Validation of the Chinese version of Brief Assessment of Cognition in Schizophrenia

Liang-Jen Wang,1 Pao-Yen Lin,2,3 Yu Lee,2 Yu-Chi Huang,2 Su-Ting Hsu,4 Chi-Fa Hung,2 Chih-Ken Chen,5,6 Yi-Chih Chen,5,6 Ya-Ling Wang,2 Ming-Che Tsai2 1Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 2Department of...

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Main Authors: Wang LJ, Lin PY, Lee Y, Huang YC, Hsu ST, Hung CF, Chen CK, Chen YC, Wang YL, Tsai MC
Format: Article
Language:English
Published: Dove Medical Press 2016-10-01
Series:Neuropsychiatric Disease and Treatment
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Online Access:https://www.dovepress.com/validation-of-the-chinese-version-of-brief-assessment-of-cognition-in--peer-reviewed-fulltext-article-NDT
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author Wang LJ
Lin PY
Lee Y
Huang YC
Hsu ST
Hung CF
Chen CK
Chen YC
Wang YL
Tsai MC
author_facet Wang LJ
Lin PY
Lee Y
Huang YC
Hsu ST
Hung CF
Chen CK
Chen YC
Wang YL
Tsai MC
author_sort Wang LJ
collection DOAJ
description Liang-Jen Wang,1 Pao-Yen Lin,2,3 Yu Lee,2 Yu-Chi Huang,2 Su-Ting Hsu,4 Chi-Fa Hung,2 Chih-Ken Chen,5,6 Yi-Chih Chen,5,6 Ya-Ling Wang,2 Ming-Che Tsai2 1Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 2Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 3Institute for Translational Research in Biomedical Sciences, Kaohsiung Chang Gung Memorial Hospital, 4Department of Community Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, 5Department of Psychiatry, Chang Gung Memorial Hospital, Keelung, 6Chang Gung University College of Medicine, Taoyuan, Taiwan, Republic of China Objective: A test battery that measures cognitive function impairment in patients with schizophrenia, the Brief Assessment of Cognition in Schizophrenia (BACS), has been translated into various languages and validated. This study aimed to test the reliability and validity of the Chinese version of the BACS in a Chinese-speaking population.  Methods: All participants in this study (66 patients with schizophrenia [mean age: 41.2 years, 57.6% male] and 66 age- and sex-matched healthy controls) were from Taiwan and assessed using the BACS and the University of California, San Diego (UCSD) Performance-Based Skills Assessment, Brief Version (UPSA-B). Thirty-eight of the 66 patients with schizophrenia received a reassessment using the BACS. Results: The BACS had good test–retest reliability, and all BACS subtests had statistically insignificant practice effects. Principal components analysis demonstrated that a one-factor solution best fits our dataset (60.9% of the variance). In both patients and controls, the BACS composite scores were positively correlated with all BACS subscales (P<0.001) and UPSA-B scales (P<0.001). Furthermore, all BACS subtests (verbal memory, working memory, motor speed, verbal fluency, attention and processing speed, and executive function) significantly differentiated patients with schizophrenia from healthy controls (P<0.001), and the BACS composite score had the best discriminative validity (P<0.001). Conclusion: The Chinese version of the BACS exhibits satisfactory psychometric properties, including high test–retest reliability, high internal consistency, acceptable concurrent validity, and good discriminant validity. We suggest that the BACS is a reliable and practical tool for assessing cognitive function in patients with schizophrenia. Keywords: psychometrics, reliability, validity, cognitive function, schizophrenia
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spelling doaj-art-c6a1d3e77ef242a2a476971b818420052025-08-20T03:30:03ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-10-01Volume 12Issue 12819282629791Validation of the Chinese version of Brief Assessment of Cognition in SchizophreniaWang LJ0Lin PYLee Y1Huang YCHsu STHung CF2Chen CK3Chen YCWang YLTsai MCDepartment of Child and Adolescent PsychiatryDepartment of PsychiatryRehabilitation and Community PsychiatryDepartment of PsychiatryLiang-Jen Wang,1 Pao-Yen Lin,2,3 Yu Lee,2 Yu-Chi Huang,2 Su-Ting Hsu,4 Chi-Fa Hung,2 Chih-Ken Chen,5,6 Yi-Chih Chen,5,6 Ya-Ling Wang,2 Ming-Che Tsai2 1Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 2Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 3Institute for Translational Research in Biomedical Sciences, Kaohsiung Chang Gung Memorial Hospital, 4Department of Community Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, 5Department of Psychiatry, Chang Gung Memorial Hospital, Keelung, 6Chang Gung University College of Medicine, Taoyuan, Taiwan, Republic of China Objective: A test battery that measures cognitive function impairment in patients with schizophrenia, the Brief Assessment of Cognition in Schizophrenia (BACS), has been translated into various languages and validated. This study aimed to test the reliability and validity of the Chinese version of the BACS in a Chinese-speaking population.  Methods: All participants in this study (66 patients with schizophrenia [mean age: 41.2 years, 57.6% male] and 66 age- and sex-matched healthy controls) were from Taiwan and assessed using the BACS and the University of California, San Diego (UCSD) Performance-Based Skills Assessment, Brief Version (UPSA-B). Thirty-eight of the 66 patients with schizophrenia received a reassessment using the BACS. Results: The BACS had good test–retest reliability, and all BACS subtests had statistically insignificant practice effects. Principal components analysis demonstrated that a one-factor solution best fits our dataset (60.9% of the variance). In both patients and controls, the BACS composite scores were positively correlated with all BACS subscales (P<0.001) and UPSA-B scales (P<0.001). Furthermore, all BACS subtests (verbal memory, working memory, motor speed, verbal fluency, attention and processing speed, and executive function) significantly differentiated patients with schizophrenia from healthy controls (P<0.001), and the BACS composite score had the best discriminative validity (P<0.001). Conclusion: The Chinese version of the BACS exhibits satisfactory psychometric properties, including high test–retest reliability, high internal consistency, acceptable concurrent validity, and good discriminant validity. We suggest that the BACS is a reliable and practical tool for assessing cognitive function in patients with schizophrenia. Keywords: psychometrics, reliability, validity, cognitive function, schizophreniahttps://www.dovepress.com/validation-of-the-chinese-version-of-brief-assessment-of-cognition-in--peer-reviewed-fulltext-article-NDTpsychometricsreliabilityvaliditycognitive functionschizophrenia
spellingShingle Wang LJ
Lin PY
Lee Y
Huang YC
Hsu ST
Hung CF
Chen CK
Chen YC
Wang YL
Tsai MC
Validation of the Chinese version of Brief Assessment of Cognition in Schizophrenia
Neuropsychiatric Disease and Treatment
psychometrics
reliability
validity
cognitive function
schizophrenia
title Validation of the Chinese version of Brief Assessment of Cognition in Schizophrenia
title_full Validation of the Chinese version of Brief Assessment of Cognition in Schizophrenia
title_fullStr Validation of the Chinese version of Brief Assessment of Cognition in Schizophrenia
title_full_unstemmed Validation of the Chinese version of Brief Assessment of Cognition in Schizophrenia
title_short Validation of the Chinese version of Brief Assessment of Cognition in Schizophrenia
title_sort validation of the chinese version of brief assessment of cognition in schizophrenia
topic psychometrics
reliability
validity
cognitive function
schizophrenia
url https://www.dovepress.com/validation-of-the-chinese-version-of-brief-assessment-of-cognition-in--peer-reviewed-fulltext-article-NDT
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