THE ST-HANS RATING-SCALE FOR EXTRAPYRAMIDAL SYNDROMES - RELIABILITY AND VALIDITY
THE ST-HANS RATING-SCALE FOR EXTRAPYRAMIDAL SYNDROMES - RELIABILITY AND VALIDITY
复制标题
DOI：
10.1111/j.1600-0447.1993.tb03366.x
复制
发表时间：
1993-04-01
影响因子：
6.7
通讯作者：
CASEY, DE
中科院分区：
文献类型：
--
作者：
GERLACH, J;KORSGAARD, S;CASEY, DE
St. Hans评定量表（SHRS）是一种多维度评定量表，用于评估抗精神病药诱导的运动过度、帕金森症、静坐不能和肌张力障碍。本量表和异常不自主运动量表（AIMS）由7名评定者（2名有经验，2名经验不足，3名完全没有经验）对30例迟发性运动障碍（TD）患者进行测试。在相同的患者中进行3次测试：1）在录像期间进行实时评估，2）2周后从录像带进行评估，以及3）再过2周后从同一录像带进行评估。有经验组的信度较高（SHRS运动过度量表为0.91-0.96，AIMS为0.80-0.84，SHRS完全性帕金森综合征为0.82-0.97）。从实时到视频评价未发生显著变化。经验组的评定者间信度系数也很高：SHRS运动过度量表为0.89-0.95，AIMS量表为0.76-0.85，SHRS帕金森症量表为0.95-0.98。经验不足和缺乏经验的评分员的内部和评分员间的可靠性系数分别为0.10和0.20低。SHRS帕金森综合征量表具有较高的结构效度，Cronbach和Loevinger的同质性系数分别为0.82和0.43。运动过度量表的相应系数较低，与TD的个体分布一致（仅约50%存在肢体运动障碍，不到25%存在面部、头部和躯干运动障碍，与综合征的严重程度无关）。最后，收敛效度之间的SHRS运动过度量表和AIMS和发散效度之间的所有其他量表。它的结论是，SHRS代表了一个容易完成的，可靠的，有效的和敏感的锥体外系症状，可以使用和不录像带的评级量表。
The St. Hans Rating Scale (SHRS) is a multidimensional rating scale for the evaluation of neuroleptic-induced hyperkinesia, parkinsonism, akathisia and dystonia. This scale and the Abnormal Involuntary Movement Scale (AIMS) were tested by 7 raters (2 experienced, 2 less experienced and 3 totally inexperienced) in 30 psychiatric patients with tardive dyskinesia (TD). The test was performed 3 times in the same patients: 1) live evaluation during a video recording, 2) evaluation 2 weeks later from the videotape, and 3) evaluation after another 2 weeks from the same videotape. The intrarater reliability was high in the experienced group (0.91-0.96 for SHRS hyperkinesia scale, 0.80-0.84 for AIMS, and 0.82-0.97 for SHRS total parkinsonism). No significant changes occurred from live to video evaluation. The interrater reliability coefficient for the experienced group was also high: 0.89-0.95 for the SHRS hyperkinesia scale, 0.76-0.85 for the AIMS scale and 0.95-0.98 for the SHRS parkinsonism scale. The less experienced and the inexperienced raters had coefficients for intra- and interrater reliability that were 0.10 and 0.20 lower, respectively. The SHRS parkinsonism scale had a high construct validity, as determined by the homogeneity coefficients of Cronbach (0.82) and Loevinger (0.43). The corresponding coefficients for the hyperkinesia scales were low, in agreement with the individual distribution of TD (only about 50% present extremity dyskinesia and less than 25% facial, head and trunk dyskinesia, independent of the severity of the syndrome). Finally, convergent validity was found between the SHRS hyperkinesia scale and AIMS and divergent validity between all of the other scales. It is concluded that the SHRS represents an easily completed, reliable, valid and sensitive rating scale for extrapyramidal symptoms that can be used with and without videotapes.