Reliability and validity of the Japanese version of the Biological Rhythms Interview of assessment in neuropsychiatry-self report for delayed sleep-wake phase disorder

Reliability and validity of the Japanese version of the Biological Rhythms Interview of assessment in neuropsychiatry-self report for delayed sleep-wake phase disorder
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DOI:
10.1016/j.sleep.2021.02.009
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发表时间:
2021-03-17
期刊:
影响因子:
4.8
通讯作者:
Inoue, Yuichi
Inoue, Yuichi
中科院分区:
医学2区
文献类型:
--
作者:
Kanda, Yuta;Takaesu, Yoshikazu;Inoue, Yuichi

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目的:神经精神病学评估的生物节律访谈(BRAN)可用于评估延迟睡眠-觉醒相障碍(DSWPD)。本研究旨在探讨日文版布赖恩自评量表(J-BIAN-SR)在DSWPD患者中的信度和效度,并确定一个临界值来识别障碍的存在。方法:我们招募了60名新诊断的DSWPD门诊患者和年龄匹配的健康对照组。我们使用克朗巴赫的内部信度α来评估J-Brian-SR。用皮尔逊相关系数对A检验和重测的可靠性进行了验证。采用验证性因素分析对J-Brian-SR的因子结构进行评价,并参考晨晚问卷(MEQ)进行效度检验。分析受试者工作特征曲线(ROC)以确定存在DSWPD时J-Brian-SR的分界点。结果:J-Brian-SR的18个分值的总体信度系数(Cronbach‘sα)为0.82。我们使用组内相关系数(r=0.84)证实了较高的重测信度。J-Brian-SR与MEQ的相关系数为0.38(p=0.003)。通过探索性因素分析提取的J-Brian-SR由三个因素组成。以40分为标准,诊断DSWPD阳性的敏感性为80.0%,特异性为75.6%。结论:J-Brian-SR是筛选和评估DSWPD严重程度的有效工具。我们的发现将对日本的医生和患者以及临床环境中的人有用。(C)爱思唯尔出版的《2021年》。
Objective: The Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN) might be applicable for assessing delayed sleep-wake phase disorder (DSWPD). We aimed to investigate the reliability and validity of the Japanese version of the BRIAN self-report (J-BRIAN-SR) in DSWPD patients and determine a cutoff score to identify the presence of the disorder.Methods: We enrolled 60 newly diagnosed DSWPD outpatients and 64 age-matched healthy controls. We used Cronbach's alpha for internal reliability to evaluate J-BRIAN-SR. We confirmed the reliability of the A test and re-test using Pearson's correlation coefficient in the controls. We used confirmatory factor analysis to evaluate the factor structure of J-BRIAN-SR and referenced the Morningness-Eveningness Questionnaire (MEQ) to check concurrent validity. We analyzed the receiver operating characteristic curve (ROC) to determine the J-BRIAN-SR cutoff point for the presence of DSWPD.Results: The 18-component scores of the J-BRIAN-SR had an overall reliability coefficient (Cronbach's alpha) of 0.82. We confirmed a high test-retest reliability using an intraclass correlation coefficient (r = 0.84). The correlation between J-BRIAN-SR and MEQ was 0.38 (p = 0.003). The J-BRIAN-SR that we extracted by exploratory factor analysis consisted of three factors. A score of 40 points provided a sensitivity of 80.0% and a specificity of 75.6% for the positivity of DSWPD.Conclusions: The results of the present study revealed that J-BRIAN-SR is a valid and reliable instrument for screening and evaluating the severity of DSWPD. Our findings will be useful to physicians and patients in Japan and those in clinical settings. (C) 2021 Published by Elsevier B.V.