中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
CHINESE MENTAL HEALTH JOURNAL
2015年
6期
446-451
,共6页
吴宇飞%孙秀丽%李媛媛%严保平%赵素银%刘杰%崔利军%郭艳峤%李建峰%栗克清
吳宇飛%孫秀麗%李媛媛%嚴保平%趙素銀%劉傑%崔利軍%郭豔嶠%李建峰%慄剋清
오우비%손수려%리원원%엄보평%조소은%류걸%최리군%곽염교%리건봉%률극청
精神科%危险性评估%布罗塞特暴力风险评估量表%效度%信度
精神科%危險性評估%佈囉塞特暴力風險評估量錶%效度%信度
정신과%위험성평고%포라새특폭력풍험평고량표%효도%신도
psychiatry%risk assessment%Br?set Violence Checklist%validity%reliability
目的：测评布罗塞特暴力风险评估量表（BVC）中文版（BVC-C）的效度和信度。方法：经原作者授权，将英文版 BVC 量表翻译为中文，邀请从事精神科工作20年以上的5名专家（3名临床医生及2名护士）对该评估工具进行内容效度评定，结果应用内容效度指数（CVI）表示。选取556例诊断符合疾病和有关健康问题国际统计分类第十次修订本（ICD-10）诊断标准的各种精神障碍患者进行正式测试。应用 BVC 量表每8h 对患者评估一次，应用修订版外显攻击行为量表（MOAS）检验量表的同时效度；根据攻击真实结果检验量表的效标效度；应用 Cronbach α系数检验内部一致性信度。结果：量表的内容效度指数为0.93；除自身攻击分量表外，MOAS 总分及其他3个分量表得分与中文版 BVC 总分及条目得分均正相关（r ＝0.11～0.69，P ＜0.01）；经分析8h 的效标效度最佳，ROC 曲线下面积 AUC 为0.98，截断点为2时，工具的灵敏度为78.9％，特异度为95.1％。内部一致性信度 Cronbach α系数为0.76，题总相关性 r ＝0.47～0.80（P ＜0.01）。结论：中文版 BVC 量表具有较好的效度和信度，可作为国内精神科暴力风险评估的有效预测工具。
目的：測評佈囉塞特暴力風險評估量錶（BVC）中文版（BVC-C）的效度和信度。方法：經原作者授權，將英文版 BVC 量錶翻譯為中文，邀請從事精神科工作20年以上的5名專傢（3名臨床醫生及2名護士）對該評估工具進行內容效度評定，結果應用內容效度指數（CVI）錶示。選取556例診斷符閤疾病和有關健康問題國際統計分類第十次脩訂本（ICD-10）診斷標準的各種精神障礙患者進行正式測試。應用 BVC 量錶每8h 對患者評估一次，應用脩訂版外顯攻擊行為量錶（MOAS）檢驗量錶的同時效度；根據攻擊真實結果檢驗量錶的效標效度；應用 Cronbach α繫數檢驗內部一緻性信度。結果：量錶的內容效度指數為0.93；除自身攻擊分量錶外，MOAS 總分及其他3箇分量錶得分與中文版 BVC 總分及條目得分均正相關（r ＝0.11～0.69，P ＜0.01）；經分析8h 的效標效度最佳，ROC 麯線下麵積 AUC 為0.98，截斷點為2時，工具的靈敏度為78.9％，特異度為95.1％。內部一緻性信度 Cronbach α繫數為0.76，題總相關性 r ＝0.47～0.80（P ＜0.01）。結論：中文版 BVC 量錶具有較好的效度和信度，可作為國內精神科暴力風險評估的有效預測工具。
목적：측평포라새특폭력풍험평고량표（BVC）중문판（BVC-C）적효도화신도。방법：경원작자수권，장영문판 BVC 량표번역위중문，요청종사정신과공작20년이상적5명전가（3명림상의생급2명호사）대해평고공구진행내용효도평정，결과응용내용효도지수（CVI）표시。선취556례진단부합질병화유관건강문제국제통계분류제십차수정본（ICD-10）진단표준적각충정신장애환자진행정식측시。응용 BVC 량표매8h 대환자평고일차，응용수정판외현공격행위량표（MOAS）검험량표적동시효도；근거공격진실결과검험량표적효표효도；응용 Cronbach α계수검험내부일치성신도。결과：량표적내용효도지수위0.93；제자신공격분량표외，MOAS 총분급기타3개분량표득분여중문판 BVC 총분급조목득분균정상관（r ＝0.11～0.69，P ＜0.01）；경분석8h 적효표효도최가，ROC 곡선하면적 AUC 위0.98，절단점위2시，공구적령민도위78.9％，특이도위95.1％。내부일치성신도 Cronbach α계수위0.76，제총상관성 r ＝0.47～0.80（P ＜0.01）。결론：중문판 BVC 량표구유교호적효도화신도，가작위국내정신과폭력풍험평고적유효예측공구。
Objective:To test the validity and reliability of the Chinese version of the Br?set Violence Check-list (BVC-C).Methods:With the authorizing permission by the author,the BVC was translated into Chinese and a-dapted,and five psychiatry experts who had worked more than 20 years were invited (3 clinical doctors and 2 nur-ses)to evaluate the content validity of the scale as the content validity index.Totally 556 inpatients who met the di-agnosis criteria for mental disorders according to the International Statistical Classification of Diseases and Related Health Problems,Tenth Revision (ICD-10)were totally selected to proceed the formal testing.The BVC scale was used to evaluate inpatients every 8 hours,the Modified Overt Aggression Scale (MOAS)was used to test concurrent validity;the results of the real attacking incidents were used to test the criterion validity;the internal consistency re-liability of the scale was tested by Cronbach αcoefficient.Results:The content validity index of the scale was0.93.In addition to the own attack subscale,the MOAS total scores and the other 3 subscales scores were positively correlated with the BVC total scores and each item score (r =0.11 -0.69,P <0.01).The best criterion validity was 8 hours through analyzed,the AUC was 0.98.When the cut-off was 2,the sensitivity and specificity were 78.9% and 95.1% respectively.The Cronbach αcoefficient was 0.76 and the item total correlations were 0.47 -0.80 (P <0.01).Conclusion:It suggests that the BVC-C has good validity and reliability,which could be used as an effective prediction tool for psychiatric violence risk assessment.
