nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2025-2-22-29nnp-2478Research ArticleORIGINAL INVESTIGATIONSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ И МЕТОДИКИValidation of the Russian-language version of the Self-Awareness Deficit Interview (SADI)Валидация русскоязычной версии опросника для оценки критичности к нарушениям у неврологических больных (Self-Awareness Deficit Interview, SADI)https://orcid.org/0000-0002-8310-8169ВаракоН. А.VarakoN. A.

119991, Москва, Ленинские горы, 1;125367, Москва, Волоколамское шоссе, 80;125009, Москва, ул. Моховая, 9, стр. 4

1, Leninskiye Gory, Moscow 119991;80, Volokolamskoe Sh., Moscow 125367;9, Mohovaya St., Build. 4, Moscow 125009

nvarako@mail.ruГридасоваЮ. В.GridasovaYu. V.

119991, Москва, Ленинские горы, 1

1, Leninskiye Gory, Moscow 119991

https://orcid.org/0000-0002-1795-6645КовязинаМ. С.KovyazinaM. S.

119991, Москва, Ленинские горы, 1;125367, Москва, Волоколамское шоссе, 80;125009, Москва, ул. Моховая, 9, стр. 4

1, Leninskiye Gory, Moscow 119991;80, Volokolamskoe Sh., Moscow 125367;9, Mohovaya St., Build. 4, Moscow 125009

https://orcid.org/0000-0002-5826-9112ЮсуповаД. Г.YusupovaD. G.

125367, Москва, Волоколамское шоссе, 80

80, Volokolamskoe Sh., Moscow 125367

https://orcid.org/0000-0002-9226-2870ЗиминА. А.ZiminA. A.

125367, Москва, Волоколамское шоссе, 80;117513, Москва, ул. Островитянова, 1

80, Volokolamskoe Sh., Moscow 125367;1, Ostrovityanova St., Moscow 117513

https://orcid.org/0000-0003-3774-3070ЗайцевА. Б.ZaytsevA. B.

119991, Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

ВасильеваС. А.VasilevaS. A.

105203, Москва, ул. Нижняя Первомайская, 70

70, Nizhnyaya Pervomayskaya St., Moscow 105203

https://orcid.org/0000-0001-7141-6052ДаминовВ. Д.DaminovV. D.

105203, Москва, ул. Нижняя Первомайская, 70

70, Nizhnyaya Pervomayskaya St., Moscow 105203

ЗинченкоЮ. П.ZinchenkoYu. P.

119991, Москва, Ленинские горы, 1

1, Leninskiye Gory, Moscow 119991

https://orcid.org/0009-0007-8077-2121СандаловаЮ. А.SandalovaYu. A.

119991, Москва, Ленинские горы, 1

1, Leninskiye Gory, Moscow 119991

https://orcid.org/0000-0002-6338-0392ПирадовМ. А.PiradovM. A.

125367, Москва, Волоколамское шоссе, 80

80, Volokolamskoe Sh., Moscow 125367

https://orcid.org/0000-0003-3956-6362СупоневаН. А.SuponevaN. A.

125367, Москва, Волоколамское шоссе, 80

80, Volokolamskoe Sh., Moscow 125367

ФГБОУ ВО «Московский государственный университет им. М.В. Ломоносова»; ФГБНУ «Научный центр неврологии; ФГБНУ «Федеральный научный центр психологических и междисциплинарных исследований»РоссияLomonosov Moscow State University; Research Center of Neurology; Federal Scientific Center for Psychological and Interdisciplinary ResearchRussian FederationФГБОУ ВО «Московский государственный университет им. М.В. Ломоносова»РоссияLomonosov Moscow State UniversityRussian FederationФГБНУ «Научный центр неврологии»РоссияResearch Center of NeurologyRussian FederationФГБНУ «Научный центр неврологии»; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияResearch Center of Neurology; N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian FederationФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov National Medical and Surgical Center, Ministry of Health of RussiaRussian Federation2025210420251722229Copyright © Varako N.A., Gridasova Y.V., Kovyazina M.S., Yusupova D.G., Zimin A.A., Zaytsev A.B., Vasileva S.A., Daminov V.D., Zinchenko Y.P., Sandalova Y.A., Piradov M.A., Suponeva N.A., 20252025Варако Н.А., Гридасова Ю.В., Ковязина М.С., Юсупова Д.Г., Зимин А.А., Зайцев А.Б., Васильева С.А., Даминов В.Д., Зинченко Ю.П., Сандалова Ю.А., Пирадов М.А., Супонева Н.А.Varako N.A., Gridasova Y.V., Kovyazina M.S., Yusupova D.G., Zimin A.A., Zaytsev A.B., Vasileva S.A., Daminov V.D., Zinchenko Y.P., Sandalova Y.A., Piradov M.A., Suponeva N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2478

Thorough and early assessment of self-awareness deficits after brain injury is an important problem in neurorehabilitation that requires the development of both qualitative and quantitative methods to assess different levels of self-awareness to increase the efficacy of rehabilitation. Although there is no consensus on the determination and measurement of self-awareness impairment, several quantitative assessment methods have been developed in international practice. The Self-Awareness of Deficits Interview (SADI) technique is one of the most used structured interviews to assess self-awareness impairment in neurological patients. Objective: to conduct validation study and to develop the official Russian-language version of SADI. Material and methods. The study comprised two stages: in the first stage (n=17), a direct and reverse translation of the methodology was performed, followed by a pilot test; in the second stage (n=31), the reliability of the inter-rater and test-retest reliability, and the internal consistency of the methodology were evaluated. Three neuropsychological experts and two students took part in the evaluation of the results. Interviews were conducted with patients who were hospitalized to the Research Center of Neurology and N.I. Pirogov National Medical and Surgical Center of Ministry of Health of Russia. Inclusion criteria: verified neurological diagnosis, no pronounced speech disorders, Russian language fluency. Results. The study resulted in the cross-cultural SADI adaptation, leading to the development of the SADI-RU, the Russian-language version, including a scoring guide and a list of questions for patient's relatives. Pilot tests showed the suitability of the SADI-RU for clinical practice. An analysis of the psychometric indicators of the tool showed a “good” level of inter-rater consistency (ICC=0.81), high test-retest reliability (r=0.92) and internal consistency (α=0.77). Conclusion. The results of the study have shown that the developed SADI-RU is a reliable tool for assessing the self-awareness deficits, which is suitable for clinical practice and scientific research in neurological patients.

Тщательная и ранняя оценка нарушений критичности после поражения головного мозга является важной проблемой в нейрореабилитации, требующей разработки как качественных, так и количественных методик оценки различных уровней критичности для повышения эффективности восстановительных мероприятий. Несмотря на отсутствие единого мнения относительно определения и измерения нарушений критичности, в зарубежной практике разработан ряд количественных методов оценки. Методика Self-Awareness Deficits Interview (SADI) является одним из наиболее широко используемых структурированных интервью для оценки нарушений критичности у неврологических больных. Цель исследования – проведение валидационного исследования и разработка официальной русскоязычной версии SADI. Материал и методы. Исследование включало два этапа: на первом этапе (n=17) был осуществлен прямой и обратный перевод методики, затем проведено ее пилотное тестирование; на втором этапе (n=31) оценивались межэкспертная и ретестовая надежность, а также внутренняя согласованность методики. В оценке результатов приняли участие три эксперта-нейропсихолога и два студента. Интервью проводились с пациентами, находящимися на госпитализации в Научном центре неврологии и Национальном медико-хирургическим центре им. Н.И. Пирогова Минздрава России. Критерии включения: верифицированный неврологический диагноз, отсутствие выраженных речевых нарушений, свободное владение русским языком. Результаты. Была проведена лингвокультурная адаптация методики SADI с разработкой русскоязычной версии – Опросника для оценки критичности к нарушениям (ООКН), включая руководство по начислению баллов и список вопросов для близких пациента. Пилотное тестирование показало пригодность ООКН для клинической практики. Анализ психометрических показателей инструмента продемонстрировал «хороший» уровень межэкспертной согласованности (ICC=0,81), высокую ретестовую надежность (r=0,92) и внутреннюю согласованность (α=0,77). Заключение. Результаты исследования показали, что разработанный ООКН является надежным инструментом оценки критичности к нарушениям, пригодным для клинической практики и для научных исследований у неврологических пациентов.

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The authors declare that there are no conflicts of interest present.