慢性疾病病耻感量表-8条目在神经疾病中的汉化及信效度测评

目的:翻译中文版慢性疾病病耻感量表-8条目( SSCI-8),并初步测评该量表在神经疾病中的信效度.方法: 对SSCI-8进行汉化,并对183例神经疾病住院患者进行调查,测评问卷信效度.信度采用Cronbach's α测评内部一致性,效度测评采用探索性因子分析,聚合效度法用于测评量表与抑郁、焦虑、生活能力的相关性.结果: 中文版SSCI-8提取了两个因子,累积贡献率为74. 34% . SSCI-8分别与抑郁、焦虑成正相关(r=0. 505,P＜0. 001),(r=0. 389,P＜0. 001),与Barthel指数负相关(r= -0. 281,P＜0. 001). SSCI-8整体Cronbach's α为0. 90,外在病耻感Cronbach's α为0. 91,内在病耻感Cronbach's α为0. 89,具有较高的信度.结论: 中文版SSCI-8具有较好的信效度,可运用于神经疾病患者病耻感的测评.

The reliability and validity of the Chinese version of the stigma scale for chronic illness 8-items in patients with neurological disorders

Objective:The aim of this study is to develop of a preliminary Chinese version of the Stigma Scale for Chronic Illness 8-items(SSCI-8)and assess its reliability and construct validity among patients with neurological disorders. Methods:Develop the Chi-nese version of SSCI-8 and survey on 183 inpatients with neurological disorders and the reliability and validity of the questionnaire were evaluated. Reliability was assessed for internal consistency with Cronbach’s α coefficient. Exploratory factor analysis was used to assess validity. The polymerization validity was used to assess the correlation between scale and depression,anxiety and life ability. Results:The Chinese version of SSCI-8 was extracted two factors and cumulative contribution rate was 74. 34% . Scores for depression ( r =0.505,P ＜0. 001)and anxiety(r =0. 389,P ＜0. 001)had a positive correction with total SSCI-8 scores and Barthel index(r =-0. 281,P＜0. 001)had a negative correction with total SSCI-8 scores. The whole Cronbach’s α of SSCI-8 was 0. 90,the Cronbach’s α of enacted and internalized stigma was 0. 91 and 0. 89,respectively,and had high reliability. Conclusion:The Chinese version of SS-CI-8 is reliable and valid and can be applied to the evaluation of stigma in patients with neurological diseases.