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題名：Psychometric Evaluation of The Chinese Version of The Cornell Scale for Depression in Dementia
書刊名：The Journal of Nursing Research
作者：林忠尼／王靜枝
作者(外文)：Lin, Jong-ni／Wang, Jing-jy
出版日期：2008
卷期：16:3
頁次：頁202-210
主題關鍵詞：康乃爾失智者憂鬱量表中文版；憂鬱症；失智症；Cornell scale for depression in dementia chinese version CSDD-C；Depression；Dementia
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:28
  • 點閱點閱:739
老人認知障礙常伴隨憂鬱症狀，然這類老人經常無法透過口語表達來與人進行適度溝通而使得其憂鬱症狀難以被辨識。因此，對這些認知障礙的老人進行有效且適當的憂鬱檢測有賴於可靠的觀察量表。雖然「康乃爾失智者憂鬱量表」(Cornell Scale for Depression in Dementia, CSDD)已被發展多年，且在全世界廣被使用於評估失智老人之憂鬱狀態，但至今仍無以實證基礎正式建構的中文版量表。本研究之目的為建構「康乃爾失智者憂鬱量表中文版」(Cornell Scale for Depression in Dementia Chinese version, CSDD-C)及其信效度。本研究首先進行中文翻譯和專家效度測試，之後以方便取樣於台灣南部數所長期照護機構共獲取145位失智老人為研究對象。研究工具除中文版「康乃爾失智者憂鬱量表」外，另以「老人憂鬱簡表」(Geriatric Depression Scale short form, GDS-SF)來收集資料。在效度方面，本研究結果顯示中文版的專家內容效度指標(content validity index, CVI)達.92；其與老人憂鬱簡表之同時效度(concurrent validity)為.322(p<.001)；再者，以台灣族群資料進行的因素分析所萃取之因素數量與原量表呈現一致性。在信度方面，本中文量表在間隔二週之評分者間一致性信度(inter-rater agreement)所得Kappa值為.43-.89，顯示所有題目皆達顯著穩定性；而其內在一致性信度的Cronbach's alpha 為.84。本研究結果顯示「康乃爾失智者憂鬱量表中文版」，無論是效度或信度上，皆可為協助講中文的照顧者在確認失智老人的憂鬱症狀和徵象，為一可靠及可信的工具。
Elders with cognitive impairments frequently experience concomitant unidentified depressive symptoms due to an impaired capacity for verbal communication. Therefore, determination of a valid and reliable instrument with which to detect depression in this population requires confirmation through observation. The Cornell Scale for Depression in Dementia (CSDD) has been employed worldwide. However, no formally established psychometric properties have yet been made available for its Chinese version. For this study, we attempted to translate and test the validity and reliability of the CSDD Chinese version (CSDD-C). After completing translation and expert validity, a convenient sample of 145 older adults with dementia was assessed by their caregivers in several care facilities in Southern Taiwan. The CSDD-C was administered to collect data along with the Geriatric Depression Scale short form (GDS-SF). Results found an expert content validity index (CVI) of .92 and concurrent validity between CSDD-C and GDS-SF of .322 (p<.001). The number of factors extracted through our samples is consistent with the original CSDD; inter-rater agreement over a two-week period on each item was significant (Kappa=.43-.89); and the Cronbach's alpha for internal consistency reliability was .84. Results indicate the CSDD-C to be a reliable and valid instrument to help Chinese speaking caregivers determine signs and symptoms of depression in elders with dementia under their care.
期刊論文
1.Fuh, J. L.、Liu, C. K.(2006)。Study of behavioral and psychological symptoms of dementia in Taiwan。Acta Neurologica Taiwanica，15(3)，154-160。  new window
2.董曉婷、陳桂敏(20071200)。音樂療法於改善機構失智老人認知、行為問題及憂鬱之成效探討。實證護理，3(4)，309-318。new window  延伸查詢new window
3.黃正平(20060300)。失智症之行為精神症狀。臺灣精神醫學，20(1)，3-18。new window  延伸查詢new window
4.Alexopoulos, G. S.、Abram, R. C.、Young, R. C.、Shamoian, C. A.(1988)。Cornell Scale for Depression in Dementia。Society of Biological Psychiatry，23(3)，271-284。  new window
5.Landis, J. Richard、Koch, Gary G.(1977)。The measurement of observer agreement for categorical data。Biometrics，33(1)，159-174。  new window
6.吳淑美、葉明理、車慧蓮(2006)。主要照顧者之自我充能歷程－以失智症為例。護理研究（英文版），14(3)，209-218。  延伸查詢new window
7.Chan, S. S. M.、Lam, L. C. W.、Tam, C. W. C.、Lui, V. W. C.、Chan, W. C.、Wong, S.(2008)。Prevalence of Clinically Significant Depressive Symptoms in an Epidemiologic Sample of Community-dwelling Elders with Milder Forms of Cognitive Impairment in Hong Kong SAR。International Journal of Geriatric Psychiatry，23(6)，611-617。  new window
8.Kurlowicz, L. H.、Evans, L. K.、Strumpf, N. E.、Maislin, G.(2002)。A Psychometric Evaluation of the Cornell Scale for Depression in Dementia in a Frail Nursing Home Population。American Journal of Geriatric Psychiatry，10(5)，600-608。  new window
9.邱銘章、陳達夫、Yip, Ping-Keung、花茂棽、Tang, Li-Yu(2006)。Behavioral and Psychologic Symptoms in Different Types of Dementia。Journal of the Formosan Medical Association，105(7)，556-562。  new window
10.Bierman, E.、Comijs, H. C.、Jonker, C.(2005)。Effects of Anxiety versus Depression on Cognition in Later Life。American Association for Geriatric Psychiatry，13(8)，686-693。  new window
11.Purandare, N.、Burns, A.、Craig, S.、Faragher, B.、Scott, K.(2001)。Depressive Symptoms in Patients with Alzheimer's Disease。International Journal of Geriatric Psychiatry，16(10)，960-964。  new window
12.Schreiner, A. S.、Morimoto, T.(2002)。Factor Structure of the Cornell Scale for Depression in Dementia among Japanese Poststroke Patients。International Journal of Geriatric Psychiatry，17(8)，715-722。  new window
13.Schreiner, A. S.、Hayakawa, H.、Morinoto, T.、Kakuma, T.(2003)。Screening for Late Life Depression: Cut-off Scores for the GDS and CSDD among Japanese Subjects。International Journal of Geriatric Psychiatry，18(6)，498-505。  new window
14.Muller-Thomsen, T.、Arlt, S.、Mann, U.、MaB, R.、Ganzer, S.(2005)。Detecting Depression in Alzheimer's Disease: Evaluation of Four Different Scales。Archives of Clinical Neuropsychology，20(2)，271-276。  new window
15.Wong, C. H. Y.、Lam, L. C. W.、Lui, V. W. C.、Chiu, H. F. K.、Chan, S. S. M.、Tam, C. W. C.(2006)。Subjective Complaints and Self-evaluation of Memory Test Performance in Questionable Dementia。International Journal of Geriatric Psychiatry，21(10)，937-944。  new window
16.Snowdon, J.、Fleming, R.(2008)。Recognising Depression in Residential Facilities: An Australian Challenge。International Journal of Geriatric Psychiatry，23(3)，295-300。  new window
17.Rubio, D. M.、Berg-Weger, M.、Tebb, S. S.、Lee, E. S.、Rauch, S.(2003)。Objectifying Content Validity: Conducting a Content Validity Study in Social Work Research。Social Work Research，27(2)，94-105。  new window
18.Waite, A.、Bebbington, P.、Skelton-Robinson, M.、Orrell, M.(2004)。Life Events, Depression and Social Support in Dementia。British Journal of Clinical Psychology，43(3)，313-324。  new window
19.Davis, L.(1992)。Instrument Review: Getting the Most from a Panel of Experts。Applied Nursing Research，5(4)，194-197。  new window
20.Chan, A. C.(1996)。Clinical Validation of Geriatric Depression Scale (GDS): Chinese Version。Journal of Aging and Health，8(2)，238-253。  new window
圖書
1.Munro, B. H.(2005)。Statistical methods for health care research。Philadelphia, PA：Lippincott Williams and Wilkins。  new window
2.Sheikh, V. I.、Yesavage, V. A.(1984)。Geriatric Depression Scale (GDS): Recent Evidence and Development of A Shorter Version。Clinical Gerontology: A guide to Assessment and Intervention。New York, NY。  new window
3.Leininger, M. M.(1991)。The Theory of Culture Care Diversity and University。Culture Care Diversity and University: A Theory of Nursing。New York。  new window
其他
1.內政部戶政司(2006)。近年我國老年人口數一覽表，http://sowf.moi.gov.tw/04/07/1/1-03.htm， 20070427。  延伸查詢new window
 
 
 
 
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