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The Brazilian version of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C): Reliability and validity in dementia

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dc.contributor.authorStella, Florindo [UNESP]
dc.contributor.authorForlenza, Orestes Vicente
dc.contributor.authorLaks, Jerson
dc.contributor.authorDe Andrade, Larissa Pires [UNESP]
dc.contributor.authorAvendaño, Michelle A. Ljubetic
dc.contributor.authorSé, Elisandra Villela Gasparetto
dc.contributor.authorDe Castilho Cação, João
dc.contributor.authorLyketsos, Constantine G.
dc.contributor.authorDe Medeiros, Kate
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionFederal University of Rio de Janeiro
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionGeriatric Unity
dc.contributor.institutionJohns Hopkins University
dc.contributor.institutionMiami University
dc.date.accessioned2014-05-27T11:30:33Z
dc.date.available2014-05-27T11:30:33Z
dc.date.issued2013-09-01
dc.description.abstractABSTRACT Background: Patients with dementia may be unable to describe their symptoms, and caregivers frequently suffer emotional burden that can interfere with judgment of the patient's behavior. The Neuropsychiatric Inventory-Clinician rating scale (NPI-C) was therefore developed as a comprehensive and versatile instrument to assess and accurately measure neuropsychiatric symptoms (NPS) in dementia, thereby using information from caregiver and patient interviews, and any other relevant available data. The present study is a follow-up to the original, cross-national NPI-C validation, evaluating the reliability and concurrent validity of the NPI-C in quantifying psychopathological symptoms in dementia in a large Brazilian cohort. Methods: Two blinded raters evaluated 312 participants (156 patient-knowledgeable informant dyads) using the NPI-C for a total of 624 observations in five Brazilian centers. Inter-rater reliability was determined through intraclass correlation coefficients for the NPI-C domains and the traditional NPI. Convergent validity included correlations of specific domains of the NPI-C with the Brief Psychiatric Rating Scale (BPRS), the Cohen-Mansfield Agitation Index (CMAI), the Cornell Scale for Depression in Dementia (CSDD), and the Apathy Inventory (AI). Results: Inter-rater reliability was strong for all NPI-C domains. There were high correlations between NPI-C/delusions and BPRS, NPI-C/apathy-indifference with the AI, NPI-C/depression-dysphoria with the CSDD, NPI-C/agitation with the CMAI, and NPI-C/aggression with the CMAI. There was moderate correlation between the NPI-C/aberrant vocalizations and CMAI and the NPI-C/hallucinations with the BPRS. Conclusion: The NPI-C is a comprehensive tool that provides accurate measurement of NPS in dementia with high concurrent validity and inter-rater reliability in the Brazilian setting. In addition to universal assessment, the NPI-C can be completed by individual domains. © International Psychogeriatric Association 2013.en
dc.description.affiliationBiosciences Institute Universidade Estadual Paulista (UNESP), Rio Claro 13506-900, SP
dc.description.affiliationLaboratory of Neurosciences (LIM-27) Department and Institute of Psychiatry Faculty of Medicine, University of São Paulo, São Paulo, SP
dc.description.affiliationCentre for Alzheimer's Disease and Related Disorders Institute of Psychiatry Federal University of Rio de Janeiro, Rio de Janeiro, RJ
dc.description.affiliationClinic of Geriatric Psychiatry Faculty of Medicine State University of Campinas, Campinas, SP
dc.description.affiliationFAMERP - Faculty of Medicine Geriatric Unity, São José do Rio Preto
dc.description.affiliationDepartment of Psychiatry Johns Hopkins Bayview Johns Hopkins University, Baltimore, MD
dc.description.affiliationDepartment of Sociology and Gerontology Miami University, Oxford, OH
dc.description.affiliationUnespBiosciences Institute Universidade Estadual Paulista (UNESP), Rio Claro 13506-900, SP
dc.format.extent1503-1511
dc.identifierhttp://dx.doi.org/10.1017/S1041610213000811
dc.identifier.citationInternational Psychogeriatrics, v. 25, n. 9, p. 1503-1511, 2013.
dc.identifier.doi10.1017/S1041610213000811
dc.identifier.file2-s2.0-84881037902.pdf
dc.identifier.issn1041-6102
dc.identifier.issn1741-203X
dc.identifier.lattes7964386240653380
dc.identifier.scopus2-s2.0-84881037902
dc.identifier.urihttp://hdl.handle.net/11449/76428
dc.identifier.wosWOS:000322397600014
dc.language.isoeng
dc.relation.ispartofInternational Psychogeriatrics
dc.relation.ispartofjcr2.261
dc.relation.ispartofsjr1,048
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAlzheimer's disease
dc.subjectBrazil
dc.subjectdementia
dc.subjectneuropsychiatric assessment
dc.subjectneuropsychiatric symptoms
dc.subjectscale
dc.subjectaged
dc.subjectaggression
dc.subjectagitation
dc.subjectanxiety
dc.subjectapathy
dc.subjectappetite disorder
dc.subjectBrief Psychiatric Rating Scale
dc.subjectcaregiver
dc.subjectcaregiver burden
dc.subjectClinical Dementia Rating
dc.subjectconcurrent validity
dc.subjectconvergent validity
dc.subjectCornell Scale for Depression in Dementia
dc.subjectcounseling
dc.subjectdelusion
dc.subjectdepression
dc.subjectdysphoria
dc.subjecteating disorder
dc.subjecteuphoria
dc.subjectfemale
dc.subjectfollow up
dc.subjecthallucination
dc.subjecthuman
dc.subjectinterrater reliability
dc.subjectinterview
dc.subjectirritability
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmeasurement accuracy
dc.subjectMini Mental State Examination
dc.subjectmotor dysfunction
dc.subjectneuropsychiatric inventory clinician rating scale
dc.subjectpersonal experience
dc.subjectrating scale
dc.subjectsleep disorder
dc.subjectvocalization
dc.titleThe Brazilian version of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C): Reliability and validity in dementiaen
dc.typeArtigo
dcterms.licensehttp://journals.cambridge.org/action/displaySpecialPage?pageId=4676
dspace.entity.typePublication
unesp.author.lattes7964386240653380
unesp.author.orcid0000-0002-8860-5818[4]
unesp.campusUniversidade Estadual Paulista (UNESP), Instituto de Biociências, Rio Claropt
unesp.departmentEducação - IBpt

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