中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
CHINESE MENTAL HEALTH JOURNAL
2009年
11期
790-794
,共5页
司天梅%舒良%田成华%苏允爱%闫俊%程嘉%李雪霓%刘琦%马燕桃%张卫华%党卫民%张鸿燕
司天梅%舒良%田成華%囌允愛%閆俊%程嘉%李雪霓%劉琦%馬燕桃%張衛華%黨衛民%張鴻燕
사천매%서량%전성화%소윤애%염준%정가%리설예%류기%마연도%장위화%당위민%장홍연
社会功能%个人和社会功能量表%信度%效度%心理测量学
社會功能%箇人和社會功能量錶%信度%效度%心理測量學
사회공능%개인화사회공능량표%신도%효도%심리측량학
social function%Chinese version of personal and social performance scale (PSP-CHN)%reliability%validity%psychometrics
目的:考察个体和社会功能量表(Personal and Social Performance scale,PSP)中文版(PSP-CHN)在精神分裂症患者中的信度和效度.方法:收集165例符合DSM-IV-TR精神分裂症诊断标准的门诊或住院精神分裂症患者,10例患者用于研究者一致性培训,155例进行大体社会功能量表(Global Assessment of Functioning Scale,GAF))、阳性和阴性症状量表(Positive and Negative Syndrome Scale,PANSS)和PSP-CHN检查,分析PSP-CHN量表的内部一致性、PSP-CHN与GAF的一致性(效标效度)以及与患者疾病严重度的相关性(关联效度).66例患者在首次PSP-CHN评估后的5～7天内,由另一名研究者对患者进行第2次检查,评价PSP-CHN的重测信度.27例PANSS总分≥60分的患者,接受系统药物治疗8周,评估8周后PANSS及PSP-CHN评分改变,以及二者的相关性.结果:PSP-CHN量表的内部一致性Cronbach α系数为0.84,PSP-CHN总分的研究者之间一致性Kappa值为0.56(ICC=0.94),重测一致性ICC＝0.95.PSP-CHN总分与GAF有较好的相关性(ICC＝0.95),与PANSS总分及分量表分负相关(r=-0.79,-0.57,-0.63和-0.71,P＜0.01).治疗8周后,治疗有效患者(定义为PANSS与基线比较的减分率≥50%)PSP评分增加(平均增加21.2)明显高于部分有效的患者(定义为PANSS与基线比较的减分率<50%,PSP增加10.2分).结论:个体和社会功能量表中文版是评估精神分裂症急性期和稳定期患者个人和社会功能的一个简洁、易操作、较稳定的工具,适用于临床实践或研究中使用.
目的:攷察箇體和社會功能量錶(Personal and Social Performance scale,PSP)中文版(PSP-CHN)在精神分裂癥患者中的信度和效度.方法:收集165例符閤DSM-IV-TR精神分裂癥診斷標準的門診或住院精神分裂癥患者,10例患者用于研究者一緻性培訓,155例進行大體社會功能量錶(Global Assessment of Functioning Scale,GAF))、暘性和陰性癥狀量錶(Positive and Negative Syndrome Scale,PANSS)和PSP-CHN檢查,分析PSP-CHN量錶的內部一緻性、PSP-CHN與GAF的一緻性(效標效度)以及與患者疾病嚴重度的相關性(關聯效度).66例患者在首次PSP-CHN評估後的5～7天內,由另一名研究者對患者進行第2次檢查,評價PSP-CHN的重測信度.27例PANSS總分≥60分的患者,接受繫統藥物治療8週,評估8週後PANSS及PSP-CHN評分改變,以及二者的相關性.結果:PSP-CHN量錶的內部一緻性Cronbach α繫數為0.84,PSP-CHN總分的研究者之間一緻性Kappa值為0.56(ICC=0.94),重測一緻性ICC＝0.95.PSP-CHN總分與GAF有較好的相關性(ICC＝0.95),與PANSS總分及分量錶分負相關(r=-0.79,-0.57,-0.63和-0.71,P＜0.01).治療8週後,治療有效患者(定義為PANSS與基線比較的減分率≥50%)PSP評分增加(平均增加21.2)明顯高于部分有效的患者(定義為PANSS與基線比較的減分率<50%,PSP增加10.2分).結論:箇體和社會功能量錶中文版是評估精神分裂癥急性期和穩定期患者箇人和社會功能的一箇簡潔、易操作、較穩定的工具,適用于臨床實踐或研究中使用.
목적:고찰개체화사회공능량표(Personal and Social Performance scale,PSP)중문판(PSP-CHN)재정신분렬증환자중적신도화효도.방법:수집165례부합DSM-IV-TR정신분렬증진단표준적문진혹주원정신분렬증환자,10례환자용우연구자일치성배훈,155례진행대체사회공능량표(Global Assessment of Functioning Scale,GAF))、양성화음성증상량표(Positive and Negative Syndrome Scale,PANSS)화PSP-CHN검사,분석PSP-CHN량표적내부일치성、PSP-CHN여GAF적일치성(효표효도)이급여환자질병엄중도적상관성(관련효도).66례환자재수차PSP-CHN평고후적5～7천내,유령일명연구자대환자진행제2차검사,평개PSP-CHN적중측신도.27례PANSS총분≥60분적환자,접수계통약물치료8주,평고8주후PANSS급PSP-CHN평분개변,이급이자적상관성.결과:PSP-CHN량표적내부일치성Cronbach α계수위0.84,PSP-CHN총분적연구자지간일치성Kappa치위0.56(ICC=0.94),중측일치성ICC＝0.95.PSP-CHN총분여GAF유교호적상관성(ICC＝0.95),여PANSS총분급분량표분부상관(r=-0.79,-0.57,-0.63화-0.71,P＜0.01).치료8주후,치료유효환자(정의위PANSS여기선비교적감분솔≥50%)PSP평분증가(평균증가21.2)명현고우부분유효적환자(정의위PANSS여기선비교적감분솔<50%,PSP증가10.2분).결론:개체화사회공능량표중문판시평고정신분렬증급성기화은정기환자개인화사회공능적일개간길、역조작、교은정적공구,괄용우림상실천혹연구중사용.
Objective:To evaluate the reliability and validity of the Chinese version of the Personal and Social Performance scale (PSP-CHN) in patients with schizophrenia.Methods:Totally 165 out-patients and in-patients meeting the DSM-IV-TR criteria for schizophrenia were entered in the study.Ten of subjects was included the intra-rater reliability training.The Global Assessment of Functioning Scale (GAF) was regarded as the' gold standard' to investigate the validity of PSP-CHN,and the Positive and Negative Rating Scale was used to assess the severity of disease to explore the correlative validity,in the other 155 subjects.Five to seven days after the first PSP-CHN interview,the second PSP-CHN was evaluated by another investigator to assess the test-retest reliability among 66 subjects.Twenty-seven subjects with the score of Positive and Negative Syndrome Scale (PANSS) more than 60 were followed up for 8 weeks of standardized pharmacotherapy.By the end of 8 week of treatment,the PANSS and PSP-CHN were assessed again to explore the sensitivity of PSP-CHN.Results:The internal consistency (Cronbach α=0.84) and the inter-rater reliability (κ value=0.56,ICC=0.94 for PSP-CHN total score) were good.The test-retest reliability was high [intraclass correlation coefficient (ICC) of 0.95].The scale showed good construct validity with statistically significant correlations with the Global Assessment of Functioning Scale (GAF) (ICC of 0.95).The PSP-CHN score had a good negative correlation with the PANSS total score(r=-0.79,-0.57,-0.63 and -0.71,respectively,P<0.01).After 8 week treatment,PSP-CHN total score was increased with the improvement of PANSS,and the responder showed higher increasing of PSP-CHN total score (21.2) than those partial responder(10.2),significantly.Conclusion:The Chinese version of the PSP-CHN is a convenient and valid instrument to assess the personal and social functions of stabilized and acute patients with schizophrenia.
