophrenia populations, and the Frontal System Behavior Scale for patients with fronto-temporal deficits are reliable and valid measures. Clinicians and researchers have numerous apathy scales for use in broad and disease-specific neuropsychiatric populations. Our understanding of apathy would be advanced by research that helps build a consensus as to the definition and diagnosis of apathy, and further refine the psychometric properties of all apathy assessment tools.
登录
查看更多内容
影响因子：
9.9
作者：
Cummings, JL
通讯作者：
Cummings, JL
影响因子：
8.6
作者：
Dujardin, Kathy;Sockeel, Pascal;Defebvre, Luc
通讯作者：
Defebvre, Luc
影响因子：
1.9
作者：
BELL, M;MILSTEIN, R;CICCHETTI, D
通讯作者：
CICCHETTI, D
影响因子：
2.4
作者：
de Vugt, Marjolein E.;Riedijk, Samantha R.;Verhey, Frans R. J.
通讯作者：
Verhey, Frans R. J.
影响因子：
6.7
作者：
Figved, N;Klevan, G;Aarsland, D
通讯作者：
Aarsland, D