CAJ | 학술논문

目的：探讨中文版剑桥前瞻性记忆测试量表(C-CAMPROMPT)计算机测量用于慢性精神分裂症患者前瞻性记忆(PM)功能评估的临床信效度。方法选取年龄、性别、受教育年限相匹配的慢性精神分裂症患者(病例组)以及健康对照(对照组)各50例。以C-CAMPROMPT计算机测量评估PM功能；以韦氏成人记忆量表第四版中文版(WMS-Ⅳ)评估逻辑记忆(LM)及视觉记忆(VR)；以威斯康星卡片分类测验(WCST)评估执行功能；以言语流畅性测验(CFT)评估处理速度；进行C-CAMPROMPT的临床信效度分析。结果该量表的重测信度和分半信度(Pearson相关系数)分别为0.981和0.627(均P<0.001)，内部一致性信度(Cronbachα系数)为0.742。病例组PM总分及各个因子、条目得分均低于对照组(均P<0.05)。病例组PM与LM、VR、WCST-CC、CFT正相关(r=0.34~0.89, P<0.05)。判别分析显示量表的灵敏度为86%，特异度为92%，符合率为89%。探索性因子分析将量表的所有条目聚为2个因子(累计贡献率61.46%)。结论 C-CAMPROMPT计算机测量在慢性精神分裂症患者PM功能评估中具有较好的临床信效度，是一个敏感性较高、适用性较强且稳定的工具。
목적：탐토중문판검교전첨성기억측시량표(C-CAMPROMPT)계산궤측량용우만성정신분렬증환자전첨성기억(PM)공능평고적림상신효도。방법선취년령、성별、수교육년한상필배적만성정신분렬증환자(병례조)이급건강대조(대조조)각50례。이C-CAMPROMPT계산궤측량평고PM공능；이위씨성인기억량표제사판중문판(WMS-Ⅳ)평고라집기억(LM)급시각기억(VR)；이위사강성잡편분류측험(WCST)평고집행공능；이언어류창성측험(CFT)평고처리속도；진행C-CAMPROMPT적림상신효도분석。결과해량표적중측신도화분반신도(Pearson상관계수)분별위0.981화0.627(균P<0.001)，내부일치성신도(Cronbachα계수)위0.742。병례조PM총분급각개인자、조목득분균저우대조조(균P<0.05)。병례조PM여LM、VR、WCST-CC、CFT정상관(r=0.34~0.89, P<0.05)。판별분석현시량표적령민도위86%，특이도위92%，부합솔위89%。탐색성인자분석장량표적소유조목취위2개인자(루계공헌솔61.46%)。결론 C-CAMPROMPT계산궤측량재만성정신분렬증환자PM공능평고중구유교호적림상신효도，시일개민감성교고、괄용성교강차은정적공구。
Objective To explore the reliability and validity of the computerized Chinese version of Cambridge Prospective Memory Test (C-CAMPROMPT) for assessment of prospective memory (PM) in chronic schizophrenia patients. Methods 50 patients and 50 healthy controls formed the study sample. PM performance was measured with computerized C-CAMPROMPT, while the Wechsler Adult Memory Scale-Forth Edition (WMS-IV), Wisconsin Card Sorting Test (WCST) and Category Fluency Test (CFT) were administered to assess logical memory (LM), visual representation (VR), executive function and processing speed. Results The test-retest reliability (0.981, P<0.001), split half reliability (0.627, P<0.001) and internal consistency reliability (0.742) of C-CAMPROMPT were satisfied. The scores of C-CAM-PROMPT and its subtest in schizophrenia were lower than that in healthy control (P<0.001). The performance of PM in patients with schizo-phrenia closely related to the scores of LM, VR, WCST-CC and CFT (r=0.34~0.89, P<0.05). The sensitivity (86%) and specificity (92%) of the scale were satisfied. Factor analysis extracted 2 factors. Conclusion The computerized C-CAMPROMPT shows a good reliability and validity for assessment of PM function in chronic schizophrenia, and is a sensitive, adaptable, stable instrument.