Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis

Aim: To adapt, translate, and utilize the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis (ALS) to the Spanish population.Method: We recruited 104 ALS patients (67 of their caregivers) and 49 controls. Participants completed the Spanish-translated DAS, Geriatric Depression Scale- Sho...

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Main Authors: Teresa Salas, Ratko Radakovic, Víctor Rodriguez-Castillo, Saúl Marín, Delia Chaverri, Francisco Rodriguez-Santos
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2020.562837/full
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author Teresa Salas
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Víctor Rodriguez-Castillo
Saúl Marín
Delia Chaverri
Francisco Rodriguez-Santos
author_facet Teresa Salas
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Víctor Rodriguez-Castillo
Saúl Marín
Delia Chaverri
Francisco Rodriguez-Santos
author_sort Teresa Salas
collection DOAJ
description Aim: To adapt, translate, and utilize the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis (ALS) to the Spanish population.Method: We recruited 104 ALS patients (67 of their caregivers) and 49 controls. Participants completed the Spanish-translated DAS, Geriatric Depression Scale- Short form. Patients were also administered the ALS Functional Rating Scale-Revised (ALSFRS-R). Caregivers additionally completed the informant/caregiver-rated Spanish-translated DAS. The DAS was translated to Spanish using a back-translation method. Test-retest and internal consistency reliability were examined. Divergent validity was assessed by comparing the DAS with the depression scale (GDS-15). Principal Component Analysis (PCA) was applied to explore the substructure of the Spanish DAS.Results: The internal consistency reliability of self-rated Spanish DAS was 0.72 and of the informant/caregiver-rated Spanish DAS was 0.84. Correlations between self-rated DAS subscales and GDS-15 were not statistically significant, with a good test-retest reliability. PCA analysis showed a similar substructure to the original DAS. ALS patients had significantly higher Initiation apathy than controls. Additionally, ALS patient informant/caregiver-rated DAS Emotional apathy was significantly higher than the self-rated, with no significant differences observed in the Executive and Initiation subscales. No association was found between DAS and functional impairment using the ALS Functional Rating Scale (ALSFRS-R).Conclusion: The Spanish translation of the DAS is valid and reliable for use in assessing multidimensional apathy in the Spanish population. Availability of the Spanish DAS will allow for future research to explore different apathy subtypes and their impact in ALS and other conditions.
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spelling doaj.art-1bce4cac35224fdbac34c45d580e68182022-12-22T01:31:23ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-10-011110.3389/fneur.2020.562837562837Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral SclerosisTeresa Salas0Ratko Radakovic1Ratko Radakovic2Ratko Radakovic3Ratko Radakovic4Ratko Radakovic5Víctor Rodriguez-Castillo6Saúl Marín7Delia Chaverri8Francisco Rodriguez-Santos9Neurology Service, Hospital Universitario La Paz, Madrid, SpainFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, United KingdomNorfolk and Norwich University Hospital, Norwich, United KingdomThe Euan MacDonald Centre for Motor Neurone Disease, University of Edinburgh, Edinburgh, United KingdomAlzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, United KingdomCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, United KingdomNeurology Service, Hospital Universitario La Paz, Madrid, SpainNeurology Service, Hospital Universitario La Paz, Madrid, SpainNeurology Service, Hospital Universitario La Paz, Madrid, SpainNeuropsychology Unit, UDEN-GiuntiEOS, Madrid, SpainAim: To adapt, translate, and utilize the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis (ALS) to the Spanish population.Method: We recruited 104 ALS patients (67 of their caregivers) and 49 controls. Participants completed the Spanish-translated DAS, Geriatric Depression Scale- Short form. Patients were also administered the ALS Functional Rating Scale-Revised (ALSFRS-R). Caregivers additionally completed the informant/caregiver-rated Spanish-translated DAS. The DAS was translated to Spanish using a back-translation method. Test-retest and internal consistency reliability were examined. Divergent validity was assessed by comparing the DAS with the depression scale (GDS-15). Principal Component Analysis (PCA) was applied to explore the substructure of the Spanish DAS.Results: The internal consistency reliability of self-rated Spanish DAS was 0.72 and of the informant/caregiver-rated Spanish DAS was 0.84. Correlations between self-rated DAS subscales and GDS-15 were not statistically significant, with a good test-retest reliability. PCA analysis showed a similar substructure to the original DAS. ALS patients had significantly higher Initiation apathy than controls. Additionally, ALS patient informant/caregiver-rated DAS Emotional apathy was significantly higher than the self-rated, with no significant differences observed in the Executive and Initiation subscales. No association was found between DAS and functional impairment using the ALS Functional Rating Scale (ALSFRS-R).Conclusion: The Spanish translation of the DAS is valid and reliable for use in assessing multidimensional apathy in the Spanish population. Availability of the Spanish DAS will allow for future research to explore different apathy subtypes and their impact in ALS and other conditions.https://www.frontiersin.org/article/10.3389/fneur.2020.562837/fullapathyvalidityreliabilityamyotrophic lateral sclerosistranslationSpanish version
spellingShingle Teresa Salas
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Ratko Radakovic
Víctor Rodriguez-Castillo
Saúl Marín
Delia Chaverri
Francisco Rodriguez-Santos
Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis
Frontiers in Neurology
apathy
validity
reliability
amyotrophic lateral sclerosis
translation
Spanish version
title Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis
title_full Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis
title_fullStr Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis
title_full_unstemmed Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis
title_short Spanish Adaptation of the Dimensional Apathy Scale (DAS) in Amyotrophic Lateral Sclerosis
title_sort spanish adaptation of the dimensional apathy scale das in amyotrophic lateral sclerosis
topic apathy
validity
reliability
amyotrophic lateral sclerosis
translation
Spanish version
url https://www.frontiersin.org/article/10.3389/fneur.2020.562837/full
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