儿童应激障碍检查表中文版的效度、信度

发布时间：2018-02-23 02:13

本文关键词： 儿童应激障碍检查表效度信度心理测量学　出处：《中国心理卫生杂志》2014年06期 　论文类型：期刊论文

【摘要】：目的:引进儿童应激障碍检查表(CSDC),分析其中文版的信效度,探讨其用于评估中国儿童创伤后应激症状严重程度的可能性。方法:选取3所学校1180例儿童,其中全部儿童家长填写CSDC,410例儿童填写修订版儿童事件影响量表(CRIES),70例儿童由精神科医生使用临床医生使用的创伤后应激障碍量表-儿童和青少年版(CAPS-CA)进行访谈。另外选取24例6~15岁新华医院儿科住院儿童(接受白血病化疗或曾做过手术),家长填写CSDC,儿童由精神科医生使用CAPS-CA进行访谈。共获得有效CSDC 539份,有效CRIES 89份,有效CAPS-CA 41份。其中515份有效CSDC、89份有效CRIES、17份有效CAPS-CA来自学校儿童。使用CRIES和CAPS-CA作为效标检验效标效度,从515例有效填写CSDC的家长中方便选取50例,间隔2周再次填写CSDC,检验重测信度。结果:在效标效度检验中,CSDC总分与CRIES总分、CAPS-CA总分呈正相关(r=0.50、0.65,均P0.01)。CSDC再体验因子分与CAPS-CA再现症状因子分,CSDC回避因子分与CAPS-CA总分及回避和麻木症状因子分,CSDC麻木和解离因子分与CAPS-CA总分及回避和麻木症状因子分,CSDC警觉性增高因子分与CAPS-CA总分及警觉性增高症状因子分,CSDC功能损害因子分与CAPS-CA总分呈中度正相关(r=0.42~0.68,均P0.01)。CSDC重测信度为0.75,内部一致性Cronbachα系数为0.92,分半信度为0.83。CSDC各因子分与总分之间、各因子分之间呈正相关(r=0.40~0.88)。结论:CSDC中文版具有较好的效度、信度,可用于我国儿童创伤后应激症状严重程度的评估。
[Abstract]:Objective: to analyze the reliability and validity of the Chinese version of CSDCA, and to explore the possibility of its application in assessing the severity of post-traumatic stress symptoms in Chinese children. Methods: 1180 children in 3 schools were selected. All the parents filled in the CSDC questionnaire 410 children completed the revised Child event impact scale and 70 children were interviewed by psychiatrists using the PTSD scale-Children and adolescents version of CAPS-CAA. A total of 24 pediatric hospitalized children (who received leukemia chemotherapy or had had an operation) were selected. The children were interviewed by psychiatrists using CAPS-CA. A total of 539 effective CSDC were obtained. There were 89 effective CRIES and 41 effective CAPS-CA. Among them, 515 effective CAPS-CA, 89 effective CAPS-CA, 17 effective CAPS-CA were from school children. Using CRIES and CAPS-CA as effective criteria to test the validity of CSDC, 50 cases were conveniently selected from 515 parents who filled in CSDC effectively. Results: there was a positive correlation between the total score of CSDC and the total score of CRIES and the total score of CAPS-CA in the validity test. There was a positive correlation between the total score of CSDC and the total score of CAPS-CA. The scores of re-experience factor of CSDC and CAPS-CA reappearance symptom factor were positive correlation with the total score of CAPS-CA. Scores of avoidance and numbness symptom factors: scores of numbness and dissociation factors, total scores of CAPS-CA and factors of avoidance and numbness symptoms; scores of increased awareness factor of CAPS-CA and CAPS-CA; scores of symptoms of increased alertness; scores of functional impairment factors and CAPS-CA scores of CSDC. There was a moderate positive correlation between 0.42 and 0.68, the retest reliability was 0.75, the internal consistency Cronbach 伪 coefficient was 0.92, the split-half reliability was 0.83.CSDC and the total score. Conclusion the Chinese version of the "1: CSDC" has good validity and reliability and can be used to evaluate the severity of post-traumatic stress symptoms in children in China.
【作者单位】：上海交通大学医学院附属新华医院儿童与青少年保健科;上海交通大学医学院附属新华医院临床心理科;环境与儿童健康教育部和上海市重点实验室;
【基金】：上海市公共卫生体系建设三年行动计划(2011-2013)《重点人群心理健康服务》项目,子项目《儿童创伤事件后心理危机干预机制》(GWIII-30)
【分类号】：R749.94

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