神经退行性疾病患者社会情感功能的照护者评估（第2部分）：一种新测量方法的同时效度和重测信度
Caregiver Assessment of Socioemotional Functioning in People Living With Neurodegenerative Disease (Part 2): Concurrent Validity and Test-Retest Reliability of a New Measure.
作者信息
Brown Casey K, Otero Marcela C, Ascher Elizabeth A, Merrilees Jennifer, Levenson Robert W
机构信息
Department of Psychology, Georgetown University, Washington DC, USA.
Department of Psychology, University of California, Berkeley, California, USA.
出版信息
Gerontologist. 2025 Apr 9;65(5). doi: 10.1093/geront/gnaf044.
BACKGROUND AND OBJECTIVES
Care recipients with neurodegenerative disease can have socioemotional impairments that are challenging for their caregivers. We examine the concurrent and incremental validity of a novel informant-rated measure of care recipient functioning, the Caregiver Assessment of Socioemotional Functioning (CASEF), by examining links with clinician-rated behavioral problems, neuropsychiatric symptoms, and disease severity, as well as caregivers' reported burden and relationship quality. We also examine test-retest reliability of the CASEF.
RESEARCH DESIGN AND METHODS
Informal caregivers (N = 177) of individuals with neurodegenerative disease reported on their care recipients' socioemotional functioning and completed structured interviews with clinicians to assess care recipients' disease severity and neuropsychiatric symptoms. Care recipients' behavioral symptoms were evaluated with clinician rating scales. Another sample of caregivers (N = 61) repeated the CASEF 4-6 months following an initial administration.
RESULTS
CASEF subscales evidenced concurrent validity with other measures of care recipients' socioemotional functioning, disease severity, neuropsychiatric symptoms, and behavioral symptoms. CASEF subscales also evidenced incremental validity by accounting for significant additional variance in caregiver burden and relationship quality after accounting for care recipients' neuropsychiatric and behavioral symptoms. Finally, CASEF subscales demonstrated adequate to excellent test-retest reliability.
DISCUSSION AND IMPLICATIONS
Findings highlight the validity and reliability of the CASEF. Coupled with findings from Part 1 of this series (which established CASEF's construct validity), these findings support using the CASEF in clinical and research settings to assess changes in care recipient socioemotional functioning over time and to examine links between care recipient socioemotional changes and caregiver burden, health, and well-being.
背景与目的
患有神经退行性疾病的受照料者可能会出现社会情感障碍，这对其照料者来说颇具挑战。我们通过研究与临床医生评定的行为问题、神经精神症状、疾病严重程度以及照料者报告的负担和关系质量之间的联系，来检验一种新型的由 informant 评定的受照料者功能测量工具——社会情感功能照料者评估量表（CASEF）的同时效度和增量效度。我们还检验了 CASEF 的重测信度。
研究设计与方法
神经退行性疾病患者的非正式照料者（N = 177）报告了其受照料者的社会情感功能，并与临床医生进行了结构化访谈，以评估受照料者的疾病严重程度和神经精神症状。使用临床医生评定量表评估受照料者的行为症状。另一组照料者样本（N = 61）在首次施测后 4 - 6 个月重复进行 CASEF 测试。
结果
CASEF 分量表与其他受照料者社会情感功能、疾病严重程度、神经精神症状和行为症状的测量工具具有同时效度。在考虑了受照料者的神经精神和行为症状后，CASEF 分量表还通过解释照料者负担和关系质量中显著的额外方差，证明了其增量效度。最后，CASEF 分量表显示出足够至优秀的重测信度。
讨论与启示
研究结果突出了 CASEF 的效度和信度。结合本系列第一部分的研究结果（该部分确立了 CASEF 的结构效度），这些结果支持在临床和研究环境中使用 CASEF，以评估受照料者社会情感功能随时间的变化，并检验受照料者社会情感变化与照料者负担、健康和幸福感之间的联系。
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