Validation of the Korean Version of the Delirium Motor Subtype Scale
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective The Delirium Motor Subtype Scale (DMSS) is a validated and reliable instrument developed from various methods previously used to assess delirium motor subtypes. It focuses on pure motor disturbances with a relative specificity for delirium. The aim of this study was to investigate the validity and reliability of a Korean version of the DMSS (K-DMSS). Methods We recruited 145 patients who were older than 60 years and had been referred for psychiatric consultation for delirium. These patients were evaluated using the K-DMSS, Liptzin & Levkoff criteria, and the Korean version of the Delirium Rating Scale-Revised-98 (K-DRS-R98) to compare delirium motor subtypes. Results The internal consistency of the K-DMSS in assessing delirium motor subtypes was acceptable (Cronbach’s alpha=0.79). Delirium motor subtypes identified with the K-DMSS and K-DRS-R98 showed almost perfect agreement (Cohen’s Kappa=0.81), while those identified with the K-DMSS and Liptzin & Levkoff criteria showed substantial agreement (Cohen’s Kappa=0.78). Conclusion Our results suggest that the K-DMSS is a valid and reliable tool for identifying delirium subtypes.
Abstract
Objective The Delirium Motor Subtype Scale (DMSS) is a validated and reliable instrument developed from various methods previously used to assess delirium motor subtypes. It focuses on pure motor disturbances with a relative specificity for delirium. The aim of this study was to investigate the validity and reliability of a Korean version of the DMSS (K-DMSS). Methods We recruited 145 patients who were older than 60 years and had been referred for psychiatric consultation for delirium. These patients were evaluated using the K-DMSS, Liptzin & Levkoff criteria, and the Korean version of the Delirium Rating Scale-Revised-98 (K-DRS-R98) to compare delirium motor subtypes. Results The internal consistency of the K-DMSS in assessing delirium motor subtypes was acceptable (Cronbach’s alpha=0.79). Delirium motor subtypes identified with the K-DMSS and K-DRS-R98 showed almost perfect agreement (Cohen’s Kappa=0.81), while those identified with the K-DMSS and Liptzin & Levkoff criteria showed substantial agreement (Cohen’s Kappa=0.78). Conclusion Our results suggest that the K-DMSS is a valid and reliable tool for identifying delirium subtypes.
참고문헌 (34)
- Meagher DJ, "Relationship between symptoms and motoric subtype of delirium", J Neuropsychiatry Clin Neurosci, 12, pp.51~56 (2000)[DOI]
- Morita T, "Underlying pathologies and their associations with clinical features in terminal delirium of cancer patients", J Pain Symptom Manage, 22, pp.997~1006 (2001)[DOI]
- Balan S, "The relation between the clinical subtypes of delirium and the urinary level of 6-SMT", J Neuropsychiatry Clin Neurosci, 15, pp.363~366 (2003)[DOI]
- Marcantonio E, "Delirium severity and psychomotor types: their relationship with outcomes after hip fracture repair", J Am Geriatr Soc, 50, pp.850~857 (2002)[DOI]
- Meagher D, "Motor subtypes of delirium: past, present and future", Int Rev Psychiatry, 21, pp.59~73 (2009)[DOI]
- Meagher D, "The active management of delirium: improving detection and treatment", Adv Psychiatry Treat, 14, pp.292~301 (2008)[DOI]
- Lipowski ZJ, "Delirium: Acute Confusional States" (1990), Oxford University Press
- Lipowski Z, "Transient Cognitive Disorders (Delirium, Acute Confusional Sates) in the Elderly;Psychosomatic Medicine and Liaison Psychiatry", pp.289~306 (1983), Springer
- Lipowski ZJ, "Delirium in the elderly patient", New Eng J Med, 320, pp.578~582 (1989)[DOI]
- Liptzin B, "An empirical study of delirium subtypes", Br J Psychiatry, 161, pp.843~845 (1992)[DOI]
- O'Keeffe ST, "Clinical significance of delirium subtypes in older people", Age Ageing, 28, pp.115~119 (1999)[DOI]
- de Rooij SE, "Delirium subtype identification and the validation of the Delirium Rating Scale-Revised-98 (Dutch version) in hospitalized elderly patients", Int J Geriatr Psychiatry, 21, pp.876~882 (2006)[DOI]
- Trzepacz PT, "Validation of the Delirium Rating Scale-revised-98: comparison with the delirium rating scale and the cognitive test for delirium", J Neuropsychiatry Clin Neurosci, 13, pp.229~242 (2001)[DOI]
- Meagher DJ, "Motor symptoms in 100 patients with delirium versus control subjects: comparison of subtyping methods", Psychosomatics, 49, pp.300~308 (2008)[DOI]
- Meagher D, "A new data-based motor subtype schema for delirium", J Neuropsychiatr Clin Neurosci, 20, pp.185~193 (2008)[DOI]
- Godfrey A, "Validating a new clinical subtyping scheme for delirium with electronic motion analysis", Psychiatry Res, 178, pp.186~190 (2010)[DOI]
- 이준, "한국판 섬망 평가 척도-98(K-DRS-98)을 이용한 섬망의 진단과 심각도 그리고 아형에 관한 연구", 생물치료정신의학, 14(1), pp.101~109 (2008), 대한생물치료정신의학회
- Association AP, "Diagnostic and Statistical Manual of Mental Disorders (DSM-5(R))" (2013), American Psychiatric Pub
- 임경옥, "한국판 섬망 평가 척도-98(K-DRS-98)의 표준화 연구", 신경정신의학, 45(6), pp.518~526 (2006), 대한신경정신의학회
- Albert MS, "The delirium symptom interview: an interview for the detection of delirium symptoms in hospitalized patients", J Geriatr Psychiatry Neurol, 5, pp.14~21 (1992)
- Landis JR, "The measurement of observer agreement for categorical data", Biometrics, pp.159~174 (1977)
- Trzepacz PT, "Neuropsychiatric Aspects of Delirium;Textbook of Neuropsychiatry 5th ed.", pp.445~518 (2008), American Psychiatric Press
- Platt MM, "Efficacy of neuroleptics for hypoactive delirium", J Neuropsychiatry Clin Neurosci, 6, pp.66~67 (1994)[DOI]
- Gupta A, "Delirium Motoric Subtypes", Psychosomatics, 46, pp.158~ (2005)
- Breitbart W, "An open trial of olanzapine for the treatment of delirium in hospitalized cancer patients", Psychosomatics, 43, pp.175~182 (2002)[DOI]
- Peterson J, "The prevalence of delirium subtypes in medical icu patients", J Am Geriatr Soc, 51, pp.S174~ (2003)
- Olofsson SM, "A retrospective study of the psychiatric management and outcome of delirium in the cancer patient", Support Care Cancer, 4, pp.351~357 (1996)[DOI]
- Meagher DJ, "A longitudinal study of motor subtypes in delirium: relationship with other phenomenology, etiology, medication exposure and prognosis", J Psychosom Res, 71, pp.395~403 (2011)[DOI]
- Grover S, "Replication analysis for composition of the Delirium Motor Subtype Scale (DMSS) in a referral cohort from Northern India", Psychiatry Res, 206, pp.68~74 (2013)[DOI]
- Meagher D, "Development of an abbreviated version of the Delirium Motor Subtyping Scale (DMSS-4)", Int Psychogeriatr, 26, pp.693~702 (2014)[DOI]
- Slor CJ, "Validation and psychometric properties of the Delirium Motor Subtype Scale in elderly hip fracture patients (Dutch version)", Arch Gerontol Geriatr, 58, pp.140~144 (2014)[DOI]
- Grover S, "Comparison of symptoms of delirium across various motoric subtypes", Psychiatry Clin Neurosci, 68, pp.283~291 (2014)[DOI]
- Uchida M, "Prevalence, course and factors associated with delirium in elderly patients with advanced cancer: a longitudinal observational study", Jpn J Clin Oncol, 45, pp.934~940 (2015)[DOI]
- Inouye SK, "Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings", Arch Intern Med, 161, pp.2467~2473 (2001)[DOI]
