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
2013年
3期
271-273
,共3页
叶瑞繁%耿庆山%陈剑%区丽明%张美兰%董春玲%朱春燕%李河
葉瑞繁%耿慶山%陳劍%區麗明%張美蘭%董春玲%硃春燕%李河
협서번%경경산%진검%구려명%장미란%동춘령%주춘연%리하
医院焦虑抑郁量表%焦虑自评量表%汉密顿焦虑量表
醫院焦慮抑鬱量錶%焦慮自評量錶%漢密頓焦慮量錶
의원초필억욱량표%초필자평량표%한밀돈초필량표
Hospital anxiety and depression scale%Self-rating anxiety scale%Hamilton anxiety scale
目的 探讨医院焦虑抑郁量表(HDAS)和焦虑自评量表(SAS)、汉密顿焦虑量表(HAMA)评定焦虑的一致性.方法 采用多中心、横断面设计,在广州15家综合医院2000名焦虑抑郁调查样本中现场抽取229例HADS总分≥8的可疑焦虑抑郁患者,采用SAS、HAMA进行再次评定.结果 HDAS、HAD-A、SAS量表内部一致性良好,Cronbach系数分别为0.866,0.849,0.832.相关分析显示,HADS总分、HAD-A因子分与SAS标准分、HAMA总分呈正相关,相关系数为0.494 ～0.874,相关有显著性(P＜0.01).量表评定的一致性检验显示,SAS标准分≥46、≥50作为焦虑划界分与HAMA≥14分的一致性McNemar检验,Kappa值分别为0.524,0.449(P＜ 0.01);HAD-A≥8作为焦虑划界分与HAMA≥14、SAS≥50、SAS≥46一致性检验,Kappa值分别为0.314,0.265,0.401 (P＜0.01).结论 HDAS和SAS均具有良好的量表内部一致性,但HAD-A与SAS、HAMA间的焦虑评定一致性仅为轻到中等程度.
目的 探討醫院焦慮抑鬱量錶(HDAS)和焦慮自評量錶(SAS)、漢密頓焦慮量錶(HAMA)評定焦慮的一緻性.方法 採用多中心、橫斷麵設計,在廣州15傢綜閤醫院2000名焦慮抑鬱調查樣本中現場抽取229例HADS總分≥8的可疑焦慮抑鬱患者,採用SAS、HAMA進行再次評定.結果 HDAS、HAD-A、SAS量錶內部一緻性良好,Cronbach繫數分彆為0.866,0.849,0.832.相關分析顯示,HADS總分、HAD-A因子分與SAS標準分、HAMA總分呈正相關,相關繫數為0.494 ～0.874,相關有顯著性(P＜0.01).量錶評定的一緻性檢驗顯示,SAS標準分≥46、≥50作為焦慮劃界分與HAMA≥14分的一緻性McNemar檢驗,Kappa值分彆為0.524,0.449(P＜ 0.01);HAD-A≥8作為焦慮劃界分與HAMA≥14、SAS≥50、SAS≥46一緻性檢驗,Kappa值分彆為0.314,0.265,0.401 (P＜0.01).結論 HDAS和SAS均具有良好的量錶內部一緻性,但HAD-A與SAS、HAMA間的焦慮評定一緻性僅為輕到中等程度.
목적 탐토의원초필억욱량표(HDAS)화초필자평량표(SAS)、한밀돈초필량표(HAMA)평정초필적일치성.방법 채용다중심、횡단면설계,재엄주15가종합의원2000명초필억욱조사양본중현장추취229례HADS총분≥8적가의초필억욱환자,채용SAS、HAMA진행재차평정.결과 HDAS、HAD-A、SAS량표내부일치성량호,Cronbach계수분별위0.866,0.849,0.832.상관분석현시,HADS총분、HAD-A인자분여SAS표준분、HAMA총분정정상관,상관계수위0.494 ～0.874,상관유현저성(P＜0.01).량표평정적일치성검험현시,SAS표준분≥46、≥50작위초필화계분여HAMA≥14분적일치성McNemar검험,Kappa치분별위0.524,0.449(P＜ 0.01);HAD-A≥8작위초필화계분여HAMA≥14、SAS≥50、SAS≥46일치성검험,Kappa치분별위0.314,0.265,0.401 (P＜0.01).결론 HDAS화SAS균구유량호적량표내부일치성,단HAD-A여SAS、HAMA간적초필평정일치성부위경도중등정도.
Objective To the hospital anxiety and depression scale (HADS) and the self-rating anxiety scale(SAS) and hamilton anxiety scale (HAMA) in assessment anxiety among outpatients in general hospital.Methods 229 outpatients from 15 general hospitals who have tested with HADS(HADS≥8)completed the SAS and HAMA.Analyses with respect to internal consistency,correlation analysis,and agreement (Kappa coefficient and McNemar test) at recommended cut-off score were performed.Results The HADS,HAD-A and SAS had high internal consistency with Cronbach coefficient (0.866,0.849,0.832 respectively).Significant positive correction was observed among HADS,HAD-A and SAS,HAMA score(r =0.494--0.874,P ＜ 0.01).The best agreement with HAMA≥ 14 was HAD-A≥ 8,SAS≥46,their Kappa values were 0.314,0.524 respectively(P＜ 0.01).The Kappa values between HAD-A ≥ 8 and SAS ≥ 46,SAS ≥ 50 were 0.401,0.265 (P ＜ 0.01).Conclusion HDAS and SAS scale have high internal consistency.The agreement in assessment anxiety between HAD-A and SAS,HAMA at the best suitable cut-off score is mild to moderate.
