中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2012年
5期
285-288
,共4页
熊红芳%李占江%韩海英%徐子燕%郭志华%姚淑敏%郭萌%姜长青
熊紅芳%李佔江%韓海英%徐子燕%郭誌華%姚淑敏%郭萌%薑長青
웅홍방%리점강%한해영%서자연%곽지화%요숙민%곽맹%강장청
惊恐病%信度%效度%惊恐障碍严重程度量表
驚恐病%信度%效度%驚恐障礙嚴重程度量錶
량공병%신도%효도%량공장애엄중정도량표
Panic disorder%Reliability%Validity%Panic Disorder Severity Scale
目的 评估中文版惊恐障碍严重程度量表(Panic Disorder Severity Scale-Chinese-Version,PDSS-CV)的心理测量学特征.方法 采用翻译后的PDSS-CV对105例惊恐发作患者进行惊恐障碍严重程度评估,同时评估14项汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)及临床疗效总评量表(Clinical Global Impression,CCI)作为效标效度标准.结果 (1)验证性因素分析结果显示,PDSS二因子结构模型的拟合结果:卡方自由度比值为1.16,拟合优度指数为0.96,近似误差均方根值为0.04;(2)PDSS-CV总分与CGI的相关系数为0.85(P <0.05),与HAMA的相关系数为0.56(P<0.05);(3) PDSS-CV的内部一致性系数为0.83,总分重测相关系数为0.95,各条目重测相关系数为0.72 ~0.95,总分评分者间一致性系数为0.94,各条目评分者间一致性系数为0.72 ~0.92;(4) PDSS-CV严重程度划界分:8~ 10分为轻度,11 ~13分为中度,14 ~ 16分为偏重,≥17分为重度.结论 PDSS-CV具有良好的心理测量学特性,可在我国惊恐障碍的临床及研究评估中试用.
目的 評估中文版驚恐障礙嚴重程度量錶(Panic Disorder Severity Scale-Chinese-Version,PDSS-CV)的心理測量學特徵.方法 採用翻譯後的PDSS-CV對105例驚恐髮作患者進行驚恐障礙嚴重程度評估,同時評估14項漢密爾頓焦慮量錶(Hamilton Anxiety Scale,HAMA)及臨床療效總評量錶(Clinical Global Impression,CCI)作為效標效度標準.結果 (1)驗證性因素分析結果顯示,PDSS二因子結構模型的擬閤結果:卡方自由度比值為1.16,擬閤優度指數為0.96,近似誤差均方根值為0.04;(2)PDSS-CV總分與CGI的相關繫數為0.85(P <0.05),與HAMA的相關繫數為0.56(P<0.05);(3) PDSS-CV的內部一緻性繫數為0.83,總分重測相關繫數為0.95,各條目重測相關繫數為0.72 ~0.95,總分評分者間一緻性繫數為0.94,各條目評分者間一緻性繫數為0.72 ~0.92;(4) PDSS-CV嚴重程度劃界分:8~ 10分為輕度,11 ~13分為中度,14 ~ 16分為偏重,≥17分為重度.結論 PDSS-CV具有良好的心理測量學特性,可在我國驚恐障礙的臨床及研究評估中試用.
목적 평고중문판량공장애엄중정도량표(Panic Disorder Severity Scale-Chinese-Version,PDSS-CV)적심리측량학특정.방법 채용번역후적PDSS-CV대105례량공발작환자진행량공장애엄중정도평고,동시평고14항한밀이돈초필량표(Hamilton Anxiety Scale,HAMA)급림상료효총평량표(Clinical Global Impression,CCI)작위효표효도표준.결과 (1)험증성인소분석결과현시,PDSS이인자결구모형적의합결과:잡방자유도비치위1.16,의합우도지수위0.96,근사오차균방근치위0.04;(2)PDSS-CV총분여CGI적상관계수위0.85(P <0.05),여HAMA적상관계수위0.56(P<0.05);(3) PDSS-CV적내부일치성계수위0.83,총분중측상관계수위0.95,각조목중측상관계수위0.72 ~0.95,총분평분자간일치성계수위0.94,각조목평분자간일치성계수위0.72 ~0.92;(4) PDSS-CV엄중정도화계분:8~ 10분위경도,11 ~13분위중도,14 ~ 16분위편중,≥17분위중도.결론 PDSS-CV구유량호적심리측량학특성,가재아국량공장애적림상급연구평고중시용.
Objective To investigate the psycbometric characteristics of the Panic Disorder Severity Seale-Chinese Version (PDSS-CV).Method One hundred and five outpatients with panic attack in Beijing Anding Hospital were assessed with the PDSS-CV,Hamilton Anxiety Scale (HAMA14) and Clinical Global Impression Scale (CGI).Results (1) The confirmation factor analysis result of the two-factor model of PDSS-CV was x2/df=1.16,GFI =0.96,RMSEA =0.04.(2) The total scores of PDSS-CV was correlated with CGI score (r =0.85,P < 0.05),and positively correlated with the HAMA score (r =0.56,P <0.05).(3)The internal consistency reliability was 0.83,the total test-retest correlation coefficient was 0.95,the test-retest coefficients of each item were 0.72-0.95,the intraclass correlation coefficient (ICC) among raters was 0.94,the ICCs between each item were 0.72-0.92.(4)The PDSS-CV cut-off scores for severity were as follows:score 8-10 was slight; 11-13 was moderate; 14-16 was marked,and 17 and above was the most severity.Conclusion The PDSS-CV has good psychometric features and can be used for clinical and research assessment of panic disorder in China.