流调中心抑郁量表在农村女性中的因素结构和信效度

发布时间：2018-03-05 14:43

本文选题：CES-D　切入点：农村女性　出处：《四川大学学报(医学版)》2014年05期 　论文类型：期刊论文

【摘要】：目的探究流调中心抑郁量表(CES-D)用于筛查农村女性抑郁情况时的因素结构并评价其信、效度。方法首先计算分别删除积极情绪4个条目后的其余条目的Cronbach’sα系数,以及积极情绪维度与其他维度的相关性,以评价积极情绪维度存在的合理性。然后对数据进行4种不同模型(Radolff四因素结构、Guarnaccia三因素结构、Yen三因素结构、Lan两因素结构)的拟合,通过比较RMESA、NFI、IFI、CFI等指标选出最佳模型后,采用Cronbach’sα系数、相关系数评价该模型下量表的内部一致性信度,采用会聚效度、区别效度和结构效度评估量表的效度。结果 CES-D量表的积极情绪维度存在合理。Radloff四因素结构对当前数据的拟合效果最好且验证性因子分析结果为NFI=0.895、IFI=0.908、CFI=0.908、RMSEA=0.058。总的Cronbach’sα系数为0.889,各维度的α系数范围为0.687~0.735;各维度与总分的相关系数为0.378~0.892。会聚效度定标试验成功率为85.71%~100%,区别效度的定标试验成功率为100%。结论 CES-D用于筛查农村妇女抑郁情况时最适于Radloff四因素结构模型且具有较好的信度与效度。
[Abstract]:Objective to explore the factor structure of CES-D in screening depression in rural women and to evaluate its reliability and validity. Methods the Cronbach's 伪 coefficients of the remaining items were calculated after deleting the four items of positive emotion, respectively. And the correlation between positive emotion dimension and other dimensions to evaluate the rationality of positive emotion dimension. Then the data were fitted with four different models: Guarnaccia three-factor structure and yen three-factor structure and Lan two-factor structure. Cronbach's 伪 coefficient was used to evaluate the reliability of internal consistency, and convergence validity was adopted to evaluate the reliability of internal consistency of the scale by comparing the indexes of RMESA, NFI, IFI and CFI, and then to select the best model, and to use the coefficient of Cronbach's 伪, the correlation coefficient to evaluate the reliability of internal consistency of the scale. Results the positive emotion dimension of CES-D scale was reasonable. Radloff four-factor structure had the best effect on fitting the current data. The result of confirmatory factor analysis was NFI 0.895F 0.908CFI 0.908 / RMSEAA 0.058.The total Cronbach's 伪 coefficient was 0.058. The range of 伪 coefficient of each dimension is 0. 687 ~ 0. 735, and the correlation coefficient between each dimension and total score is 0. 378 / 0. 892.The success rate of convergence validity calibration test is 85.71% and the success rate of differentiating validity is 100. Conclusion CES-D is the most effective in screening depression in rural women. It is suitable for Radloff four-factor structural model and has good reliability and validity.
【作者单位】：四川大学华西公共卫生学院卫生统计学教研室;四川省广元市精神卫生中心;
【基金】：美国国立卫生研究院基金(1D43TW009101-01S1)资助
【分类号】：R749.4

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