精神分裂症中医癫狂证候量表的初步编制

发布时间：2018-04-10 20:41

本文选题：精神分裂症 + 癫狂　；参考：《湖南中医药大学》2016年硕士论文

【摘要】：研究目的:初步编制精神分裂症中医癫狂证候量表,对精神分裂症的中医癫证、狂证进行初步区分,并对该量表的信、效度进行检验。研究方法:(1)本研究以精神分裂症病人为研究对象,样本来源于2015年2月至2016年2月湖南省脑科医院精神病房及门诊的病人,总筛选病人总数589例,共纳入观察病例240例,采集中医四诊信息(包括精神症状33条+躯体症状51条+舌脉象25条),并对精神症状进行统计分析,初步编制精神分裂症中医癫狂证候量表,对精神分裂症中医癫证、狂证做一个简单的区分。本研究采用频数法、系统聚类、因子分析等对采集的四诊信息中的精神症状条目进行数据分析,初步建立精神分裂症中医癫狂证候量表。(2)运用Pearson相关系数法对精神分裂症中医癫狂证候量表进行重测信度及评定者一致性进行信度检验;运用因子分析法及t检验,对区分效度及平行效度进行检验。研究结果:⑴量表内容:通过对精神分裂症中医癫狂证候症状33个条目的筛选,初步编制产生了精神分裂症中医癫狂证候量表,其中包含14个条目,包括癫证条目9个,狂证条目5条。⑵信度考评:本研究初步考评了精神分裂症中医癫狂证候量表的重测信度:总分的重测相关系数为0.813;各条目的重测相关系数在0.725~0.813之间。评定者一致性量表总分相关系数为0.894;各条目评定者间的相关系数在0.707~0.821之间。结果表明本量表具有较好的重测信度、评定者之间的一致性信度。⑶效度考评:初步对量表条目进行因子分析,选取载荷系数0.5的条目,表明本量表的有较好的结构效度;将精神分裂症组与健康组做对照,P0.01,具有显著差异,说明该量表具有较好的区分效度。将本量表与PANSS评定量表做相关性分析,其中癫证与PANSS量表中阴性因子的相关系数为0.882;狂证与PANSS量表中阳性因子的相关系数为0.832,表明该量表具有较好的平行效度。结论:(1)初步建立了精神分裂症中医癫狂量表,纳入中医精神症状条目共33条,筛选保留14条目,初步编制精神分裂症中医癫狂证候量表(2)编制精神分裂症中医癫狂量表具有较好的的信度、效度,提示该量表可用于精神分裂症患者中医临床癫证、狂证的区分。
[Abstract]:Study objective: to develop schizophrenia TCM Syndrome Scale of mania, schizophrenia TCM epilepsy, mania of distinction, and the scale of the letter and validity. Methods: (1) in the study of schizophrenia patients as the research object, samples from February 2015 to in February 2016 Hunan province brain hospital psychiatric wards and outpatient patients, total screening 589 patients were included, 240 cases were observed and collected four diagnostic information of TCM (including mental symptoms of 33 + 51 + somatic symptoms, tongue and pulse 25), and the mental symptoms were analyzed, the initial preparation of schizophrenia TCM syndrome mania when the scale of schizophrenia TCM epilepsy, mania as a simple distinction. This research adopts frequency method, system clustering, factor analysis and other psychiatric symptoms to collect diagnostic information entries in the data analysis, the preliminary establishment of fine Schizophrenia TCM mania syndrome scale. (2) using Pearson correlation coefficient method for schizophrenia TCM Syndromes of mania scale test-retest reliability test and evaluation of consistency; by using the method of factor analysis and t test, to test the validity and discriminant validity of parallel research results: the amount of. Table of contents: through the screening of schizophrenia TCM syndrome symptoms of mania and 33 items, the preliminary preparation of schizophrenia TCM Syndrome Scale mania, which contains 14 items, including 9 items of epilepsy, Mania 5 items. The reliability evaluation: the preliminary evaluation of the test-retest reliability schizophrenia TCM Syndrome Scale mania: the test-retest correlation coefficient of total score was 0.813; the test-retest correlation coefficient between 0.725~0.813. Evaluation of consistency scale correlation coefficient is 0.894; each item evaluation among the correlation coefficient in 0.707~0.821 Between. Show that the scale has good retest results, evaluation between the consistency reliability. The validity of the preliminary scale items were factor analysis, selected entry load coefficient of 0.5, shows that the scale has good structure validity; the schizophrenia group and healthy group as control. P0.01, with significant differences, the scale has good validity. The scale and PANSS rating scale correlation analysis, the correlation coefficient of scale factor negative epilepsy syndrome and PANSS 0.882; phase relationship between mania and PANSS scale positive factor number was 0.832, showed that the amount of the table has better parallel validity. Conclusion: (1) the initial establishment of the schizophrenia TCM mania scale into psychiatric symptoms of traditional Chinese medicine a total of 33 entries, screening retained 14 items, the initial preparation of schizophrenia TCM syndromes mania scale (2) preparation of Chinese medicine for schizophrenia The scale of madness has good reliability and validity, which suggests that the scale can be used in the clinical epilepsy of Chinese medicine and the differentiation of madness.

【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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