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Adaptation, Validation and Preliminary Standardisation of the Frontal Systems Behaviour Scale – Apathy Subscale and the Dimensional Apathy Scale in Vietnamese Healthy Samples

Published online by Cambridge University Press:  23 March 2021

Halle Quang Open the ORCID record for Halle Quang [Opens in a new window] ,
Khanh Sin ,
Fiona Kumfor  and
Skye McDonald
Halle Quang
Affiliation:
University of New South Wales, School of Psychology, Sydney, Australia
Khanh Sin
Affiliation:
WELink Center for Professional Psychology, Ho Chi Minh City, Vietnam
Fiona Kumfor
Affiliation:
The University of Sydney, School of Psychology and Brain & Mind Centre, Sydney, Australia
Skye McDonald*
Affiliation:
University of New South Wales, School of Psychology, Sydney, Australia
*
*Correspondence and reprint requests to: Professor Skye McDonald, School of Psychology, UNSW Sydney, Kensington, NSW2052, Australia. Phone: (02) 9385 3029 - Fax: (02) 9385 3641. E-mail: [email protected]
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Abstract

Objective:

Apathy, the reduction of motivation and goal-directed behaviour, is a ubiquitous behavioural syndrome in many neurological disorders. However, apathy measures are limited in non-English speaking countries. The present study aimed to develop a culturally appropriate version of the Vietnamese Frontal Systems Behavioural Scale-Apathy subscale (V-FrSBe-A) and Dimensional Apathy Scale (V-DAS), examine their internal reliability and construct validity (i.e., factor structure, convergent and divergent validity) in a Vietnamese healthy sample and establish preliminary normative cut-offs for clinical and research applications.

Method:

In total, 112 healthy subjects and 64 informants completed the self-report and informant report V-FrSBe-A and V-DAS, developed using a translation, back-translation and cultural adaptation procedure. McDonald’s omega was applied to examine internal reliability. The internal structure of the V-DAS was evaluated using exploratory structural equation model. For both apathy scales, convergent validity was determined by correlations between scales and between informant and self-report versions. Regarding divergent validity, participants completed the Vietnamese Depression Anxiety Stress Scale-21 and V-FrSBe-Disinhibition for depression and disinhibition assessment.

Results:

Both the V-FrSBe-A and V-DAS were reliable (ωt ≥ .74). Dimensional manifestations of apathy in executive, emotional and initiation domains were confirmed on the V-DAS. Both scales were also valid, convergent with each other and divergent from depression and disinhibition symptoms. Cut-off scores for both scales were higher than their English versions.

Conclusion:

The adapted V-FrSBe-A and V-DAS have good reliability and validity for the potential application in clinical groups to advance current knowledge about apathy transculturally and direct more effective clinical care for Vietnamese individuals with neurological disorders.

Keywords

MotivationVietnamGoal-directed behaviorValidationAdaptationFrSBeDAS
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 28 , Issue 3 , March 2022 , pp. 300 - 310
Copyright
Copyright © INS. Published by Cambridge University Press, 2021

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References

REFERENCES

Ang, Y.-S., Lockwood, P., Apps, M.A.J., Muhammed, K., & Husain, M. (2017). Distinct Subtypes of Apathy Revealed by the Apathy Motivation Index. PLOS ONE, 12(1), e0169938. doi: 10.1371/journal.pone.0169938 CrossRefGoogle ScholarPubMed
Arens, A.K. & Morin, A.J.S. (2016). Examination of the Structure and Grade-Related Differentiation of Multidimensional Self-Concept Instruments for Children Using ESEM. The Journal of Experimental Education, 84(2), 330–355. doi: 10.1080/00220973.2014.999187 CrossRefGoogle Scholar
Arnould, A., Rochat, L., Azouvi, P., & Van der Linden, M. (2015). Apathetic symptom presentations in patients with severe traumatic brain injury: Assessment, heterogeneity and relationships with psychosocial functioning and caregivers’ burden. Brain Injury, 29(13–14), 1597–1603. doi: https://doi.org/10.3109/02699052.2015.1075156 CrossRefGoogle ScholarPubMed
Asparouhov, T. & Muthén, B. (2009). Exploratory structural equation modeling. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 397–438. doi: 10.1080/10705510903008204 CrossRefGoogle Scholar
Beauducel, A. & Herzberg, P.Y. (2006). On the performance of maximum likelihood versus means and variance adjusted weighted least squares estimation in CFA. Structural Equation Modeling, 13(2), 186–203.CrossRefGoogle Scholar
Cahn-Weiner, D.A., Grace, J., Ott, B.R., Fernandez, H.H., & Friedman, J.H. (2002). Cognitive and behavioral features discriminate between Alzheimer’s and Parkinson’s disease. Cognitive and Behavioral Neurology, 15(2), 79–87.Google ScholarPubMed
Caracuel, A., Verdejo-García, A., Fernández-Serrano, M.J., Moreno-López, L., Santago-Ramajo, S., Salinas-Sánchez, I., & Pérez-García, M. (2012). Preliminary validation of the Spanish version of theFrontal Systems Behavior Scale(FrSBe) using Rasch analysis. Brain Injury, 26(6), 844–852. doi: 10.3109/02699052.2012.655365 CrossRefGoogle ScholarPubMed
Caracuel, A., Verdejogarcia, A., Vilarlopez, R., Perezgarcia, M., Salinas, I., Cuberos, G., … Puente, A. (2008). Frontal behavioral and emotional symptoms in Spanish individuals with acquired brain injury and substance use disorders☆. Archives of Clinical Neuropsychology, 23(4), 447–454. doi: 10.1016/j.acn.2008.03.004 CrossRefGoogle ScholarPubMed
Carr, C., Kahn, L., Mathkour, M., Biro, E., Bui, C.J., & Dumont, A.S. (2018). The shifting burden of neurosurgical disease: Vietnam and the middle-income nations. Neurosurgical Focus, 45(4), E12.CrossRefGoogle ScholarPubMed
Carvalho, J.O., Buelow, M.T., Ready, R.E., & Grace, J. (2016). Associations Between Original and a Reduced Frontal Systems Behavior Scale (FrSBe), Cognition, and Activities of Daily Living in a Large Neurologic Sample. Applied Neuropsychology: Adult, 23(2), 125–132. doi: 10.1080/23279095.2015.1012759 CrossRefGoogle Scholar
Carvalho, J.O., Ready, R.E., Malloy, P., & Grace, J. (2013). Confirmatory Factor Analysis of the Frontal Systems Behavior Scale (FrSBe). Assessment, 20(5), 632–641. doi: 10.1177/1073191113492845 CrossRefGoogle Scholar
Chow, T.W., Liu, C.K., Fuh, J.L., Leung, V.P.Y., Tai, C.T., Chen, L.-W., … Cummings, J.L. (2002). Neuropsychiatric symptoms of Alzheimer’s disease differ in Chinese and American patients. International Journal of Geriatric Psychiatry, 17(1), 22–28. doi: 10.1002/gps.509 CrossRefGoogle ScholarPubMed
Ciurli, P., Formisano, R., Bivona, U., Cantagallo, A., & Angelelli, P. (2011). Neuropsychiatric Disorders in Persons With Severe Traumatic Brain Injury. Journal of Head Trauma Rehabilitation, 26(2), 116–126. doi: 10.1097/htr.0b013e3181dedd0e CrossRefGoogle ScholarPubMed
Dauphinot, V., Delphin-Combe, F., Mouchoux, C., Dorey, A., Bathsavanis, A., Makaroff, Z., … Krolak-Salmon, P. (2015). Risk Factors of Caregiver Burden Among Patients with Alzheimer’s Disease or Related Disorders: A Cross-Sectional Study. Journal of Alzheimer’s Disease, 44(3), 907–916. doi: 10.3233/jad-142337 CrossRefGoogle ScholarPubMed
Fischer, R., & Karl, J.A. (2019). A Primer to (Cross-Cultural) Multi-Group Invariance Testing Possibilities in R. Frontiers in Psychology, 10. doi: 10.3389/fpsyg.2019.01507 CrossRefGoogle ScholarPubMed
Goverover, Y., Chiaravalloti, N., & Deluca, J. (2005). The relationship between self-awareness of neurobehavioral symptoms, cognitive functioning, and emotional symptoms in multiple sclerosis. Multiple Sclerosis Journal, 11(2), 203–212. doi: 10.1191/1352458505ms1153oa CrossRefGoogle ScholarPubMed
Grace, J. & Malloy, P. (2001). Frontal systems behavior scale. Lutz, FL: Psychological Assessment Resources.Google Scholar
Grace, J., Stout, J.C., & Malloy, P.F. (1999). Assessing frontal lobe behavioral syndromes with the frontal lobe personality scale. Assessment, 6(3), 269–284.CrossRefGoogle ScholarPubMed
Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of Clinical Epidemiology, 46(12), 1417–1432.CrossRefGoogle ScholarPubMed
Henrich, J., Heine, S.J., & Norenzayan, A. (2010). The weirdest people in the world? Behavioral and Brain Sciences, 33(2–3), 61–83. doi: 10.1017/s0140525x0999152x CrossRefGoogle ScholarPubMed
Hu, L.t. & Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRefGoogle Scholar
Husain, M. & Roiser, J. P. (2018). Neuroscience of apathy and anhedonia: a transdiagnostic approach. Nature Reviews Neuroscience, 19(8), 470–484. doi: 10.1038/s41583-018-0029-9 CrossRefGoogle ScholarPubMed
Kawagoe, T., Onoda, K., Yamaguchi, S., & Radakovic, R. (2020). Developing and validating the Japanese version of Dimensional Apathy Scale (J-DAS). Psychiatry and Clinical Neurosciences, 74(7), 411–412. doi: 10.1111/pcn.13009 CrossRefGoogle Scholar
Kirsch-Darrow, L., Fernandez, H., Marsiske, M., Okun, M., & Bowers, D. (2006). Dissociating apathy and depression in Parkinson disease. Neurology, 67(1), 33–38.CrossRefGoogle ScholarPubMed
Kumfor, F., Zhen, A., Hodges, J.R., Piguet, O., & Irish, M. (2018). Apathy in Alzheimer’s disease and frontotemporal dementia: distinct clinical profiles and neural correlates. Cortex, 103, 350–359.CrossRefGoogle ScholarPubMed
Lane-Brown, A.T. & Tate, R.L. (2009). Measuring apathy after traumatic brain injury: Psychometric properties of the Apathy Evaluation Scale and the Frontal Systems Behavior Scale. Brain Injury, 23(13–14), 999–1007. doi: 10.3109/02699050903379347 CrossRefGoogle ScholarPubMed
Lansdall, C.J., Coyle-Gilchrist, I.T.S., Vázquez Rodríguez, P., Wilcox, A., Wehmann, E., Robbins, T.W., & Rowe, J.B. (2019). Prognostic importance of apathy in syndromes associated with frontotemporal lobar degeneration. Neurology, 92(14), e1547–e1557. doi: 10.1212/wnl.0000000000007249 CrossRefGoogle ScholarPubMed
Le Heron, C., Apps, M.A.J., & Husain, M. (2018). The anatomy of apathy: A neurocognitive framework for amotivated behaviour. Neuropsychologia, 118, 54–67. doi: 10.1016/j.neuropsychologia.2017.07.003 CrossRefGoogle ScholarPubMed
Le, M.T.H., Tran, T.D., Holton, S., Nguyen, H.T., Wolfe, R., & Fisher, J. (2017). Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents. PLoS One, 12(7), e0180557. doi: 10.1371/journal.pone.0180557 CrossRefGoogle Scholar
Leroi, I., Harbishettar, V., Andrews, M., McDonald, K., Byrne, E.J., & Burns, A. (2012). Carer burden in apathy and impulse control disorders in Parkinson’s disease. International Journal of Geriatric Psychiatry, 27(2), 160–166.CrossRefGoogle ScholarPubMed
Levy, R. (2012). Apathy: a pathology of goal-directed behaviour. A new concept of the clinic and pathophysiology of apathy. Revue neurologique, 168(8–9), 585–597.CrossRefGoogle ScholarPubMed
Levy, M., Cummings, J.L., Fairbanks, L.A., Masterman, D., Miller, B.L., Craig, A.H., … Litvan, I. (1998). Apathy Is Not Depression. The Journal of Neuropsychiatry and Clinical Neurosciences, 10(3), 314–319. doi: 10.1176/jnp.10.3.314 CrossRefGoogle Scholar
Levy, R. & Dubois, B. (2006). Apathy and the Functional Anatomy of the Prefrontal Cortex–Basal Ganglia Circuits. Cerebral Cortex, 16(7), 916–928. doi: 10.1093/cercor/bhj043 CrossRefGoogle ScholarPubMed
Li, C.-H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 48(3), 936–949. doi: 10.3758/s13428-015-0619-7 CrossRefGoogle ScholarPubMed
Lockwood, P.L., Hamonet, M., Zhang, S.H., Ratnavel, A., Salmony, F.U., Husain, M., & Apps, M.A.J. (2017). Prosocial apathy for helping others when effort is required. Nature Human Behaviour, 1(7), 0131. doi: 10.1038/s41562-017-0131 CrossRefGoogle ScholarPubMed
M’Barek, L., Radakovic, R., Noquet, M., Laurent, A., & Allain, P. (2018). Different aspects of emotional processes in apathy: Application of the French translated dimensional apathy scale. Current Psychology. doi: 10.1007/s12144-017-9775-5 Google Scholar
Marin, R.S. (1991). Apathy: a neuropsychiatric syndrome. The Journal of Neuropsychiatry and Clinical Neuroscience, 3(3), 243–254. doi: 10.1176/jnp.3.3.243 Google ScholarPubMed
Marsh, H.W., Muthén, B., Asparouhov, T., Lüdtke, O., Robitzsch, A., Morin, A.J.S., & Trautwein, U. (2009). Exploratory Structural Equation Modeling, Integrating CFA and EFA: Application to Students’ Evaluations of University Teaching. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 439–476. doi: 10.1080/10705510903008220 CrossRefGoogle Scholar
McDonald, R.P. (2013). Test theory: A unified treatment. Psychology Press.CrossRefGoogle Scholar
Meyer, O.L., Nguyen, K.H., Dao, T.N., Vu, P., Arean, P., & Hinton, L. (2015). The sociocultural context of caregiving experiences for Vietnamese dementia family caregivers. Asian American Journal of Psychology, 6(3), 263.CrossRefGoogle ScholarPubMed
Nguyen, T. & Levkoff, S. (2020). “What Will Come Will Come”: The Journey of Adjustment and Acceptance on the Path of Dementia Care Among Vietnamese Family Caregivers. Qualitative Health Research, 104973232091939. doi: 10.1177/1049732320919390 Google ScholarPubMed
Nguyen, P., Ocansey, M.E., Miller, M., Le, D.T.K., Schmidt, R.J., & Prado, E.L. (2019). The reliability and validity of the social responsiveness scale to measure autism symptomology in Vietnamese children. Autism Research, 12(11), 1706–1718. doi: 10.1002/aur.2179 CrossRefGoogle ScholarPubMed
Niemeier, J.P., Perrin, P.B., Holcomb, M.G., Nersessova, K.S., & Rolston, C.D. (2013). Factor structure, reliability, and validity of the Frontal Systems Behavior Scale (FrSBe) in an acute traumatic brain injury population. Rehabilitation Psychology, 58(1), 51.CrossRefGoogle Scholar
Pekerti, A., Vuong, Q.-H., Ho, T., & Vuong, T.-T. (2017). Health Care Payments in Vietnam: Patients’ Quagmire of Caring for Health versus Economic Destitution. International Journal of Environmental Research and Public Health, 14(10), 1118. doi: 10.3390/ijerph14101118 CrossRefGoogle ScholarPubMed
Perry, J.L., Nicholls, A.R., Clough, P.J., & Crust, L. (2015). Assessing Model Fit: Caveats and Recommendations for Confirmatory Factor Analysis and Exploratory Structural Equation Modeling. Measurement in Physical Education and Exercise Science, 19(1), 12–21. doi: 10.1080/1091367x.2014.952370 CrossRefGoogle Scholar
Radakovic, R. & Abrahams, S. (2014). Developing a new apathy measurement scale: Dimensional Apathy Scale. Psychiatry Research, 219(3), 658–663. doi: 10.1016/j.psychres.2014.06.010 CrossRefGoogle ScholarPubMed
Radakovic, R. & Abrahams, S. (2018). Multidimensional apathy: evidence from neurodegenerative disease. Current Opinion in Behavioral Sciences, 22, 42–49. doi: 10.1016/j.cobeha.2017.12.022 CrossRefGoogle Scholar
Radakovic, R., Colville, S., Cranley, D., Starr, J.M., Pal, S., & Abrahams, S. (2020). Multidimensional Apathy in Behavioral Variant Frontotemporal Dementia, Primary Progressive Aphasia, and Alzheimer Disease. Journal of Geriatric Psychiatry and Neurology, 089198872092471. doi: 10.1177/0891988720924716 Google ScholarPubMed
Radakovic, R., Davenport, R., Starr, J.M., & Abrahams, S. (2018). Apathy dimensions in Parkinson’s disease. International Journal of Geriatric Psychiatry, 33(1), 151–158. doi: 10.1002/gps.4697 CrossRefGoogle ScholarPubMed
Radakovic, R., Stephenson, L., Colville, S., Swingler, R., Chandran, S., & Abrahams, S. (2016). Multidimensional apathy in ALS: validation of the Dimensional Apathy Scale. Journal of Neurology, Neurosurgery & Psychiatry, 87(6), 663–669.CrossRefGoogle ScholarPubMed
Santangelo, G., Raimo, S., Siciliano, M., D’Iorio, A., Piscopo, F., Cuoco, S., … Trojano, L. (2017). Assessment of apathy independent of physical disability: validation of the Dimensional Apathy Scale in Italian healthy sample. Neurological Sciences, 38(2), 303–309. doi: 10.1007/s10072-016-2766-8 CrossRefGoogle ScholarPubMed
Smith, E.E., Smith, J.A.D., & Juengst, S.B. (2020). Cognitive process scores associated with self-reported behavioral dysfunction on the Frontal Systems Behavior Scale (FrSBe) in chronic traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 42(1), 90–100. doi: 10.1080/13803395.2019.1676882 CrossRefGoogle ScholarPubMed
Sousa, V.D. & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. Journal of Evaluation in Clinical Practice, 17(2), 268–274. doi: 10.1111/j.1365-2753.2010.01434.x CrossRefGoogle ScholarPubMed
Tierney, S.M., Woods, S.P., Weinborn, M., & Bucks, R.S. (2018). Real-world implications of apathy among older adults: Independent associations with activities of daily living and quality of life. Journal of Clinical and Experimental Neuropsychology, 40(9), 895–903. doi: 10.1080/13803395.2018.1444736 CrossRefGoogle ScholarPubMed
Tóth-Király, I., Bõthe, B., Rigó, A., & Orosz, G. (2017). An Illustration of the Exploratory Structural Equation Modeling (ESEM) Framework on the Passion Scale. Frontiers in Psychology, 8. doi: 10.3389/fpsyg.2017.01968 CrossRefGoogle ScholarPubMed
Tran, T.D., Tran, T., & Fisher, J. (2013). Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry, 13(1), 24. doi: 10.1186/1471-244x-13-24 CrossRefGoogle Scholar
Velligan, D.I., Ritch, J.L., Sui, D., Dicocco, M., & Huntzinger, C.D. (2002). Frontal Systems Behavior Scale in schizophrenia: relationships with psychiatric symptomatology, cognition and adaptive function. Psychiatry Research, 113(3), 227–236. doi: 10.1016/s0165-1781(02)00264-0 CrossRefGoogle ScholarPubMed
Wei, G., Irish, M., Hodges, J.R., Piguet, O., & Kumfor, F. (2020). Disease-specific profiles of apathy in Alzheimer’s disease and behavioural-variant frontotemporal dementia differ across the disease course. Journal of Neurology, 267(4), 1086–1096. doi: 10.1007/s00415-019-09679-1 CrossRefGoogle ScholarPubMed
Wong, S., Irish, M., Husain, M., Hodges, J.R., Piguet, O., & Kumfor, F. (2020). Apathy and its impact on carer burden and psychological wellbeing in primary progressive aphasia. Journal of the Neurological Sciences, 416, 117007. doi: 10.1016/j.jns.2020.117007 CrossRefGoogle ScholarPubMed
Yu, C.-Y. (2002). Evaluating cutoff criteria of model fit indices for latent variable models with binary and continuous outcomes (Vol. 30): Los Angeles, CA: University of California, Los Angeles.Google Scholar
Zahodne, L.B. & Tremont, G. (2013). Unique effects of apathy and depression signs on cognition and function in amnestic mild cognitive impairment. International Journal of Geriatric Psychiatry, 28(1), 50–56.CrossRefGoogle ScholarPubMed
Zamboni, G., Huey, E., Krueger, F., Nichelli, P.F., & Grafman, J. (2008). Apathy and disinhibition in frontotemporal dementia: insights into their neural correlates. Neurology, 71(10), 736–742.CrossRefGoogle ScholarPubMed
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