摘要
目的:考察个体和社会功能量表中文版(Chinese version of the Personal and Social Performancescale,PSP-CHN)在抑郁障碍患者中的信度和效度。方法:收集74例符合《精神障碍诊断和统计手册》第四版(Diagnostic and Statistical Mannual of Mental Disorders,Fourth Edition,test revision,DSM-IV-TR)抑郁障碍诊断标准的门诊或住院患者,其中6例参加了研究者之间一致性培训,68例(急性期42例,稳定期26例)进行了大体功能量表(Global Assessment of Functioning Scale,GAF))、Hamilton抑郁量表17项(Ham-ilton Depression Rating Scale17items,HAMD-17)和PSP-CHN检查,分析PSP-CHN量表评估抑郁障碍患者的内部一致性、PSP-CHN与GAF的一致性(效标效度)以及与患者疾病严重度的相关性(关联效度),32例患者在首次PSP-CHN评估后的5～7天内,由另一名研究者对其进行第2次检查,评价PSP-CHN在抑郁障碍患者中的重测信度。26例HAMD17评分>17分的患者,接受标准化治疗8周后,评估HAMD17评分和PSP-CHN的评分变化。结果:PSP-CHN量表的内部一致性Cronbachα系数为0.71,PSP-CHN总分的研究者之间一致性Kappa值为0.82(ICC=0.94),重测一致性ICC=0.90。PSP-CHN总分与GAF总分呈正相关(r=0.95,P<0.001),与HAMD-17总分负相关(r=-0.54),急性期和稳定期与PSP-CHN总分相关的抑郁因子不同。结论:个体和社会功能量表中文版可以评价抑郁症患者的个体和社会功能,但是总体信度低于在精神分裂症患者中的评估。
Objective： To evaluate the reliability and validity of the Chinese version of the Personal and Social Performance Scale （ PSP-CHN） in patients with major depressive disorder（ MDD ）. Method： Seventy-four outpatients and in-patients meeting the Diagnostic and Statistical Mannual of Mental Disorders, Fourth Edition＇ test revision （DSM-IV-TR） criteria for major depressive disorder were entered in the study. The Global Assessment of Functiomng Scale （OAF） was regarded as the ＂gold standard ＂to investigate the validity of FSF-CHN. The Hamilton Depression Rating Scale 17 items （ HAMD-17） was used to assess the severity of disease to explore the correlative validity. Five to seven days after the first PSP-CHN interview, the second PSP-CHN was evaluated by another investigator to assess the test-retest reliability in the patients with MDD. Six subjects were included the inter-rater reliability training. Thirty-two patients with HAMD-17 score more than 17 were followed up for 8 weeks of standardized pharmacotherapy, by the end of 8 weeks, the HAMD-17 and PSP-CHN were reassessed, to explore the sensitivity of PSP-CHN in patients with MDD. Results： The internal consistency （ Cronbach＇s alpha =0. 71 ） and the inter-rater reliability （ Kappa = 0. 82, ICC = 0. 94 for PSP-CHN total score ） was good. The test-retest reliability was high （ICC = 0. 90） . The scale showed good construct validity with statistically significant correlations with the GAF. The PSP-CHN score had a good negative correlation with the HAMD-17 total score. In the acute phase and stable phase, the factors correlation with PSP total score were different. Conclusion： The Chinese version of the PSPCHN can be used to assess the personal and social functions of patients with MDD, but the total reliability is not so well as that of assessment of schizophrenia.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2010年第7期481-485,共5页
Chinese Mental Health Journal
关键词
社会功能
抑郁障碍
个人和社会功能量表
信度
效度
social function
depression
Chinese Version of the Personal and Social Performance Scale （ PSP-CHN ）
reliability
validity
