帕金森病相关精神病 (SASPAP) 自治查问卷
Vindhya Koneru1, Alberto J Espay2, Allan J Cole3
1Houston Methodist Neurological Institute and Weill Cornell Medical College, Houston, Texas, USA.
概括
一个新的四个问题选工具准确地识别了帕金森病 (PD) 患者的精神病. 这种自我管理的问卷提供了高灵敏度和特异性,有助于早期检测PD相关的精神病.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床诊断 临床诊断 临床诊断
背景情况:
- 精神病是帕金森病 (PD) 的常见和沉重的并发症.
- 目前用于检测PD相关精神病的方法有限,因为患者通常不会自愿出现症状.
- 需要一种有效的查工具来检测帕金森病中的精神病.
研究的目的:
- 开发和验证PD相关精神病 (SASPAP) 自治查问卷.
- 评估SASPAP的诊断准确性与已建立的临床评估相比.
主要方法:
- 该SASPAP是使用修改后的Delphi方法开发的,涉及临床医生,患者和倡导者.
- 调查问卷经过了修订和患者β测试.
- 250名帕金森病患者在服用时完成了SASPAP;结果与帕金森病精神病量表 (PDPS) 和医生访谈进行了比较.
主要成果:
- 这项研究包括250名帕金森病患者 (平均年龄为68.6岁).
- 在33.6%的患者中,SASPAP发现了精神病.
- 与黄金标准评估相比,SASPAP显示出高诊断准确度,灵敏度为87.8%,特异性为92.3%.
结论:
- 四个问题的SASPAP是一个高度准确的,自我管理的查工具,用于帕金森病精神病.
- SASPAP可以在诊所访问时有效地使用,以促进精神病的早期识别.
- 该工具解决了对PD相关精神病的验证查方法的需求.
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