中文版《AD8》信度与效度的初步研究  

The reliability and validity of Chinese version of AD8

作　　者：李涛[1] 王华丽[1] 杨渊韩 JamesE.Galvin John C. Morris 于欣[1] 

机构地区：[1]北京大学精神卫生研究所卫生部精神卫生学重点实验室,100191 [2]中国台湾高雄医学大学神经科 [3]New York University Langone School of Medicine [4]Washington UniversitySchool of Medicine

出　　处：《中华内科杂志》2012年第10期777-780,共4页Chinese Journal of Internal Medicine

基　　金：国家自然科学基金（30500178、30971044、81171018）;科技部863计划（2007AA022421）;美国国立老龄研究所与Fogarty国际中心合作基金项目（R21AG028180-01A2）;北京大学精神卫生研究所青年基金项目（IMHYG2009-02）志谢肖卫忠、贺建华、万毅、韩宁、刘瑛、孟晓梅等专家对中文译本修订及预测试过程中的支持和反馈

摘　　要：目的检验《AD8》中文译本在Alzheimer病（AD）患者中应用的信度与效度；初步确定《AD8》中文译本区分AD患者与认知正常老人界限分值及敏感度和特异度。方法共入组240例受试者，正常对照75例，AD患者165例。正常对照和AD患者接受临床痴呆量表（CDR）、简易精神状态检查（MMSE）、画钟测验（CDT）评估。向所有正常对照及AD患者知情者询问《AD8》中文译本。其中158例AD患者知情者在1个月内重测《AD8》。结果（1）《AD8》中文译本的克朗巴赫系数d=0．78，重测信度（ICC）=0．96（P〈0．01）。（2）各条目评分问相关系数为0．36—0．69（P〈0．01）；《AD8》中文译本总分与CDR总体评分（r=0．82，P〈0．01）和各领域评分总和（r=0．80，P〈0．01）呈正相关，与MMSE（r=-0．75，P〈0．01）和CDT得分（r=-0．53，P〈0．01）呈负相关。（3）《AD8》鉴别认知正常者与AD患者的AUC=0．93，以I〉2为认知损害的界限分值，敏感度为93．9％，特异度为76．0％。结论《AD8》中文译本具有良好的信度和效度，是识别早期痴呆的一项简单敏感的筛查工具。Objective To examine the validity and reliability of the application of Chinese version of ADS among patients with Alzheimer＇s disease （AD） , and to explore the discriminative properties of AD8 including score boundaries, sensitivity and specificity in differentiating AD and normal controls. Methods A total of 240 subjects were recruited, including 75 cognitively intact subjects as normal control and 165 patients with AD. Normal control and patients with AD were assessed with Clinical Dementia Rating （ CDR）, Mini-Mental State Examination （ MMSE）, and Clock Drawing Test （CDT）. All informed normal controls and informants of patients with AD were asked about Chinese version of AD8, among which, 158 informants of patients with AD received AD8 examination again. Results （ 1 ） The Cronbach alpha for Chinese version of AD8 was 0. 78. The intraclass correlation coefficient （ICC） of retest reliability was 0. 96 （P 〈 0. 01 ） . （ 2 ） The correlation coefficients between each item of ADS ranged from 0. 36 to 0. 69 （P 〈 0. 01 ）. Chinese version of AD8 total scores were strongly positively correlated with CDR global score （r = 0. 82 ,P 〈 0. 01 ）, and CDR-SB （r = 0. 80, P 〈 0. 01 ）, and negatively correlated with the total score of MMSE （ r = - 0. 75, P 〈 0. 01 ） and CDT （ r = - 0. 53, P 〈 0. 01 ）. （ 3 ） For discrimination between normal controls and patients with AD, the AUC was 0. 93. Using a cutoff of 2 or greater on Chinese version of AD8 to discriminate dementia, the sensitivity was 93.9%, and specificity was 76. 0%. Conclusion Chinese version of ADS is a brief and sensitive screening measure with good validity and reliability.

关 键 词：阿尔茨海默病 认知障碍 (ADS) 

分 类 号：R74[医药卫生—神经病学与精神病学]