进食障碍检查自评问卷6.0中文版在女性进食障碍患者中应用的效度和信度
发布时间：2018-10-17 09:52
【摘要】：目的:检验进食障碍检查自评问卷6.0中文版(EDE-Q 6.0)测评女性进食障碍患者的适用性。方法:选取248名进食障碍患者和296名健康对照,使用验证性因素分析在患者中比较四因子结构、单因子结构和三因子结构;对两个样本均施测进食障碍调查量表(EDI)检验效标效度;使用两独立样本Mann-Whitney U检验比较EDE-Q 6.0在两样本上得分的差异以检验实证效度,并使用工作特征曲线ROC分析确定划界值;在两个样本中检验量表的内部一致性;1个月后,在患者中随机选取89名、对照中31名进行重测。结果:原始模型优于单因子模型和三因子模型;总样本、患者和对照的EDE-Q 6.0总分与EDI总分具有较高的一致性(ICC=0.88、0.87、0.73);患者的EDE-Q 6.0总分和各维度得分均高于对照(均P0.01);EDE-Q 6.0受试者在ROC下的面积AUC=0.91,选取总分≥1.27作为EDE-Q 6.0的划界值,此时,敏感度为79.4%,特异度为88.2%。总样本、患者样本和对照样本的EDE-Q 6.0总量表的Cronbach α系数分别为0.95、0.91和0.88;总量表的重测信度为0.73,4个因子的重测信度分别为0.58、0.68、0.69和0.71。结论:进食障碍检查自评问卷6.0中文版在女性进食障碍患者中具有良好的心理测量属性,能够有效区分进食障碍患者与健康人群,同时能够准确评估临床症状的严重程度。
[Abstract]:Aim: to test the applicability of self-assessment questionnaire for eating disorders (EDE-Q 6. 0) in women with eating disorders. Methods: 248 patients with eating disorders and 296 healthy controls were selected to compare four-factor structure, single-factor structure and three-factor structure with confirmatory factor analysis. The validity of (EDI) test was tested on both samples, and the difference of scores of EDE-Q 6.0 on two samples was compared by Mann-Whitney U test of two independent samples, and the demarcation value was determined by ROC analysis of work characteristic curve. The internal consistency of the scale was tested in two samples. One month later, 89 patients were randomly selected and 31 in the control group were retest. Results: the original model was superior to the single factor model and the three-factor model. The total score of EDE-Q 6.0 and the total score of EDI in patients and controls were highly consistent (ICC=0.88,0.87,0.73), the total score of EDE-Q 6.0 and the scores of each dimension of patients were higher than those of the control (P0.01); the area AUC=0.91, of EDE-Q 6.0 subjects under ROC selected the total score 鈮，
本文编号：2276289
[Abstract]:Aim: to test the applicability of self-assessment questionnaire for eating disorders (EDE-Q 6. 0) in women with eating disorders. Methods: 248 patients with eating disorders and 296 healthy controls were selected to compare four-factor structure, single-factor structure and three-factor structure with confirmatory factor analysis. The validity of (EDI) test was tested on both samples, and the difference of scores of EDE-Q 6.0 on two samples was compared by Mann-Whitney U test of two independent samples, and the demarcation value was determined by ROC analysis of work characteristic curve. The internal consistency of the scale was tested in two samples. One month later, 89 patients were randomly selected and 31 in the control group were retest. Results: the original model was superior to the single factor model and the three-factor model. The total score of EDE-Q 6.0 and the total score of EDI in patients and controls were highly consistent (ICC=0.88,0.87,0.73), the total score of EDE-Q 6.0 and the scores of each dimension of patients were higher than those of the control (P0.01); the area AUC=0.91, of EDE-Q 6.0 subjects under ROC selected the total score 鈮，
本文编号：2276289
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