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Spanish Revised Memory and Behavior Problems Checklist Scale (SpRMBPC): trans-cultural adaptation and validation of the RMBPC questionnaire

Published online by Cambridge University Press:  04 February 2011

Mariela Gonzalez Salvia ,
Adriana Dawidowski ,
Marcelo Schapira ,
Silvana Figar ,
María Elvira Söderlund ,
Daniel Seinhart ,
Luis Cámera  and
Linda Teri
Mariela Gonzalez Salvia*
Affiliation:
Geriatric Unit, Department of Internal Medicine, Hospital Italiano de Buenos Aires, Argentina
Adriana Dawidowski
Affiliation:
Area of Epidemiology, Hospital Italiano de Buenos Aires, Argentina
Marcelo Schapira
Affiliation:
Geriatric Unit, Department of Internal Medicine, Hospital Italiano de Buenos Aires, Argentina
Silvana Figar
Affiliation:
Area of Epidemiology, Hospital Italiano de Buenos Aires, Argentina
María Elvira Söderlund
Affiliation:
Geriatric Unit, Department of Internal Medicine, Hospital Italiano de Buenos Aires, Argentina
Daniel Seinhart
Affiliation:
Geriatric Unit, Department of Internal Medicine, Hospital Italiano de Buenos Aires, Argentina
Luis Cámera
Affiliation:
Geriatric Unit, Department of Internal Medicine, Hospital Italiano de Buenos Aires, Argentina
Linda Teri
Affiliation:
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, U.S.A.
*
Correspondence should be addressed to: Dr Mariela Gonzalez Salvia, Geriatric Unit, Department of Internal Medicine, Hospital Italiano de Buenos Aires, Gascón 450, Buenos Aires, Argentina. Phone: +54 221432 1083; Fax: +54 11 5077 1004. Email: [email protected].
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Abstract

Background: The use of standardized scales is critical for monitoring the interventions within and between different populations, but the current Spanish tools are dispersed in several scales. A simple tool for simultaneously and exhaustively evaluating patient's symptoms and caregiver's distress in Spanish-speaking groups is needed.

Methods: RMBPC was translated into Spanish by cross-cultural adaptation. Comprehensibility and easiness of SpRMBPC were evaluated with 92 patient-caregiver dyads. Reliability, stability and scale structure were evaluated by Cronbach's α, test-retest and factor analysis respectively. Concurrent and discriminant validity were assessed by correlation with validated tools for measuring stage of dementia; memory, disruptive behaviors and depression symptoms of the patients; and anxiety, depression and burden of the caregivers (CDR, MMSE, NPIq, NPIdisruption, NPI depression, HADS-A; HADS-D and Zarit Burden Interview respectively).

Results: Almost all caregivers completed the questionnaire (97% completeness; 7.5% missing data). Both the frequency of Patient's Symptoms and Caregiver Reaction scores and subscores displayed high stability and reliability. All of these scores correlated positively with their respective validated tools as predicted, except with MMSE. The patients' subscores for Disruptive Behaviors and Memory Impairment displayed their highest correlation with the disruptive symptoms and level of dementia validated tools.

Conclusions: SpRMBPC is a validated tool for assessing the dementia stage and the psychiatric morbidity of patients and caregivers. The Frequency Disruption and Memory subscales assess specifically patient's disruptive symptoms and dementia stages. These tools can be applied to analyze the burden of the patient's disease and the caregiver's distress in Spanish-speaking populations.

Keywords

dementiascalescarersBPSDassessment
Type
Research Article
Information
International Psychogeriatrics , Volume 23 , Issue 7 , September 2011 , pp. 1160 - 1166
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Allegri, R., Ollari, J. and Mangone, C. (1999). El “Mini Mental State Examination” en la Argentina: Instrucciones para su administración. Revista Neurológica Argentina, 24, 31–35.Google Scholar
Allegri, R. et al. (2006). Neuropsychiatric symptoms as predictor of caregiver burden in Alzheimer's disease. Neuropsychiatric Disease and Treatment, 2, 105–110.Google ScholarPubMed
Allegri, R. et al. (2007). Economic impact of dementia in developing countries: an evaluation of costs of Alzheimer-type dementia in Argentina. International Psychogeriatrics, 19, 705–718.CrossRefGoogle ScholarPubMed
Boada, M., Cejud-Bolivar, J. and Tarraga, L. (2002). Neuropsychiatric Inventory Questionnaire (NPI-Q): validación española de una forma abreviada del Neuropsychiatruc Inventory (NPI). Neurología, 17, 317–323.Google Scholar
Butman, J., Arizaga, R. and Harris, P. (2001). El “Mini Mental State Examination” en español. Normas para Buenos Aires. Revista Neurológica Argentina, 26, 11–15.Google Scholar
Coon, D. W. et al. (2004). Well-being, appraisal, and coping in Latina and Caucasian female dementia caregivers: findings from the REACH study. Aging and Mental Health, 8, 330–345.CrossRefGoogle ScholarPubMed
Del Grecco, L., Walop, W. and Eastridge, L. (1987). Questionnaire development 3. Translation. Canadian Medical Association Journal, 136, 817–818.Google Scholar
Harwood, D., Barker, W., Ownby, R., Bravo, M., Aguero, H. and Duara, R. (2001). The Behavior Problems Checklist-Spanish: a preliminary study of a new scale for the assessment of depressive symptoms and disruptive behaviors in Hispanic patients with dementia. International Psychogeriatrics, 13, 23–35.CrossRefGoogle ScholarPubMed
Herrero, M., Blanch, J. and Peri, J. (2003). A validation study of the Hospital Anxiety and Depression Scale (HADS). General Hospital Psychiatry, 25, 277–283.CrossRefGoogle ScholarPubMed
Hinton, L., Haan, M., Geller, S. and Mungas, D. (2003). Neuropsychiatric symptoms in Latino elders with dementia or cognitve impairment without dementia and factors that modify their association with caregiver depression. The Gerontologist, 43, 669–677.CrossRefGoogle ScholarPubMed
Hughes, C., Beeg, L. and Danziger, L. (1982). A new rating scale for the staging of dementia. British Journal of Psychiatry, 140, 566–572.CrossRefGoogle ScholarPubMed
Katona, C., Livingtoon, G., Cooper, C., Ames, D., Brodaty, H. and Chiu, E. (2007). International Psychogeriatric Association consensus statement on defining measuring treatment benefit in dementia. International Psychogeriatrics, 19, 345–354.CrossRefGoogle ScholarPubMed
Logsdon, R. (2008). Dementia: psychosocial interventions for family caregivers. The Lancet, 372, 182–183.CrossRefGoogle ScholarPubMed
Mangone, C. and Arizaga, R. (1999). Dementia in Argentina and other Latin American countries: an overview. Neuroepidemiology, 18, 231–235.CrossRefGoogle ScholarPubMed
Mangone, C. et al. (1993). Influence of feelings of burden on the caregiver's perception of the patient's functional status. Dementia, 4, 287–293.Google ScholarPubMed
Mittelman, M., Drentea, P., Clay, O. and Roth, D. (2006). Predictors of Improvement in social support: five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease. Social Science in Medicine, 63, 957–967.Google Scholar
Mondragón Espinoza, B. (2002). Español de América y Español de México. Convergencia, Universidad Autónoma de México, 10, 331–338.Google Scholar
Ostwald, S., Hepburn, K., Caron, W., Burns, T. and Mantell, R. (1999). Reducing caregiver burden: a randomized psychoeducational interventions for caregivers of persons with dementia. The Gerontologist, 39, 299–309.CrossRefGoogle ScholarPubMed
Pagés Larraya, F., Gracco, L. and Mari, G. (2004). Prevalencia de las demencias del tipo Alzheimer, demencias vasculares y otras demencias del DSM-IV y del ICD-10 en la República Argentina. Revista Neurológica Argentina, 29, 148–153.Google Scholar
Prince, M., Livingston, G. and Katona, G. (2007). Mental health care for the elderly in low-income countries: a health systems approach. World Psychiatry, 6, 5–13.Google ScholarPubMed
Roth, D. and Gitlin, L. (2003). Psychometric analysis of the RMPBC. Psychology and Aging, 18, 906–915.CrossRefGoogle Scholar
Teri, L. (1997). Behavior and caregiver burden: behavioral problems in patients with Alzheimer disease and its association with caregiver distress. Alzheimer Disease and Associated Disorders, 11, 35–38.Google ScholarPubMed
Teri, L. et al. (1992). Assessment of behavior problems in dementia: the Revised Memory Behavior Problem Checklist. Psychology and Aging, 7, 622.CrossRefGoogle Scholar
Weiner, M., Logsdon, R., Uomoto, J., Zarit, S. and Vitaliano, P. (2000). Quantifying behavioral disturbance in Alzheimer's disease patients. Journal of Psychiatric Research, 34, 163–167.CrossRefGoogle ScholarPubMed
Zarit, S. and Toseland, R. (1989). Current and future direction in family caregiving research. The Gerontologist, 29, 481–483.CrossRefGoogle Scholar
Zarit, S., Reever, K. and Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist, 20, 649–655.CrossRefGoogle ScholarPubMed
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