Validation of the Brazilian version of the Apathy Inventory
Identifieur interne : 000F45 ( Main/Exploration ); précédent : 000F44; suivant : 000F46Validation of the Brazilian version of the Apathy Inventory
Auteurs : Florindo Stella [Brésil] ; Larissa Pires De Andrade [Brésil] ; Marcelo Garuffi [Brésil] ; Thays Martins Vital [Brésil] ; Salma Stephany Soleman Hernandez [Brésil] ; Marcela Ruocco [Brésil] ; Elisandra Villela Gasparetto Se [Brésil] ; Margarete Klein [Brésil] ; Tânia Martins [Brésil] ; Philippe H. Robert [France]Source :
- International journal of geriatric psychiatry [ 0885-6230 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Brésil.
- topic : Personne âgée, Gérontologie, Psychiatrie.
English descriptors
- KwdEn :
Abstract
Background: Apathy is a frequent neuropsychiatric condition in neurodegenerative disorders, depression, and often in mild cognitive impairment. The Apathy Inventory (AI) is a reliable instrument for improving the accuracy of the apathy diagnosis. The aim was to establish the validity of the Apathy Inventory for the Brazilian community. Methods: We established the concurrent validity, internal consistency, inter-rater reliability, and the sensitivity and specificity of AI for the Brazilian community in a cohort of 175 individuals with Alzheimer's disease, Parkinson's disease, depression, mild cognitive impairment, and healthy controls. The three dimensions of the AI (emotional blunting, lack of initiative, and lack of interest) were compared with the Apathy domain of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C) in an independent scheme. Results: The analyses demonstrated high correlation coefficients in AI's individual dimensions and in AI-total score (F = 0.965). Concerning the NPI-C/Apathy domain, intra-class correlation coefficients were also high (F = 0.977). Concurrent validity was high according to both raters on AI dimensions × NPI-C/Apathy domain and regarding total score (rater 1: rho = 0.956 vs. rater 2: rho = 0.970). The internal consistency of the AI was also high concerning the AI's individual dimensions and total score (rater 1: 0.945 vs. rater 2: 0.958). Conclusion: We observed high internal consistency, high concurrent validity, and inter-rater reliability of the Apathy Inventory. In addition, we found that its sensitivity and specificity were high. We suggest that the Brazilian version of the Apathy Inventory would be an appropriate instrument to identify the apathy syndrome in Brazilian patients.
Affiliations:
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uniqKey="Hernandez S" first="Salma Stephany Soleman" last="Hernandez">Salma Stephany Soleman Hernandez</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>UNESP-Universidade Estadual Paulista, Biosciences Institute</s1><s2>Campus of Rio Claro Sao Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campus of Rio Claro Sao Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Ruocco, Marcela" sort="Ruocco, Marcela" uniqKey="Ruocco M" first="Marcela" last="Ruocco">Marcela Ruocco</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Geriatric Psychiatric Clinic, State University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Villela Gasparetto Se, Elisandra" sort="Villela Gasparetto Se, Elisandra" uniqKey="Villela Gasparetto Se E" first="Elisandra" last="Villela Gasparetto Se">Elisandra Villela Gasparetto Se</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Geriatric Psychiatric Clinic, State University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Klein, Margarete" sort="Klein, Margarete" uniqKey="Klein M" first="Margarete" last="Klein">Margarete Klein</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Geriatric Psychiatric Clinic, State University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Martins, Tania" sort="Martins, Tania" 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University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Laboratory of Neurosciences, Institute of Psychiatry, Sao Paulo University</s1><s2>Sao Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ></inist:fA14><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="De Andrade, Larissa Pires" sort="De Andrade, Larissa Pires" uniqKey="De Andrade L" first="Larissa Pires" last="De Andrade">Larissa Pires De Andrade</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>UNESP-Universidade Estadual Paulista, Biosciences Institute</s1><s2>Campus of Rio Claro Sao Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campus of Rio Claro Sao Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Garuffi, Marcelo" sort="Garuffi, Marcelo" uniqKey="Garuffi M" first="Marcelo" last="Garuffi">Marcelo Garuffi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>UNESP-Universidade Estadual Paulista, Biosciences Institute</s1><s2>Campus of Rio Claro Sao Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campus of Rio Claro Sao Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Vital, Thays Martins" sort="Vital, Thays Martins" uniqKey="Vital T" first="Thays Martins" last="Vital">Thays Martins Vital</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>UNESP-Universidade Estadual Paulista, Biosciences Institute</s1><s2>Campus of Rio Claro Sao Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campus of Rio Claro Sao Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Hernandez, Salma Stephany Soleman" sort="Hernandez, Salma Stephany Soleman" uniqKey="Hernandez S" first="Salma Stephany Soleman" last="Hernandez">Salma Stephany Soleman Hernandez</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>UNESP-Universidade Estadual Paulista, Biosciences Institute</s1><s2>Campus of Rio Claro Sao Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campus of Rio Claro Sao Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Ruocco, Marcela" sort="Ruocco, Marcela" uniqKey="Ruocco M" first="Marcela" last="Ruocco">Marcela Ruocco</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Geriatric Psychiatric Clinic, State University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Villela Gasparetto Se, Elisandra" sort="Villela Gasparetto Se, Elisandra" uniqKey="Villela Gasparetto Se E" first="Elisandra" last="Villela Gasparetto Se">Elisandra Villela Gasparetto Se</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Geriatric Psychiatric Clinic, State University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Klein, Margarete" sort="Klein, Margarete" uniqKey="Klein M" first="Margarete" last="Klein">Margarete Klein</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Geriatric Psychiatric Clinic, State University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Martins, Tania" sort="Martins, Tania" uniqKey="Martins T" first="Tânia" last="Martins">Tânia Martins</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Geriatric Psychiatric Clinic, State University of Campinas</s1><s2>Campinas</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Robert, Philippe H" sort="Robert, Philippe H" uniqKey="Robert P" first="Philippe H." last="Robert">Philippe H. Robert</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Memory Center, University of Nice Sophia Antipolis</s1><s2>Nice</s2><s3>FRA</s3><sZ>10 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Nice</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of geriatric psychiatry</title><title level="j" type="abbreviated">Int. j. geriatr. psychiatry</title><idno type="ISSN">0885-6230</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of geriatric psychiatry</title><title level="j" type="abbreviated">Int. j. geriatr. psychiatry</title><idno type="ISSN">0885-6230</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer disease</term><term>Apathy</term><term>Brazil</term><term>Cognitive disorder</term><term>Depression</term><term>Elderly</term><term>Geriatrics</term><term>Gerontology</term><term>Inventory</term><term>Parkinson disease</term><term>Psychiatry</term><term>Psychometrics</term><term>Questionnaire</term><term>Test validation</term><term>mild cognitive impairment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Psychométrie</term><term>Validation test</term><term>Brésil</term><term>Démence d'Alzheimer</term><term>Inventaire</term><term>Questionnaire</term><term>Maladie de Parkinson</term><term>Etat dépressif</term><term>Gériatrie</term><term>Trouble cognitif</term><term>Personne âgée</term><term>Gérontologie</term><term>Déficit cognitif léger</term><term>Psychiatrie</term><term>Apathie</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term><term>Gérontologie</term><term>Psychiatrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Apathy is a frequent neuropsychiatric condition in neurodegenerative disorders, depression, and often in mild cognitive impairment. The Apathy Inventory (AI) is a reliable instrument for improving the accuracy of the apathy diagnosis. The aim was to establish the validity of the Apathy Inventory for the Brazilian community. Methods: We established the concurrent validity, internal consistency, inter-rater reliability, and the sensitivity and specificity of AI for the Brazilian community in a cohort of 175 individuals with Alzheimer's disease, Parkinson's disease, depression, mild cognitive impairment, and healthy controls. The three dimensions of the AI (emotional blunting, lack of initiative, and lack of interest) were compared with the Apathy domain of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C) in an independent scheme. Results: The analyses demonstrated high correlation coefficients in AI's individual dimensions and in AI-total score (F = 0.965). Concerning the NPI-C/Apathy domain, intra-class correlation coefficients were also high (F = 0.977). Concurrent validity was high according to both raters on AI dimensions × NPI-C/Apathy domain and regarding total score (rater 1: rho = 0.956 vs. rater 2: rho = 0.970). The internal consistency of the AI was also high concerning the AI's individual dimensions and total score (rater 1: 0.945 vs. rater 2: 0.958). Conclusion: We observed high internal consistency, high concurrent validity, and inter-rater reliability of the Apathy Inventory. In addition, we found that its sensitivity and specificity were high. We suggest that the Brazilian version of the Apathy Inventory would be an appropriate instrument to identify the apathy syndrome in Brazilian patients.</div></front></TEI><affiliations><list><country><li>Brésil</li><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li><li>État de São Paulo</li></region><settlement><li>Nice</li><li>São Paulo</li></settlement></list><tree><country name="Brésil"><noRegion><name sortKey="Stella, Florindo" sort="Stella, Florindo" uniqKey="Stella F" first="Florindo" last="Stella">Florindo Stella</name></noRegion><name sortKey="De Andrade, Larissa Pires" sort="De Andrade, Larissa Pires" uniqKey="De Andrade L" first="Larissa Pires" last="De Andrade">Larissa Pires De Andrade</name><name sortKey="Garuffi, Marcelo" sort="Garuffi, Marcelo" uniqKey="Garuffi M" first="Marcelo" last="Garuffi">Marcelo Garuffi</name><name sortKey="Hernandez, Salma Stephany Soleman" sort="Hernandez, Salma Stephany Soleman" uniqKey="Hernandez S" first="Salma Stephany Soleman" last="Hernandez">Salma Stephany Soleman Hernandez</name><name sortKey="Klein, Margarete" sort="Klein, Margarete" uniqKey="Klein M" first="Margarete" last="Klein">Margarete Klein</name><name sortKey="Martins, Tania" sort="Martins, Tania" uniqKey="Martins T" first="Tânia" last="Martins">Tânia Martins</name><name sortKey="Ruocco, Marcela" sort="Ruocco, Marcela" uniqKey="Ruocco M" first="Marcela" last="Ruocco">Marcela Ruocco</name><name sortKey="Stella, Florindo" sort="Stella, Florindo" uniqKey="Stella F" first="Florindo" last="Stella">Florindo Stella</name><name sortKey="Stella, Florindo" sort="Stella, Florindo" uniqKey="Stella F" first="Florindo" last="Stella">Florindo Stella</name><name sortKey="Villela Gasparetto Se, Elisandra" sort="Villela Gasparetto Se, Elisandra" uniqKey="Villela Gasparetto Se E" first="Elisandra" last="Villela Gasparetto Se">Elisandra Villela Gasparetto Se</name><name sortKey="Vital, Thays Martins" sort="Vital, Thays Martins" uniqKey="Vital T" first="Thays Martins" last="Vital">Thays Martins Vital</name></country><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Robert, Philippe H" sort="Robert, Philippe H" uniqKey="Robert P" first="Philippe H." last="Robert">Philippe H. 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