Reliability and validity of the Chinese version of Biological Rhythms Interview of Assessment in Neuropsychiatry in patients with major depressive disorder
10.3760/cma.j.cn113661-20221024-00290
- VernacularTitle:中文版神经精神科生物节律评估访谈在抑郁症患者中信效度研究
- Author:
Liu HONG
1
;
Chuangxin WU
;
Junyu ZHANG
;
Xujuan LI
;
Binxun JIANG
;
Xuelin CHAO
;
Wenfei LI
;
Wen LIU
;
Leping HUANG
;
Zuowei WANG
Author Information
1. 上海市虹口区精神卫生中心,上海 200083
- Publication Type:Journal Article
- Keywords:
Depressive disorder;
Reproducibility of results;
Biological Rhythms Interview of Assessment in Neuropsychiatry
- From:
Chinese Journal of Psychiatry
2023;56(2):98-105
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To verify the reliability and validity of the Chinese Version of Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN-C) in patients with major depressive disorder(MDD).Methods:A total of 122 patients with MDD and 122 controls were recruited and measured with the BRIAN-C, 16-Item Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR16), 7-Item Generalized Anxiety Disorder Scale(GAD-7) and 6-Item Short Form Health Survey(SF-6). The index D and correlation analysis were conducted to evaluate the discrimination and homogeneity of the items, respectively. The Cronbach′s α coefficient, Spearman-Brown coefficient, intraclass correlation coefficient ( ICC) and retest correlation coefficient were conducted to evaluate the reliability.Confirmatory factor analysis, correlation analysis and the receiver operating characteristic (ROC) curve were conducted to evaluate the construct validity, criterion validity and prediction validity, respectively. Results:The item distinction and homogeneity analysis showed significant differences ( P<0.05). The Cronbach′s α coefficient and the Spearman-Brown coefficient were 0.911 and 0.807, while the ICC and the correlation coefficient r of test-retest reliability were 0.639 (95% confidence interval( CI):0.375-0.729) and 0.43 ( P=0.001), respectively. Confirmatory factor analysis showed that the fit indexes χ 2/dF=1.937, goodness-of-fit index(GFI)=0.822, comparative fit index (CFI)=0.877, Tucker-lewis index (TLI)=0.855, and root mean square error of approximation (RMSEA)=0.088. The score of BRIAN-C was significantly correlated with that of QIDS-SR16, GAD-7 or SF-6 ( r=0.74, 0.46, -0.69, all P<0.05).The ROC curve suggested that the area under curve (AUC) was 0.939 (95% CI: 0.909-0.970, P<0.05) for distinguishing MDD patients from controls. The optimal cut-off was 29, with 0.861 sensitivity and 0.926 specificity. Conclusions:The BRIAN-C scale has good reliability and validity, which is supposed to be used in Chinese cultural background to evaluate the biorhythms in patients with MDD.