医学与社会
醫學與社會
의학여사회
Medicine and Society
2015年
11期
87-90
,共4页
陈光东%单建敏%林崇光%姜德国%朱盛%胡立荣
陳光東%單建敏%林崇光%薑德國%硃盛%鬍立榮
진광동%단건민%림숭광%강덕국%주성%호립영
精神障碍%家属%耻感体验及影响量表%信度%效度
精神障礙%傢屬%恥感體驗及影響量錶%信度%效度
정신장애%가속%치감체험급영향량표%신도%효도
Mental Disorder%Relative%Stigma Experiences and Impact Scale-Family Version%Reliability%Validity
目的：初步评价精神障碍患者家属耻感体验及影响量表（ SEISF ）中文译本的信度和效度。方法：185例温州市精神障碍患者家属完成SEISF、自尊量表（ SES）、家庭功能量表和WHO生存质量量表简表；50例家属间隔14天完成SEISF重测。用克朗巴赫－α系数、相关分析和因子分析评价量表的信度和效度。结果：①信度：SEISF耻感体验（ SEISF－E）和耻感影响（ SEISF－I）的内部一致性克朗巴赫－α系数分别为0．87和0．95，SEISF－E和SEISF－I两周重测信度系数为0．85和0．79（P均＜0．001）。②效度：探索性因素分析显示SEISF 两个分量表均具有单纬度特征， SEISF－E和SEISF－I分值与SES评分的相关系数为－0．65和－0．59（P均＜0．05）。精神分裂症患者家属SEISF －E和SEISF －I评分显著高于其他精神障碍患者家属（均P＜0．001）。结论：SEISF中文译本具有较好的信度和效度，是一个可以用于精神障碍患者家属耻感调查的有效工具。
目的：初步評價精神障礙患者傢屬恥感體驗及影響量錶（ SEISF ）中文譯本的信度和效度。方法：185例溫州市精神障礙患者傢屬完成SEISF、自尊量錶（ SES）、傢庭功能量錶和WHO生存質量量錶簡錶；50例傢屬間隔14天完成SEISF重測。用剋朗巴赫－α繫數、相關分析和因子分析評價量錶的信度和效度。結果：①信度：SEISF恥感體驗（ SEISF－E）和恥感影響（ SEISF－I）的內部一緻性剋朗巴赫－α繫數分彆為0．87和0．95，SEISF－E和SEISF－I兩週重測信度繫數為0．85和0．79（P均＜0．001）。②效度：探索性因素分析顯示SEISF 兩箇分量錶均具有單緯度特徵， SEISF－E和SEISF－I分值與SES評分的相關繫數為－0．65和－0．59（P均＜0．05）。精神分裂癥患者傢屬SEISF －E和SEISF －I評分顯著高于其他精神障礙患者傢屬（均P＜0．001）。結論：SEISF中文譯本具有較好的信度和效度，是一箇可以用于精神障礙患者傢屬恥感調查的有效工具。
목적：초보평개정신장애환자가속치감체험급영향량표（ SEISF ）중문역본적신도화효도。방법：185례온주시정신장애환자가속완성SEISF、자존량표（ SES）、가정공능량표화WHO생존질량량표간표；50례가속간격14천완성SEISF중측。용극랑파혁－α계수、상관분석화인자분석평개량표적신도화효도。결과：①신도：SEISF치감체험（ SEISF－E）화치감영향（ SEISF－I）적내부일치성극랑파혁－α계수분별위0．87화0．95，SEISF－E화SEISF－I량주중측신도계수위0．85화0．79（P균＜0．001）。②효도：탐색성인소분석현시SEISF 량개분량표균구유단위도특정， SEISF－E화SEISF－I분치여SES평분적상관계수위－0．65화－0．59（P균＜0．05）。정신분렬증환자가속SEISF －E화SEISF －I평분현저고우기타정신장애환자가속（균P＜0．001）。결론：SEISF중문역본구유교호적신도화효도，시일개가이용우정신장애환자가속치감조사적유효공구。
Objective: To preliminarily evaluate the validity and reliability of the Chinese Version of Stigma Experiences and Impact Scale -Family Version ( SEISF) .Methods: One hundred and eight-five relatives of psychiatric patients were recruited in Wenzhou and completed SE-ISF, Self Esteem Scale (SES), Family Assessment Device and World Health Organization Quality of Life Questionnaire (brief version).The Cronbach αcoefficient, correlation analysis and factor analysis were performed to assess the validity and reliability of SEISF.Results:The inter-nal consistency coefficients of SEISF stigma experiences (SEISF-E) and SEISF stigma impact (SEISF-I) were 0.87 and 0.95, respectively. The two-week re-test reliability coefficients of SEISF-E and SEISF-I were 0.85 and 0.79 (P<0.001), respectively.Exploratory factor an-alyses showed that the two subscales of SEISF had unidimensional feature .The correlation coefficients between SEISF-E and SEISF-I and SES were -0.65 and -0.59 (P<0.05).Relatives of schizophrenia patients had significantly higher SEISF scores than those of other psychiatric pa-tients (P<0.001).Conclusion:SEIS-F has good reliability and good validity and shows promise as a quick method for assessing stigma experi-ence and impact in relatives of patients with mental disorders.
