简明阴性症状量表中文版的效度、信度检验
发布时间:2018-08-04 16:53
【摘要】:目的:对用于测定精神分裂症患者阴性症状的简明阴性症状量表中文版(BNSS-C)的临床效度、信度进行检验。方法:经原作者同意,汉化英文版BNSS。选取163例诊断符合国际疾病和相关健康问题统计分类第十版(ICD-10)精神分裂症诊断标准的住院和社区慢性患者,进行BNSS-C、阴性症状量表(SANS)及阳性与阴性症状量表(PANSS)的评定。随机选取其中43例患者间隔2周进行BNSS-C测量,用于计算重测信度。在住院患者中选取7例患者,由5名主试共同评定,用于计算评定者间信度。结果:全部受试完成BNSS-C半结构式访谈。量表的标准化Cronbachα值为0.93,5个分量表的Cronbachα值在0.86~0.95间;量表的重测信度为0.82,评定者间信度为0.93。因子分析获得主观体验缺损和情感表达缺损2个因子,共解释了总方差的71.6%;BNSS-C总分与PANSS总分、PANSS阴性症状分、SANS总分均正相关(r=0.24~0.77,P0.01)。以SANS除认知维度外的4个维度(情感平淡或迟钝;思维贫乏;意志缺乏;兴趣/社交缺乏)任一维度总评分≥3为标准,将受试分为阴性症状组和非阴性症状组,测得BNSS量表的灵敏度为69.6%(95%CI:0.50~0.83),特异度为85.0%(95%CI:0.78~0.90)。结论:简明阴性症状量表中文版具有可接受的计量心理学特征,可应用于中国文化背景下慢性精神分裂症患者阴性症状的评估。
[Abstract]:Objective: to test the clinical validity and reliability of the Chinese version of the Concise negative symptom scale (BNSS-C) for the determination of negative symptoms in schizophrenic patients. Methods: with the consent of the original author, the Chinese version of BNSSs. A total of 163 hospitalized and community chronic patients who met the criteria of International Statistical Classification of Diseases and related Health problems (ICD-10) were evaluated with BNSS-C, negative symptom scale (SANS) and positive and negative symptom scale (PANSS). Among them, 43 patients were randomly selected to measure BNSS-C at 2 weeks interval to calculate retest reliability. Seven inpatients were selected and assessed by 5 subjects to calculate the reliability. Results: all the subjects completed BNSS-C semi-structured interviews. The standardized Cronbach 伪 value of the scale was 0.93, the Cronbach 伪 value of the five subscales was 0.860.95, the test-retest reliability of the scale was 0.82, and the reliability of the five subscales was 0.93. Two factors, subjective experience defect and emotion expression defect, were obtained by factor analysis, which explained that the total score of BNSS-C of total variance was positively correlated with the negative symptom score of PANSS and the total score of sans (r = 0.240.77, P 0.01). SANS was divided into negative symptom group and non-negative symptom group according to the total score 鈮,
本文编号:2164504
[Abstract]:Objective: to test the clinical validity and reliability of the Chinese version of the Concise negative symptom scale (BNSS-C) for the determination of negative symptoms in schizophrenic patients. Methods: with the consent of the original author, the Chinese version of BNSSs. A total of 163 hospitalized and community chronic patients who met the criteria of International Statistical Classification of Diseases and related Health problems (ICD-10) were evaluated with BNSS-C, negative symptom scale (SANS) and positive and negative symptom scale (PANSS). Among them, 43 patients were randomly selected to measure BNSS-C at 2 weeks interval to calculate retest reliability. Seven inpatients were selected and assessed by 5 subjects to calculate the reliability. Results: all the subjects completed BNSS-C semi-structured interviews. The standardized Cronbach 伪 value of the scale was 0.93, the Cronbach 伪 value of the five subscales was 0.860.95, the test-retest reliability of the scale was 0.82, and the reliability of the five subscales was 0.93. Two factors, subjective experience defect and emotion expression defect, were obtained by factor analysis, which explained that the total score of BNSS-C of total variance was positively correlated with the negative symptom score of PANSS and the total score of sans (r = 0.240.77, P 0.01). SANS was divided into negative symptom group and non-negative symptom group according to the total score 鈮,
本文编号:2164504
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