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ID 60834
著者
Takenoshita, Shintaro Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID
Terada, S. Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kuwano, R. Asahigawaso Research Institute, Asahigawaso Medical Welfare Center
Inoue, T. Asahigawaso Research Institute, Asahigawaso Medical Welfare Center
Kurozumi, T. Asahigawaso Research Institute, Asahigawaso Medical Welfare Center
Choju, A. Asahigawaso Research Institute, Asahigawaso Medical Welfare Center
Suemitsu, S. Asahigawaso Research Institute, Asahigawaso Medical Welfare Center
Yamada, Norihito Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID researchmap
抄録
Background,
Dementia in people with intellectual disabilities (IDs) is difficult to detect because of preexisting cognitive deficits. An effective screening method is required. The Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID) was developed as an observer rating tool to screen dementia in people with ID. The aim of this study was to verify the screening accuracy of the DSQIID for Japanese people with ID.
Methods
Four‐hundred ninety‐three subjects with ID participated in this study. Caregivers who had observed the participants for more than 2 years scored the Japanese version of the DSQIID (DSQIID‐J) of the participants. Three doctors examined participants directly and diagnosed dementia using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria. To identify the key screening items that predict dementia, the specificities of a single and pairs of items with 100% sensitivity were evaluated relative to the dementia diagnosis.
Results
Of 493 participants, 34 were people with Down syndrome (DS), and 459 were people without DS. Seventeen participants were diagnosed with dementia. The suitable cut‐off score of the DSQIID‐J was 10/11 (sensitivity 100% and specificity 96.8%) for screening dementia. The inter‐rater reliability, test–retest reliability and internal consistency of the DSQIID‐J were excellent. Regarding key items, there was no single item with 100% sensitivity, and the best two‐item combination was the pair of ‘Cannot dress without help’ and ‘Walks slower’ (sensitivity 100% and specificity 93.5%).
Conclusions
We identified several important question items of the DSQIID‐J related to the diagnosis of dementia in people with ID. The DSQIID‐J is a useful screening tool for dementia in adults with ID.
キーワード
cognitive impairment
dementia
Down syndrome
DSQIID
intellectual disabilities
screening tool
備考
This fulltext is available in Oct. 2021.
発行日
2020-10-05
出版物タイトル
Journal of Intellectual Disability Research
64巻
12号
出版者
Wiley
開始ページ
970
終了ページ
979
ISSN
0964-2633
NCID
AA10826829
資料タイプ
学術雑誌論文
言語
English
OAI-PMH Set
岡山大学
論文のバージョン
author
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.1111/jir.12788
助成機関名
日本学術振興会
助成番号
18K07560