个人和社会功能量表在抑郁症中的适用性研究

目的 检测个人和社会功能量表(Personal and Social Performance scale,PSP)在抑郁症患者中的信度和效度,了解PSP在抑郁症中的适用性.方法 在全国6个精神卫生中心收集84例门诊抑郁症患者.所有的病例进行PSP、Montgomery- Asberg抑郁量表(Montgomery- Asberg Depression Rating Scale,MADRS)、大体社会功能量表(Global Assessment of Functioning Scale,GAF)评定,分析PSP在抑郁症患者中的内部一致性、与GAF的一致性以及与MADRS的相关性.另外,6例抑郁症病例在首次评定后的1周进行再次评定用以PSP重测一致性的检验.结果 PSP的内部一致性Cronbach α系数为0.760,PSP总分与GAF评分具有良好的正相关(r=0.906,P＜0.01),与MADRS总分呈负相关,具有统计学意义(r=-0.652,P＜0.01),重测一致性的kappa值为0.945(n=6,P=0.01).结论 PSP是一个操作简单、稳定性高的评估工具,可用于抑郁症患者社会功能的评估.量表中d维度(冲动和攻击行为)对整个量表的权重大,在抑郁症患者中与总分相关性欠佳.

Evaluation of reliability and validity of the Chinese version of personal and social performance scale

Objective To investigate the reliability and validity of Chinese version of Personal and .Social perfomance scale （PSP--CHN） in depression patients. Methods 84 depression outpatients were enrolled from 6 mental health hospitals around the country. All participants were assessed in Global As- sessment of Functioning Scale （GAF） to investigate the validity of PSP--CHN, and were assessed in Montgomery--Asherg Depression Rating Scale （MADRS） to analyses the correlation. One week after the first PSP interview, the second PSP interview was conducted to assess the test--retest reliability in 6 depression patients. Results The internal consistency of PSP （Cronbach a is 0. 760） was high. The total score of Chinese version of PSP had a good positive correlation with the GAF score （r=0. 906） and good negative correlations with MADRS （r=0. 652, P〈0.01）. Furthermore, the test--retest reliability of Chinese version of PSP （kappa： 0. 945） was high. Conclusions PSP scale is a convenient and stabled measurement tool which can be used in evaluation of social function among depression patients. Dimen- sion D （disturbing and aggressive behaviors） takes the heaviest weight in PSP, which does not take good correlation with PSP total score in depression inpatients.