中文版Morisky用药依从性问卷在肾病综合征患儿中的信效度评价及应用

目的:评价中文版Morisky用药依从性问卷(MMAS-8)在肾病综合征(NS)患儿中应用的信度和效度,探讨本地区NS患儿的用药依从性水平及影响因素。方法:应用中文版MMAS-8对就诊于我院的90例NS患儿开展用药依从性问卷调查。选用Cronbachα系数评价中文版MMAS-8内部一致性信度,组内相关系数(ICC)评价重测信度;选用主成分因子分析法评价结构效度;选用Pearson相关系数评价MMAS-8得分与6个月内复发次数的相关性;对NS患儿的用药依从性影响因素选用多因素多分类有序Logistic回归分析。结果:中文版MMAS-8的Cronbachα系数为0.751;ICC为0.865(P<0.05);主成分因子分析共提取3个公因子;调查的90例患儿中有78.89%的患儿用药依从性不佳(评分<8分);患儿6个月内复发次数与MMAS-8得分存在中度的负相关(Pearson相关系数为-0.454,P<0.01);用药依从性影响因素分析结果显示,病程<1年较病程>3年患儿的用药依从性好(P<0.05),由父母监督服药较自行服药的患儿用药依从性好(P<...     

Development of the temptations for gambling questionnaire: A measure of temptation in recently quit gamblers

An important factor in understanding relapse in problem gambling is the temptation to gamble. This article evaluates the factor structure and the psychometric properties of the Temptations for Gambling Questionnaire (TGQ), a new measure of temptation to gamble in 21 high-risk situations. The TGQ was administered to 101 recently quit pathological gamblers (65 males and 36 females). Principal components analysis supported a four-factor structure, with factors representing Negative Affect, Positive Mood/Impulsivity, Seeking Wins or Money, and Social Factors. Construct validity of the scale was supported by the consistency of the factors with social learning theory, Marlatt's cognitive behavioural model of relapse, and prior research on gambling relapse. Internal consistency of the TGQ and its factors was strong (α?=?0.80–0.91). The TGQ holds promise as a reliable and valid measure of temptation to gamble.