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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Neuropsychiatric Inventory-Clinician rating scale (NPI-C): reliability and validity of a revised assessment of neuropsychiatric symptoms in dementia</title><author><name sortKey="De Medeiros, K" sort="De Medeiros, K" uniqKey="De Medeiros K" first="K." last="De Medeiros">K. De Medeiros</name><affiliation><nlm:aff id="A1">The Copper Ridge Institute, Sykesville, Maryland, U.S.A</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Robert, P" sort="Robert, P" uniqKey="Robert P" first="P." last="Robert">P. Robert</name><affiliation><nlm:aff id="A3">Centre Mémoire de Ressources et de Recherche – CHU – Nice–Sophia Antipolis University, France</nlm:aff></affiliation></author><author><name sortKey="Gauthier, S" sort="Gauthier, S" uniqKey="Gauthier S" first="S." last="Gauthier">S. Gauthier</name><affiliation><nlm:aff id="A4">McGill Center for Studies in Aging, Montreal, Canada</nlm:aff></affiliation></author><author><name sortKey="Stella, F" sort="Stella, F" uniqKey="Stella F" first="F." last="Stella">F. Stella</name><affiliation><nlm:aff id="A5">UNESP – São Paulo State University, Biosciences Institute, Rio Claro, SP, Brazil</nlm:aff></affiliation></author><author><name sortKey="Politis, A" sort="Politis, A" uniqKey="Politis A" first="A." last="Politis">A. Politis</name><affiliation><nlm:aff id="A6">Division of Geriatric Psychiatry, Egnition Hopsital, Athens Hospital, Athens, Greece</nlm:aff></affiliation></author><author><name sortKey="Leoutsakos, J" sort="Leoutsakos, J" uniqKey="Leoutsakos J" first="J." last="Leoutsakos">J. Leoutsakos</name><affiliation><nlm:aff id="A2">Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A</nlm:aff></affiliation><affiliation><nlm:aff id="A15">Department of Psychiatry, Johns Hopkins Bayview, Baltimore, Maryland, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Taragano, F" sort="Taragano, F" uniqKey="Taragano F" first="F." last="Taragano">F. Taragano</name><affiliation><nlm:aff id="A7">CEMIC, University Hospital Dementia Research Unit, Buenos Aires, Argentina</nlm:aff></affiliation></author><author><name sortKey="Kremer, J" sort="Kremer, J" uniqKey="Kremer J" first="J." last="Kremer">J. Kremer</name><affiliation><nlm:aff id="A8">Institute Privado Kremer, Cordoba, Argentina</nlm:aff></affiliation></author><author><name sortKey="Brugnolo, A" sort="Brugnolo, A" uniqKey="Brugnolo A" first="A." last="Brugnolo">A. Brugnolo</name><affiliation><nlm:aff id="A9">Department of Neurosciences, DINOG, Genoa, Italy</nlm:aff></affiliation></author><author><name sortKey="Porsteinsson, A P" sort="Porsteinsson, A P" uniqKey="Porsteinsson A" first="A. P." last="Porsteinsson">A. P. Porsteinsson</name><affiliation><nlm:aff id="A10">AD-CARE, University of Rochester School of Medicine and Dentistry, Rochester, New York, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Geda, Y E" sort="Geda, Y E" uniqKey="Geda Y" first="Y. E." last="Geda">Y. E. Geda</name><affiliation><nlm:aff id="A11">Mayo Clinic, Rochester, Minnesota, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Brodaty, H" sort="Brodaty, H" uniqKey="Brodaty H" first="H." last="Brodaty">H. Brodaty</name><affiliation><nlm:aff id="A12">Dementia Collaborative Research Centre, University of South Wales, Sydney, Australia</nlm:aff></affiliation></author><author><name sortKey="Gazdag, G" sort="Gazdag, G" uniqKey="Gazdag G" first="G." last="Gazdag">G. Gazdag</name><affiliation><nlm:aff id="A13">1st Department of Psychiatry and Psychiatric Rehabilitation, Jahn Ferenc Hospital, Budapest, Hungary</nlm:aff></affiliation></author><author><name sortKey="Cummings, J" sort="Cummings, J" uniqKey="Cummings J" first="J." last="Cummings">J. Cummings</name><affiliation><nlm:aff id="A14">Department of Neurology, University of California, Los Angeles, California, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Lyketsos, C" sort="Lyketsos, C" uniqKey="Lyketsos C" first="C." last="Lyketsos">C. Lyketsos</name><affiliation><nlm:aff id="A2">Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A</nlm:aff></affiliation><affiliation><nlm:aff id="A15">Department of Psychiatry, Johns Hopkins Bayview, Baltimore, Maryland, U.S.A</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20594384</idno><idno type="pmc">3314709</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314709</idno><idno type="RBID">PMC:3314709</idno><idno type="doi">10.1017/S1041610210000876</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">001551</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001551</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Neuropsychiatric Inventory-Clinician rating scale (NPI-C): reliability and validity of a revised assessment of neuropsychiatric symptoms in dementia</title><author><name sortKey="De Medeiros, K" sort="De Medeiros, K" uniqKey="De Medeiros K" first="K." last="De Medeiros">K. De Medeiros</name><affiliation><nlm:aff id="A1">The Copper Ridge Institute, Sykesville, Maryland, U.S.A</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Robert, P" sort="Robert, P" uniqKey="Robert P" first="P." last="Robert">P. Robert</name><affiliation><nlm:aff id="A3">Centre Mémoire de Ressources et de Recherche – CHU – Nice–Sophia Antipolis University, France</nlm:aff></affiliation></author><author><name sortKey="Gauthier, S" sort="Gauthier, S" uniqKey="Gauthier S" first="S." last="Gauthier">S. Gauthier</name><affiliation><nlm:aff id="A4">McGill Center for Studies in Aging, Montreal, Canada</nlm:aff></affiliation></author><author><name sortKey="Stella, F" sort="Stella, F" uniqKey="Stella F" first="F." last="Stella">F. Stella</name><affiliation><nlm:aff id="A5">UNESP – São Paulo State University, Biosciences Institute, Rio Claro, SP, Brazil</nlm:aff></affiliation></author><author><name sortKey="Politis, A" sort="Politis, A" uniqKey="Politis A" first="A." last="Politis">A. Politis</name><affiliation><nlm:aff id="A6">Division of Geriatric Psychiatry, Egnition Hopsital, Athens Hospital, Athens, Greece</nlm:aff></affiliation></author><author><name sortKey="Leoutsakos, J" sort="Leoutsakos, J" uniqKey="Leoutsakos J" first="J." last="Leoutsakos">J. Leoutsakos</name><affiliation><nlm:aff id="A2">Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A</nlm:aff></affiliation><affiliation><nlm:aff id="A15">Department of Psychiatry, Johns Hopkins Bayview, Baltimore, Maryland, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Taragano, F" sort="Taragano, F" uniqKey="Taragano F" first="F." last="Taragano">F. Taragano</name><affiliation><nlm:aff id="A7">CEMIC, University Hospital Dementia Research Unit, Buenos Aires, Argentina</nlm:aff></affiliation></author><author><name sortKey="Kremer, J" sort="Kremer, J" uniqKey="Kremer J" first="J." last="Kremer">J. Kremer</name><affiliation><nlm:aff id="A8">Institute Privado Kremer, Cordoba, Argentina</nlm:aff></affiliation></author><author><name sortKey="Brugnolo, A" sort="Brugnolo, A" uniqKey="Brugnolo A" first="A." last="Brugnolo">A. Brugnolo</name><affiliation><nlm:aff id="A9">Department of Neurosciences, DINOG, Genoa, Italy</nlm:aff></affiliation></author><author><name sortKey="Porsteinsson, A P" sort="Porsteinsson, A P" uniqKey="Porsteinsson A" first="A. P." last="Porsteinsson">A. P. Porsteinsson</name><affiliation><nlm:aff id="A10">AD-CARE, University of Rochester School of Medicine and Dentistry, Rochester, New York, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Geda, Y E" sort="Geda, Y E" uniqKey="Geda Y" first="Y. E." last="Geda">Y. E. Geda</name><affiliation><nlm:aff id="A11">Mayo Clinic, Rochester, Minnesota, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Brodaty, H" sort="Brodaty, H" uniqKey="Brodaty H" first="H." last="Brodaty">H. Brodaty</name><affiliation><nlm:aff id="A12">Dementia Collaborative Research Centre, University of South Wales, Sydney, Australia</nlm:aff></affiliation></author><author><name sortKey="Gazdag, G" sort="Gazdag, G" uniqKey="Gazdag G" first="G." last="Gazdag">G. Gazdag</name><affiliation><nlm:aff id="A13">1st Department of Psychiatry and Psychiatric Rehabilitation, Jahn Ferenc Hospital, Budapest, Hungary</nlm:aff></affiliation></author><author><name sortKey="Cummings, J" sort="Cummings, J" uniqKey="Cummings J" first="J." last="Cummings">J. Cummings</name><affiliation><nlm:aff id="A14">Department of Neurology, University of California, Los Angeles, California, U.S.A</nlm:aff></affiliation></author><author><name sortKey="Lyketsos, C" sort="Lyketsos, C" uniqKey="Lyketsos C" first="C." last="Lyketsos">C. Lyketsos</name><affiliation><nlm:aff id="A2">Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A</nlm:aff></affiliation><affiliation><nlm:aff id="A15">Department of Psychiatry, Johns Hopkins Bayview, Baltimore, Maryland, U.S.A</nlm:aff></affiliation></author></analytic><series><title level="j">International Psychogeriatrics / Ipa</title><idno type="ISSN">1041-6102</idno><idno type="eISSN">1741-203X</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Neuropsychiatric symptoms (NPS) affect almost all patients with dementia and are a major focus of study and treatment. Accurate assessment of NPS through valid, sensitive and reliable measures is crucial. Although current NPS measures have many strengths, they also have some limitations (e.g. acquisition of data is limited to informants or caregivers as respondents, limited depth of items specific to moderate dementia). Therefore, we developed a revised version of the NPI, known as the NPI-C. The NPI-C includes expanded domains and items, and a clinician-rating methodology. This study evaluated the reliability and convergent validity of the NPI-C at ten international sites (seven languages).</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Face validity for 78 new items was obtained through a Delphi panel. A total of 128 dyads (caregivers/patients) from three severity categories of dementia (mild = 58, moderate = 49, severe = 21) were interviewed separately by two trained raters using two rating methods: the original NPI interview and a clinician-rated method. Rater 1 also administered four additional, established measures: the Apathy Evaluation Scale, the Brief Psychiatric Rating Scale, the Cohen-Mansfield Agitation Index, and the Cornell Scale for Depression in Dementia. Intraclass correlations were used to determine inter-rater reliability. Pearson correlations between the four relevant NPI-C domains and their corresponding outside measures were used for convergent validity.</p></sec><sec id="S3"><title>Results</title><p id="P3">Inter-rater reliability was strong for most items. Convergent validity was moderate (apathy and agitation) to strong (hallucinations and delusions; agitation and aberrant vocalization; and depression) for clinician ratings in NPI-C domains.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Overall, the NPI-C shows promise as a versatile tool which can accurately measure NPS and which uses a uniform scale system to facilitate data comparisons across studies.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9007918</journal-id><journal-id journal-id-type="pubmed-jr-id">1188</journal-id><journal-id journal-id-type="nlm-ta">Int Psychogeriatr</journal-id><journal-id journal-id-type="iso-abbrev">Int Psychogeriatr</journal-id><journal-title-group><journal-title>International Psychogeriatrics / Ipa</journal-title></journal-title-group><issn pub-type="ppub">1041-6102</issn><issn pub-type="epub">1741-203X</issn></journal-meta><article-meta><article-id pub-id-type="pmid">20594384</article-id><article-id pub-id-type="pmc">3314709</article-id><article-id pub-id-type="doi">10.1017/S1041610210000876</article-id><article-id pub-id-type="manuscript">NIHMS358489</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The Neuropsychiatric Inventory-Clinician rating scale (NPI-C): reliability and validity of a revised assessment of neuropsychiatric symptoms in dementia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>de Medeiros</surname><given-names>K.</given-names></name><xref rid="A1" ref-type="aff">1</xref><xref rid="A2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Robert</surname><given-names>P.</given-names></name><xref rid="A3" ref-type="aff">3</xref></contrib><contrib contrib-type="author"><name><surname>Gauthier</surname><given-names>S.</given-names></name><xref rid="A4" ref-type="aff">4</xref></contrib><contrib contrib-type="author"><name><surname>Stella</surname><given-names>F.</given-names></name><xref rid="A5" ref-type="aff">5</xref></contrib><contrib contrib-type="author"><name><surname>Politis</surname><given-names>A.</given-names></name><xref rid="A6" ref-type="aff">6</xref></contrib><contrib contrib-type="author"><name><surname>Leoutsakos</surname><given-names>J.</given-names></name><xref rid="A2" ref-type="aff">2</xref><xref rid="A15" ref-type="aff">15</xref></contrib><contrib contrib-type="author"><name><surname>Taragano</surname><given-names>F.</given-names></name><xref rid="A7" ref-type="aff">7</xref></contrib><contrib contrib-type="author"><name><surname>Kremer</surname><given-names>J.</given-names></name><xref rid="A8" ref-type="aff">8</xref></contrib><contrib contrib-type="author"><name><surname>Brugnolo</surname><given-names>A.</given-names></name><xref rid="A9" ref-type="aff">9</xref></contrib><contrib contrib-type="author"><name><surname>Porsteinsson</surname><given-names>A. P.</given-names></name><xref rid="A10" ref-type="aff">10</xref></contrib><contrib contrib-type="author"><name><surname>Geda</surname><given-names>Y. E.</given-names></name><xref rid="A11" ref-type="aff">11</xref></contrib><contrib contrib-type="author"><name><surname>Brodaty</surname><given-names>H.</given-names></name><xref rid="A12" ref-type="aff">12</xref></contrib><contrib contrib-type="author"><name><surname>Gazdag</surname><given-names>G.</given-names></name><xref rid="A13" ref-type="aff">13</xref></contrib><contrib contrib-type="author"><name><surname>Cummings</surname><given-names>J.</given-names></name><xref rid="A14" ref-type="aff">14</xref></contrib><contrib contrib-type="author"><name><surname>Lyketsos</surname><given-names>C.</given-names></name><xref rid="A2" ref-type="aff">2</xref><xref rid="A15" ref-type="aff">15</xref></contrib><on-behalf-of>for the NPI-C Research Group</on-behalf-of></contrib-group><aff id="A1"><label>1</label>The Copper Ridge Institute, Sykesville, Maryland, U.S.A</aff><aff id="A2"><label>2</label>Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A</aff><aff id="A3"><label>3</label>Centre Mémoire de Ressources et de Recherche – CHU – Nice–Sophia Antipolis University, France</aff><aff id="A4"><label>4</label>McGill Center for Studies in Aging, Montreal, Canada</aff><aff id="A5"><label>5</label>UNESP – São Paulo State University, Biosciences Institute, Rio Claro, SP, Brazil</aff><aff id="A6"><label>6</label>Division of Geriatric Psychiatry, Egnition Hopsital, Athens Hospital, Athens, Greece</aff><aff id="A7"><label>7</label>CEMIC, University Hospital Dementia Research Unit, Buenos Aires, Argentina</aff><aff id="A8"><label>8</label>Institute Privado Kremer, Cordoba, Argentina</aff><aff id="A9"><label>9</label>Department of Neurosciences, DINOG, Genoa, Italy</aff><aff id="A10"><label>10</label>AD-CARE, University of Rochester School of Medicine and Dentistry, Rochester, New York, U.S.A</aff><aff id="A11"><label>11</label>Mayo Clinic, Rochester, Minnesota, U.S.A</aff><aff id="A12"><label>12</label>Dementia Collaborative Research Centre, University of South Wales, Sydney, Australia</aff><aff id="A13"><label>13</label>1st Department of Psychiatry and Psychiatric Rehabilitation, Jahn Ferenc Hospital, Budapest, Hungary</aff><aff id="A14"><label>14</label>Department of Neurology, University of California, Los Angeles, California, U.S.A</aff><aff id="A15"><label>15</label>Department of Psychiatry, Johns Hopkins Bayview, Baltimore, Maryland, U.S.A</aff><author-notes><corresp id="FN1">Correspondence should be addressed to: Kate de Medeiros, The Copper Ridge Institute, 710 Obrecht Road, Sykesville, Maryland, 21784, U.S.A.. Phone: +1 (410) 552-3201; Fax: +1 (410) 552-0344. <email>kdemed1@umbc.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>13</day><month>3</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>1</day><month>7</month><year>2010</year></pub-date><pub-date pub-type="ppub"><month>9</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>28</day><month>3</month><year>2012</year></pub-date><volume>22</volume><issue>6</issue><fpage>984</fpage><lpage>994</lpage><permissions><copyright-statement>© International Psychogeriatric Association 2010</copyright-statement><copyright-year>2010</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">Neuropsychiatric symptoms (NPS) affect almost all patients with dementia and are a major focus of study and treatment. Accurate assessment of NPS through valid, sensitive and reliable measures is crucial. Although current NPS measures have many strengths, they also have some limitations (e.g. acquisition of data is limited to informants or caregivers as respondents, limited depth of items specific to moderate dementia). Therefore, we developed a revised version of the NPI, known as the NPI-C. The NPI-C includes expanded domains and items, and a clinician-rating methodology. This study evaluated the reliability and convergent validity of the NPI-C at ten international sites (seven languages).</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Face validity for 78 new items was obtained through a Delphi panel. A total of 128 dyads (caregivers/patients) from three severity categories of dementia (mild = 58, moderate = 49, severe = 21) were interviewed separately by two trained raters using two rating methods: the original NPI interview and a clinician-rated method. Rater 1 also administered four additional, established measures: the Apathy Evaluation Scale, the Brief Psychiatric Rating Scale, the Cohen-Mansfield Agitation Index, and the Cornell Scale for Depression in Dementia. Intraclass correlations were used to determine inter-rater reliability. Pearson correlations between the four relevant NPI-C domains and their corresponding outside measures were used for convergent validity.</p></sec><sec id="S3"><title>Results</title><p id="P3">Inter-rater reliability was strong for most items. Convergent validity was moderate (apathy and agitation) to strong (hallucinations and delusions; agitation and aberrant vocalization; and depression) for clinician ratings in NPI-C domains.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Overall, the NPI-C shows promise as a versatile tool which can accurately measure NPS and which uses a uniform scale system to facilitate data comparisons across studies.</p></sec></abstract><kwd-group><kwd>dementia</kwd><kwd>Alzheimer’s disease</kwd><kwd>neuropsychiatric symptoms</kwd><kwd>depression</kwd><kwd>apathy</kwd><kwd>agitation</kwd><kwd>neuropsychiatric inventory</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute on Aging : NIA</funding-source><award-id>P50 AG005146-28 || AG</award-id></award-group><award-group><funding-source country="United States">National Institute on Aging : NIA</funding-source><award-id>P50 AG005146-27 || AG</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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