中国行为医学科学
中國行為醫學科學
중국행위의학과학
2008年
10期
950-952
,共3页
杨海晨%JULES Angst%廖春平%苑成梅%位照国%王轶%孔志%杨颖佳
楊海晨%JULES Angst%廖春平%苑成梅%位照國%王軼%孔誌%楊穎佳
양해신%JULES Angst%료춘평%원성매%위조국%왕질%공지%양영가
32项轻躁狂症状清单%双相Ⅰ型障碍%信度%效度
32項輕躁狂癥狀清單%雙相Ⅰ型障礙%信度%效度
32항경조광증상청단%쌍상Ⅰ형장애%신도%효도
32-item Hypomania Checklist%BipolarⅠdisorder%Reliability%Validity
目的 研究中文版32项轻躁狂症状清单(HCL-32)在双相Ⅰ型障碍中的信度、效度等结果.方法 对132例双相Ⅰ型障碍患者进行测评,并且有95例患者(72.0%)在8～14d重测.结果 ①经相关分析及Kruskal-Wallis检验,双相Ⅰ型障碍患者在接受测评时的心境状态对HCL-32得分的影响无统计学意义(P值分别为0.62,0.70).②因子分析显示前2个因子的特征值较佳,分别为5.48,3.15,前2个因子对总方差的累积贡献率为27.0%.内部一致性信度分析HCL-32全量表Cronbach's Mpha值为0.83,因子Ⅰ、Ⅱ分别为0.83,0.72.全量表重测相关系数为0.61(P=0.00).前后2次测评中,32项条目应答一致率为58.9%～91.6%,有5个条目该值低于70%.患者的HCL-32得分范围为5～32分,患者的HCL-32总分≥14分时,例数增加明显.32项条目阳性回答率为11.4%～93.9%.结论 HCL-32中文版在双相Ⅰ型障碍患者中初步试用,其信度、效度尚满意.
目的 研究中文版32項輕躁狂癥狀清單(HCL-32)在雙相Ⅰ型障礙中的信度、效度等結果.方法 對132例雙相Ⅰ型障礙患者進行測評,併且有95例患者(72.0%)在8～14d重測.結果 ①經相關分析及Kruskal-Wallis檢驗,雙相Ⅰ型障礙患者在接受測評時的心境狀態對HCL-32得分的影響無統計學意義(P值分彆為0.62,0.70).②因子分析顯示前2箇因子的特徵值較佳,分彆為5.48,3.15,前2箇因子對總方差的纍積貢獻率為27.0%.內部一緻性信度分析HCL-32全量錶Cronbach's Mpha值為0.83,因子Ⅰ、Ⅱ分彆為0.83,0.72.全量錶重測相關繫數為0.61(P=0.00).前後2次測評中,32項條目應答一緻率為58.9%～91.6%,有5箇條目該值低于70%.患者的HCL-32得分範圍為5～32分,患者的HCL-32總分≥14分時,例數增加明顯.32項條目暘性迴答率為11.4%～93.9%.結論 HCL-32中文版在雙相Ⅰ型障礙患者中初步試用,其信度、效度尚滿意.
목적 연구중문판32항경조광증상청단(HCL-32)재쌍상Ⅰ형장애중적신도、효도등결과.방법 대132례쌍상Ⅰ형장애환자진행측평,병차유95례환자(72.0%)재8～14d중측.결과 ①경상관분석급Kruskal-Wallis검험,쌍상Ⅰ형장애환자재접수측평시적심경상태대HCL-32득분적영향무통계학의의(P치분별위0.62,0.70).②인자분석현시전2개인자적특정치교가,분별위5.48,3.15,전2개인자대총방차적루적공헌솔위27.0%.내부일치성신도분석HCL-32전량표Cronbach's Mpha치위0.83,인자Ⅰ、Ⅱ분별위0.83,0.72.전량표중측상관계수위0.61(P=0.00).전후2차측평중,32항조목응답일치솔위58.9%～91.6%,유5개조목해치저우70%.환자적HCL-32득분범위위5～32분,환자적HCL-32총분≥14분시,례수증가명현.32항조목양성회답솔위11.4%～93.9%.결론 HCL-32중문판재쌍상Ⅰ형장애환자중초보시용,기신도、효도상만의.
Objective To investigate the results of application of the Chinese version 32-item hypomania checklist(HCL-32)in patients with bipolar Ⅰ disorder.Methods The Chinese version of HCL-32 were tested in 132 patients with Bipolar Ⅰ disorder,and 95(72.0%)of them retested after 8 to 14 days.Results ①There were no statistical associations between HCL-32 total scores and the subjects' current mental state rating(P=0.62).Also the mean total HCL-32 scores did not differ between sub-groups defined by the current mental state(P=0.70).②A two-factor solution was preferred by the factors analysis.The Eigenvalues of the two factors were 5.48 and 3.15 respectively:the two factors together accounted for 27.0%of the total variance.The Cronbach's alpha of the total scale Was 0.83:and of the first and second factor 0.83 and 0.72 respectively.The test-retest reliabilitv ofthe whole scale Was 0.61(P=0.70).The rate of unanimous answer of 32 items in the test and retest ranged from 58.9%to 91.6%.The rates of five items were lower than 70%.Patients' total HCL-32 scores ranged from 5 to 32.The number of the patients increased dramatically when the total HCL-32 scores Was 14 or more.The frequency of endorsement of 32 items ranged from 11.4%to 93.9%in the study.Conclusion The Chinese version of the HCL-32 of had acceptable psychometric reliability and validity in patients with bipolar I disorder.
