中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2011年
5期
468-470
,共3页
李毅%胡拾妮%高欢%黄志彪%吴冬凌%李学武%王轶%邓先华%高北陵
李毅%鬍拾妮%高歡%黃誌彪%吳鼕凌%李學武%王軼%鄧先華%高北陵
리의%호습니%고환%황지표%오동릉%리학무%왕질%산선화%고북릉
精神障碍患者%社会功能缺损%评定量表%信度%效度
精神障礙患者%社會功能缺損%評定量錶%信度%效度
정신장애환자%사회공능결손%평정량표%신도%효도
Patients with mental disorders%Social functioning deficit%Rating scale%Reliability%Validity
目的 检测精神障碍患者社会功能缺损评定量表(SSFD-MD)的信度和效度.方法 对1003例精神残疾鉴定患者施测,其中100例患者相隔1个月进行重测,并由2名熟悉SSFD-MD评分细则的评定人背对背测评.对其中300例同时实测社会功能缺陷筛选量表(SDSS)、住院精神病人社会功能评定量表(SSPI)、精神功能大体评定昔表(GAF)、简明精神病评定量表(BPRS)、世界卫生组织残疾评定量表Ⅱ(WHO-DASⅡ)、成人智残评定量表(ARSMD)及锥体外系副反应量表(RSESE).结果 ①信度:全量表总分及各分量表的Cronbach's α系数均大于0.90;各分量表及总分重测一致性在0.67～0.83之间;评分者信度在0.87～0.97之间.②效度:各分量表间的相关系数在0.46～0.74之间,各分量表与总分的相关系数在0.73～0.87之间,均具有显著性(P＜0.01);经方差最大化正交旋转后全量表提取5个主成分,累计解释的总变异为82.25%.SSFD-MD与SDSS、SSPI及GAF呈高度相关,分别为0.71,0.72和0.78;与BPRS、WHO-DASⅡ及成人智残评定量表呈中度相关,r分别为0.62,0.50与0.46;与锥体外系副反应量表(RSE-SE)呈低度相关(0.22),均差异具有显著性(P＜0.01).结论 SSFD-MD编制符合心理测量学的基本要求,具有良好的信度和效度.
目的 檢測精神障礙患者社會功能缺損評定量錶(SSFD-MD)的信度和效度.方法 對1003例精神殘疾鑒定患者施測,其中100例患者相隔1箇月進行重測,併由2名熟悉SSFD-MD評分細則的評定人揹對揹測評.對其中300例同時實測社會功能缺陷篩選量錶(SDSS)、住院精神病人社會功能評定量錶(SSPI)、精神功能大體評定昔錶(GAF)、簡明精神病評定量錶(BPRS)、世界衛生組織殘疾評定量錶Ⅱ(WHO-DASⅡ)、成人智殘評定量錶(ARSMD)及錐體外繫副反應量錶(RSESE).結果 ①信度:全量錶總分及各分量錶的Cronbach's α繫數均大于0.90;各分量錶及總分重測一緻性在0.67～0.83之間;評分者信度在0.87～0.97之間.②效度:各分量錶間的相關繫數在0.46～0.74之間,各分量錶與總分的相關繫數在0.73～0.87之間,均具有顯著性(P＜0.01);經方差最大化正交鏇轉後全量錶提取5箇主成分,纍計解釋的總變異為82.25%.SSFD-MD與SDSS、SSPI及GAF呈高度相關,分彆為0.71,0.72和0.78;與BPRS、WHO-DASⅡ及成人智殘評定量錶呈中度相關,r分彆為0.62,0.50與0.46;與錐體外繫副反應量錶(RSE-SE)呈低度相關(0.22),均差異具有顯著性(P＜0.01).結論 SSFD-MD編製符閤心理測量學的基本要求,具有良好的信度和效度.
목적 검측정신장애환자사회공능결손평정량표(SSFD-MD)적신도화효도.방법 대1003례정신잔질감정환자시측,기중100례환자상격1개월진행중측,병유2명숙실SSFD-MD평분세칙적평정인배대배측평.대기중300례동시실측사회공능결함사선량표(SDSS)、주원정신병인사회공능평정량표(SSPI)、정신공능대체평정석표(GAF)、간명정신병평정량표(BPRS)、세계위생조직잔질평정량표Ⅱ(WHO-DASⅡ)、성인지잔평정량표(ARSMD)급추체외계부반응량표(RSESE).결과 ①신도:전량표총분급각분량표적Cronbach's α계수균대우0.90;각분량표급총분중측일치성재0.67～0.83지간;평분자신도재0.87～0.97지간.②효도:각분량표간적상관계수재0.46～0.74지간,각분량표여총분적상관계수재0.73～0.87지간,균구유현저성(P＜0.01);경방차최대화정교선전후전량표제취5개주성분,루계해석적총변이위82.25%.SSFD-MD여SDSS、SSPI급GAF정고도상관,분별위0.71,0.72화0.78;여BPRS、WHO-DASⅡ급성인지잔평정량표정중도상관,r분별위0.62,0.50여0.46;여추체외계부반응량표(RSE-SE)정저도상관(0.22),균차이구유현저성(P＜0.01).결론 SSFD-MD편제부합심리측량학적기본요구,구유량호적신도화효도.
Objective To test the reliability and validity of the rating scale of social function deficit due to mental disorders (SSFD-MD). Methods 1003 cases with mental disability evaluation were tested by SSFDMD. At sametime, 100 cases of 1003 cases were test-retested and back to back tested by two examiners. 300 cases of 1003 cases also were tested by social disability screening schedule( SDSS),scale of social function for psychosis inpatients(SSPI),global assessment function(GAF) ,the brief psychiatric rating scale(BPRS) ,WH0 disability assessment scale Ⅱ (WHO-DASⅡ ), adult rating scale of mentally disabled ( ARSMD) and rating scale for extrapyramidal side effects (RSESE). Results ①The Cronbach's α coefficients of the total score and all dimensions of SSFD-MD were more than 0.90. The test-retest reliability ranged from 0.67～0. 83 ,and the scorer reliability were 0. 87～0.97. ②The correlations between item scores ranged from 0.46 ～0.74(P＜0.01). The correlations between the factor scores and the total scores ranged from 0.73～0.87(P＜0.01). To extract five full-scale principal components after orthogonal rotation to maximize variance,the cumulative total variance explained was 82.25%.There were highly correlations between SSFD-MD and SDSS.SSPI and GAF,respectively ( r = 0. 71,0.72 and 0. 78). There were moderate correlations between SSFD-MD and BPRS WHO-DAS II ARSMD,respectively(0.62,0. 50 and 0.46). There was a low correlations between SSFD-MD and RSESE ( r = 0.22) ,but all correlations were significant(P＜0.01). Conclusion SSFD-MD has acceptable psychometrics properties on reliability and validity.
