Validation of the Patient-Rated Version of the Parkinson Anxiety Scale in Iranian People with Parkinson's Disease.

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-09-02 DOI:10.1080/07317115.2025.2555573

Maryam Mehdizadeh, Negin Eissazade, Seyed-Mohammad Fereshtehnejad, Mohsen Shati, Seyede Salehe Mortazavi, Sayed Amir Hasan Habibi, Masoumeh Bayat, Farzaneh Fendereski, Reihaneh Akbari, Parvaneh Taghavi Azar Sharabiani, Ghorban Taghizadeh

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引用次数: 0

Abstract

Objectives: To evaluate the psychometric properties of the Patient-Rated Parkinson's Anxiety Scale (PAS-PR) in people with Parkinson's Disease (PwPD).

Methods: In this cross-sectional study, we assessed Persian-speaking PwPD using the PAS-PR. Psychometric evaluation included: exploratory factor analysis (EFA); internal consistency (Cronbach's α), test - retest reliability (Intraclass Correlation Coefficient); PAS-PR/observer-rated PAS (PAS-OR) agreement (Bland-Altman); and convergent validity against Geriatric Anxiety Inventory (GAI), the Hospital Anxiety and Depression Scale-Anxiety (HADS-A), the Beck Anxiety Inventory (BAI), and the 21-item Depression, Anxiety, and Stress Scale (DASS-21).

Results: Among 191 PwPD (58% male, mean age 69.2 ± 4.6 years; Hoehn & Yahr stages 1-4: 36.7%, 42.4%, 18.3%, and 2.6%, respectively), EFA revealed the expected three-factor structure. The PAS-PR demonstrated excellent reliability (α = 0.88; ICC = 0.96) and strong agreement with PAS-OR (96.19%). Convergent validity was established through significant correlations with GAI, HADS-A, BAI and DASS-21 (r = 0.61-0.75).

Conclusions: The PAS-PR, with its acceptable psychometric properties, proves to be a valuable tool for assessing anxiety in the Persian-speaking PwPD.

Clinical implications: The PAS-PR offers a practical, tailored tool for identifying diverse anxiety symptoms in Parkinson's patients, streamlining screening in clinical settings.

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伊朗帕金森病患者帕金森焦虑量表患者评分版本的验证

目的：评价帕金森病（PwPD）患者帕金森焦虑量表（PAS-PR）的心理测量特征。方法：在这个横断面研究中，我们使用PAS-PR评估波斯语的PwPD。心理测量评价包括：探索性因素分析（EFA）；内部一致性（Cronbach’s α）、重测信度（class内相关系数）；PAS- pr /观察者评级PAS （PAS- or）协议（Bland-Altman）；与老年焦虑量表（GAI）、医院焦虑抑郁量表-焦虑量表（HADS-A）、贝克焦虑量表（BAI）和21项抑郁、焦虑和压力量表（DASS-21）的收敛效度比较。结果：191例PwPD患者（58%为男性，平均年龄69.2±4.6岁；Hoehn & Yahr分期1-4期分别为36.7%、42.4%、18.3%和2.6%），EFA显示了预期的三因素结构。PAS-PR具有良好的信度（α = 0.88; ICC = 0.96），与PAS-OR具有较强的一致性（96.19%）。GAI、HADS-A、BAI、DASS-21与GAI、HADS-A、BAI和DASS-21呈显著相关（r = 0.61-0.75），建立了收敛效度。结论：PAS-PR具有可接受的心理测量特性，被证明是评估波斯语PwPD焦虑的有价值的工具。临床意义：PAS-PR提供了一种实用的、量身定制的工具，用于识别帕金森患者的各种焦虑症状，简化临床筛查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.