阿拉伯死亡焦虑量表中文版的心理测量学特性

背景：死亡焦虑被视为精神病理学症状的风险因素和持续存在的因素。虽然阿拉伯死亡焦虑量表（ASDA）是一种简单而常用的评估工具，但是在国内临床实践中缺少这样的工具。目标：本研究旨在采用多级回译法开发ASDA中文版，即ASDA(C)，并研究该量表的心理测量学特性。方法：从国内三个地区的医院和大学共招募了1372名参试者。为了计算出ASDA(C)的效标相关效度与有关死亡和死亡清单的多维度取向表格中文版（MODDI-F/chin）相比较，随机指定49名大学生完成这两份调查问卷。在所有参试者中随机指定56名再做一次ASDA(C)问卷调查，来评估ASDA(C)的一周后重测信度。结果：量表总的Cronbach’sα值为0.91。一周后的重测信度为0.96。探索性因子分析（EFA）显示三个因素，“对死人和坟墓的恐惧，“对致命疾病的恐惧”和“对死亡事件的恐惧”，占总方差的57.09%。因而构建三因素模型。量表ASDA(C)总分与MODDI-F/chin的相关系数是0.54，表示信度都可以接受。结论：ASDA(C)有较好的心理测量学特性，说明这是一个可靠有效的量表。该量表能用于讲普通话的中国人群，来评估死亡焦虑。

Psychometric properites of the Chinese version of the Arabic Scale of Death Anxiety

Background:Death anxiety is regarded as a risk and maintaining factor of psychopathology. While the Arabic Scale of Death Anxiety (ASDA) is a brief, commonly used assessment, such a tool is lacking in Chinese clinical pracitce. Aim:The current study was conducted to develop a Chinese version of the ASDA, i.e., the ASDA(C), using a mulitstage back-translaiton technique, and examine the psychometric properites of the scale. Methods:A total of 1372 paritcipants from hospitals and universiites located in three geographic areas of China were recruited for this study. To calculate the criterion-related validity of the ASDA(C) compared to the Chinese version of the longer-form Multidimensional Orientation toward Dying and Death Inventory (MODDI-F/chin), 49 undergraduates were randomly assigned to complete both quesitonnaires. Of the total paritcipants, 56 were randomly assigned to retake the ASDA(C) in order to esitmate the one-week, test-retest reliability of the ASDA(C). Results:The overall Cronbach’s alpha was 0.91 for the whole scale. The one-week, test-retest reliability was 0.96. Exploratory Factor Analysis (EFA) revealed three factors, “fear of dead people and tombs,” “fear of lethal disease,” and “fear of postmortem events,” accounted for 57.09% of the total variance. Factor structure for the three-factor model was sound. The correlaiton between the total scores on the ASDA(C) and the MODDI-F/chin was 0.54, indicaitng acceptable concurrent validity. Conclusions: ASDA(C) has adequate psychometrics and properites that make it a reliable and valid scale to assess death anxiety in Mandarin-speaking Chinese.