The Italian version of the Zarit Burden Interview: a validation study
The Italian version of the Zarit Burden Interview: a validation study
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DOI：
10.1017/s1041610210002218
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发表时间：
2011-06-01
影响因子：
7
通讯作者：
Bergonzini, Elisa
中科院分区：
文献类型：
--
作者：
Chattat, Rabih;Cortesi, Valeria;Bergonzini, Elisa
背景：痴呆症患者的护理经历可能对护理者自身的身心健康产生不利影响。Zarit Burden Interview （ZBI）是目前使用最广泛的家庭照顾者负担评估工具，本研究的目的是评估意大利语版ZBI （I-ZBI）的心理测量特性。方法：根据DSM-IV标准，将I-ZBI应用于273名护理人员的非随机样本中，这些护理人员连续就诊于先前确定的初级诊断为痴呆的门诊患者。本工具的结构效度测量采用一般健康问卷（GHQ-12）、医院焦虑抑郁量表（HADS）和症状检查表-90-修订版（SCL-90-R）。评估了量表的效度和信度，并对量表的因子结构进行了评估。结果：照顾者以儿童（65%）、女性（72%）和与患者同住者（53%）居多，负担程度较高。I-ZBI具有良好的信度，内部一致性高（alpha = 0.90），分半相关为0.78，与其他评估工具具有良好的并行效度。得到了I-ZBI的五因子解，ZBI原来的双因子结构没有得到证实。结论：意大利版的Zarit负担访谈是有效、可靠和有用的，可用于临床背景和未来的研究，可以更好地了解痴呆症的护理人员负担。厘清ZBI的析因结构将有助于进一步理解使用它的大量研究，也将有助于促进对主观负担的理解。
Background: Caregiving experiences in dementia may have adverse effects on the caregiver's own physical and mental health. The Zarit Burden Interview (ZBI) is the most widely used instrument for assessing family carer burden and the purpose of the present study was to evaluate the psychometric properties of the Italian version of the ZBI (I-ZBI).Methods: I-ZBI was administered to a non-randomized sample of 273 caregivers related to consecutively attending outpatients with a previously established primary diagnosis of dementia, according to DSM-IV criteria. Measurements used for the construct validity of the instrument were the General Health Questionnaire (GHQ-12), Hospital Anxiety and Depression Scale (HADS) and the Symptom Checklist-90-Revised (SCL-90-R). Validity and reliability were evaluated, as well as the factor structure of the instrument.Results: Most caregivers were children (65%), female (72%) and living with the patient (53%), with quite a high level of burden. The I-ZBI demonstrates good reliability with high internal consistency (alpha = 0.90) and split-half correlation of 0.78, and good concurrent validity with other assessment tools. A five-factor solution was obtained for the I-ZBI and the original bi-factorial structure of the ZBI was not confirmed.Conclusions: The Italian version of the Zarit Burden Interview is valid, reliable and useful for use in clinical contexts and in future studies that could lead to a better understanding of carer burden in dementia. Clarifying the factorial structure of the ZBI would help to further the understanding of the large body of research using it and would also help to advance the understanding of subjective burden.