自编住院精神病人《社会功能评定量表》:信度、效度的初步检验

目的 编制一套适合于研究精神科住院病人的《社会功能评定量表(SSFPI)》。方法 根据住院精神病人的实际生活状况及康复活动特点，拟定出含12个条目的量表，并将条目性质类同者归纳为三个因子。同时在住院病人中进行初测及信度、效度检验。结果 总分及各条目重测相关在0．72～0．89之间；分半信度相关为0．943；总分及各因子间内部一致性相关在0．46～0．89之间；与SDSS进行效度检验相关r值为-0．863，社会功能缺陷阳性区分率达98．3％。结论 SSFPI信度和效度符合要求，与中、基层医院的住院精神病人的生活特点吻合，具有一定的研究及应用价值。     

Cohen-Mansfield激越问卷信度和效度

目的：评价Cohen-Mansfield激越问卷(CMAI)的信度和效度。方法：对51例老年精神科病房住院的痴呆和非痴呆患者，先由2名评定员用CMAI同时评定12名患者，再同时评定CMAI和老年临床评定量表(SCAG)，1周后重测CMAI。对两评定员的一致性，量表的分半相关，重测信度及与SCAG的平行效度进行分析。结果：CMAI的Cronbach’s。系数为0．814，两评定员一致性相关系数为0．731。2次评定量表的相关系数为0．977。量表总分与SCAG的相关系数为0．732。结论：CMAI有较好的信度和效度。     

神经系统软体征量表的信效度评估

目的 评估神经系统软体征量表的信效度。方法 对１７３例精神分裂症患者的神经系统软体征进行评定，并与病程、阴性症状各因子分、ＢＰＲＳ评分进行相关分析，同时对其中１６名患者间隔１周后进行神经系统软体征重测。结果 重测信度ｒ＝０．９０７，各成分的重测信度在０．７０４￣０．９８之间；分关信度ｒｓ＝０．６９４；与阴性症状及其他各因子之间，与病程、ＢＰＲＳ分呈高度相关。结论 神经系统软体征量表具有良好信度和构     

自我效能量表的信度及效度研究

目的评价自我效能量表(SES)的信度和效度.方法由专业医生对45例心身科门诊心理咨询者评定SES和症状自评量表(SCL-90),一周后重测SES.对量表的内部一致性、重测信度及平行效度进行分析.结果SES的Cronbach'sα系数为0.7984,重测后各项目的相关系数均在0.672～0.932之间.SES的总分与SCL-90总分间的相关系数为0.454,且半数以上的项目与SCL-90总分呈明显相关.结论SES具有较好的信度和效度.     

儿童焦虑性情绪障碍筛查量表的临床应用

目的研究儿童焦虑性情绪障碍筛查量表SCARED在儿童及青少年情绪障碍中的应用。方法随机抽取上海市精神卫生中心儿童心理门诊符合CCMD-3诊断标准的焦虑症患儿35例,多动障碍患儿31例,随机抽取上海市某中小学45例健康儿童为对照组。研究组患儿及父母均填写SCARED量表,对照组填写SCARED量表并在一周后重测,多动症组评估SCARED量表。结果研究组SCARED量表总分及各因子分均分别显著高于对照组、多动症组。患儿自评与父母评定的相关系数在0．618至0．839之间。重测信度在0．451～0．872之间,各因子分与总分相关系数在0．331～0．852之间,Cronbach‘s a系数在0．2331至0．8032之间。SCARED量表总分与焦虑自评量表总分相关系数为0．661。结论SCARED量表信、效度良好,可作为临床辅助诊断及科研的筛查工具。     

痴呆行为评定量表的信度和效度研究

目的 评价痴呆行为评定量表（BRSD）的信度和效度。方法 对51例老年精神科病房住院的痴呆和非痴呆患者,先由两名评定员用BRSD同时评定12名患者,再同时对所有病例评定BRSD和老年临床评定量表（SCAG）,一周后重测BRSD。对评定员之间的一致性,量表的分半相关,重测信度及平行效度进行分析。结果 BRSD的Cronbach‘s α系数为0．706,两评定员之间的一致性为0．834,BRSD重测总分相关系数γ为0．986。BRSD总分与SCAG的相关系数γ为0．787。结论 BRSD有较好的信度和效度。     

自尊量表信度效度研究

目的 研究自尊量表的信度效应。方法 以１６２名技校学生为测试对象，以ＳＡＳ、ＳＤＳ为效标，对ＳＥＳ进行信度和效度检验。结果 ＳＥＳ各亲衢叫分的平均相关系数为０．４８１１；分半信度系数为０．９５９３；重测信度系数为０．７８１６；与ＳＡＳ、ＳＤＳ呈正相关关系，相关系数分别为０．５２３和０．５０４。结论 ＳＥＳ具有较好的信度、效度，是一种较理想的自尊程度的评定工具，但第８条目应作适当修改。     

精神障碍者知情同意能力评估问卷的编制

目的初步编制半定式知情同意能力评估问卷,并检验其信度和效度。方法由专业医生对148例年龄18岁以上的患者评定半定式知情同意能力评估问卷(SSICA)、知情同意能力定式检查与等级评定表(SICIATRI)、自知力与治疗态度问卷(ITAQ),一周后重测SSICA、SICIATRI,对SSICA进行信度、效度分析。结果SSICA重测信度为0．997,组内相关系数ICC=0．988,各条目与剩余总分的相关系数为0．568—0．885,分半信度为0．962,Cronbaeh系数为0．975。SSICA与ITAQ、SICIATRI相关系数为0．947、0．899。结论半定式知情同意能力评估问卷有较好的信度和效度,临床应用具有可行性。     

女性性生活质量问卷在精神分裂症患者中的信度和效度

目的探讨女性性生活质量问卷在精神分裂症患者中的信度和效度。方法将3所医院门诊常规就诊并符合入组标准的180名女性精神分裂症患者作为研究人群,给予女性性生活质量问卷、Olson婚姻质量问卷中的婚姻满意度、性生活和夫妻交流分量表进行评估,并对测试结果进行了信度分析和效度分析。结果问卷总的Cronbaehs α系数为0．919,重测信度为0．875（P〈0．01）;验证性因子分析统计检验结果显示该模型的各项重要统计指标均达到了统计学要求;各因子之间的相关在0．181～0．697之间,各因子与总分之间的相关在0．421～0．841之间,均P〈0．01;问卷的总分与ENRICH的三个分量表得分相关在0．388—0．688之间（P〈0．01）,其中总分与性生活分量表相关程度最高。结论女性性生活质量问卷在精神分裂症患者中具有较好的信度和效度。     

自知力量表的信度和效度初步研究

目的：对Markova和Berrios研制的自知力量表作信度、效度检验,进行可靠性研究,方法：初测62例精神分裂症患者获得信度、效度检验结果。对原量表进行修订,修订后量表用于120例精神分裂症患者的测评,核对信度、效度检验结果。结果;原量表经62例精神分裂症患者测评,Cronhach的α系数为0．814、分半信度为0．828、重测信工为0．764。修订后量表经120例精神分裂症患者测评,Cronbach的α系数为0．967、分半信度为0．826、重测信度为0．776。原量表及修订后量表在量表总体和量表的条目组均显著良好效度。结论：该量表具有良好的信度及效度,为进一步实验研究和临床评估中使用提供了量表的测量依据。     

自我护理能力实施量表中文版在精神分裂症患者中的信效度

目的:评价自我护理能力实施量表(ESCA)中文版在精神分裂症患者中的信度和效度。方法:抽取150例精神分裂症患者进行ESCA初测,进行初步的项目分析;正式施测阶段抽取300例精神分裂症患者,7 d后对其中30例进行重测,计算克朗巴赫α系数、重测信度评价量表内部一致性;采用探索性因子分析方法考评量表结构效度;相关分析来评价量表的效标效度。结果:条目一总分相关法及决断值法对条目的区分度进行分析后,组成35个条目的新量表,经最大方差旋转法旋转后提取4个因子,4个因子累计解释的方差为42.38%;ESCA与日常生活能力评定量表、护士用住院病人观察量表相关系数分别为0.59,0.63;Cranach'sα系数为0.88,重测信度为0.65。结论:ESCA中文版具有较好的信度和效度,用于精神分裂症患者自我护理能力的研究需要反复修订。     

A psychometric evaluation of a Chinese version of the Cardiac Depression Scale

OBJECTIVE: This study aimed to evaluate the validity, reliability, and cultural relevance of the Cardiac Depression Scale (CDS) as a disease-specific screening tool for Chinese cardiac patients. METHODS: The language equivalency and content validity of the Chinese version of the CDS (C-CDS) were evaluated. Measurement performance was tested on 200 Chinese cardiac patients and repeated on 40 patients for test-retest reliability. RESULTS: One item pertaining to sexual activity was removed from the Chinese version due to poor cultural relevance. The C-CDS demonstrated acceptable internal consistency (Cronbach's alpha of .91 for the total scale and .53-.78 for the subscales). The high correlation (r=.64-.89) between items and the remainder of their own scale provides further evidence of internal consistency. The test-retest reliability was satisfactory with intraclass correlation coefficients of .94 for the overall scale and .73-.92 for the six subscales. The total and subscale scores that were not significantly different (P>.05) over a 2-week period further support the stability of the instrument. There was acceptable concurrent validity with moderate (r>or=.3, P<.001) correlations between the C-CDS and the Chinese version of the Hospital Anxiety and Depression Scale. Principal component analysis revealed six factors, and one dimension was extracted from the data set, which closely resembles the structure of the original instrument. CONCLUSION: Empirical data support the C-CDS as a valid and reliable disease-specific tool in assessing depressed mood in Chinese-speaking patients with cardiac disease.     

冗思反应量表中文版在抑郁障碍患者中的运用结果分析

目的 评价冗思反应量表中文版(RRS-C)在抑郁障碍患者中的信、效度.方法 212例抑郁障碍患者完成了RRS-C和流调中心抑郁量表(CES- D),分析RRS-C的Cronbach'sα系数、条目间平均相关系数、总分和各因子的相关系数,并采用验证性因子分析考察其三因子结构.结果 RRS-C总量表的Cronbach's α系数为0.88,三因子的Cronbach's α系数在0.67～0.84;总量表的条目间平均相关系数为0.26,量表总分和各因子间的相关系数在0.71～0.94,各因子条目间平均相关系数在0.29～0.32;验证性因子分析指标(CFI=0.913;GFI=0.905;x2/v＜2;RSMEA=0.072)均符合测量学要求.结论 RRS-C在抑郁障碍患者中有良好的信、效度,可应用于我国抑郁障碍患者冗思特征的测评.     

Reliability and validity of the Chinese version of Narcolepsy Severity Scale in adult patients with narcolepsy type 1

ObjectiveTo evaluate reliability and validity of the Chinese version of Narcolepsy Severity Scale (NSS) in adult patients with narcolepsy type 1 (NT1).MethodsOne hundred and fifty-one adult patients (≥18 years) with NT1 were recruited. All filled out the 15-item Chinese version of NSS. Item analysis included critical ratio and correlation analysis. The validity of NSS was assessed by exploratory factor analysis, discriminant validity and convergent validity. Reliability of NSS was assessed by Cronbach's α coefficient, spilt-half reliability and test-retest reliability.ResultsCritical value of all 15 items ranged from 3.01 to 13.36. Each item was significantly correlated with the total score by a correlation coefficient (r) ranging from 0.219 to 0.700. Three common domains were extracted and 15 items explained 54.86% of the total variance. There was a shift in domains compared to the English version likely due to cultural differences. Cronbach's α coefficient for the total scale of 15 items was 0.821 and for three factors was 0.726, 0.748 and 0.760 respectively. The NSS had good correlation with Epworth sleepiness scale scores, Insomnia severity index scores and moderate correlation with mean the sleep latency of polysomnographic recording, and European Quality of Life-5 Dimensions Questionnaire. The Chinese version of NSS showed good spilt-half reliability and test-retest reliability.ConclusionThe Chinese version of NSS shows satisfactory psychometric properties with good validity and reliability. It is applicable to evaluate the severity and consequences of symptoms in Chinese adult patients with NT1.     

中文版偏头痛患者药物依赖性问卷信度和效度研究

目的评价中文版偏头痛患者药物依赖性问卷的信度和效度。方法选取115例合并药物依赖综合征的偏头痛患者,收集其临床资料并进行中文版偏头痛患者药物依赖性问卷的测试。采用重测信度、内部一致性信度评价分析问卷信度,采用内容效度和结构效度评价分析问卷效度。结果量表的重测信度除条目11和条目16为0.558和0.443以外,其余条目的重测信度均大于0.7。总量表的Cronbach’α系数为0.820,各个维度的Cronbach’α系数均0.7。量表的各条目得分和相应维度总分之间的相关系数在0.595~0.962之间。因子分析共提取7个特征根大于1的因子,可解释总变异的76.3%,在相应项目上均有较强的因子载荷。结论中文版偏头痛患者药物依赖性问卷具有较好的信度和效度,适合临床推广应用。     

Reliability and validity of the Chinese versions of the Scales for Assessment of Positive and Negative Symptoms.

This 4-center study assesses the reliability and validity of the Chinese versions of the Scale for Assessment of Positive Symptoms and the Scale for Assessment of Negative Symptoms. Interrater reliability, short-term test-retest reliability, and internal consistency were excellent; intraclass correlation coefficients and Cronbach alphas for the overall scores were all over 0.8. The strong correlation of the scales with an independently assessed parallel measure (the Chinese version of the Brief Psychiatric Rating Scale) and the separate positive and negative factors found with principal components analysis confirm the construct validity of the instruments. These findings demonstrate the importance of culturally sensitive revision and rigorous psychometric evaluation of Western instruments prior to their use in non-Western cultures.     

PHQ-9在综合医院住院患者中信效度研究

目的检验病人健康问卷抑郁量表(PHQ-9)在综合医院住院患者中应用的信度和效度,探索PHQ-9在综合医院住院患者中快速筛查抑郁的可行性。方法方便抽取四川大学华西医院569名住院患者,在规定指导语下完成PHQ-9评定,采用随机数字表法随机抽取38名患者在完成初次评定2周后进行PHQ-9重测;以简明国际神经精神访谈(MINI)作为"金标准",评估中文版PHQ-9的效标效度,共139名患者接受MINI中文版访谈。结果 PHQ-9在本研究中的Cronbach'sα系数为0.839,各条目与总评分的相关系数r=0.484~0.724(P0.01),各条目间相关系数r=0.229~0.520(P0.01);两周后重测系数r=0.846(P0.01);因子分析获得3个公因子,分别为自我评价因子、情感因子和躯体化因子;最佳诊断划界分为8分,敏感度为92.6%,特异度为60.6%;PHQ-9的ROC曲线下面积为0.841(95%CI:0.777~0.905)。结论 PHQ-9应用于综合医院住院患者抑郁评估中具有良好的信效度,8分为该量表的最佳划界分。     

Validation of the Chinese version of the Liverpool Adverse Events Profile in patients with epilepsy

The objective of the study was to validate the Chinese version of The Liverpool Adverse Events Profile (LAEP) in patients with epilepsy. The scale was translated from the English version into a Chinese version and was then back-translated to examine its accuracy. Content validity, concurrent validity, and construct validity were then used to examine the overall validity of this scale. A cross-sectional design with convenience sampling was used to recruit participants from three medical centers. The LAEP Chinese version was tested with respect to validity and reliability in 357 patients with epilepsy, and another 28 patients were invited to evaluate the test-retest reliability of the scale in a 2-week interval. There was a good content validity index (CVI=1.0). Patients undergoing polytherapy had more adverse effects (χ(2)=6.10, p<0.01) and higher LAEP scores (t=-2.91, p<0.01) than patients undergoing monotherapy, indicating a good concurrent validity. Factor analysis included three factors classified by symptoms in the 22-item Chinese version of the LAEP. The total variance of these three factors was 39.3% for the scale. Internal consistency (Cronbach's α=0.92) and the intraclass correlation coefficient (ICC=0.80) were satisfactory. Moreover, the LAEP can be completed in a short time, is perceived as easy to complete, and there was no relevant information missing. The results indicated that the Chinese version of the LAEP yielded highly acceptable parameters of validity and reliability and can be used for measuring adverse effects of antiepileptic drugs among Chinese-speaking patients with epilepsy in Taiwan.     

临床医生精神疾病态度量表中文版在社区精神卫生工作者中的信度、效度研究

目的:探讨临床医生精神疾病态度量表(MICA)中文版在社区精神卫生工作者中的信度、效度与可接受性。方法:应用MICA中文版对广州市8个区(市)80名社区精神卫生工作者进行间隔1周的两次调查、报告和意向行为量表(RIBS)调查,并附加关于生活中对精神疾病患者态度及对MICA理解度的调查。结果:MICA中文版内部一致性信度(Cronbach’α)为0.720,分半信度为0.685,重测信度为0.764(P0.05);表面效度良好;与RIBS总分及附加条目评分呈负相关(r=-0.516,r=-0.310;P均0.01)。主成份分析产生6个因子,共解释方差65.1%。该量表3 min内可完成。结论:MICA中文版是社区精神卫生工作者对精神疾病态度的有效评估工具。     

职业院校教师心理素质量表的编制和信效度检验

目的 编制职业院校教师心理素质量表,并检验其信效度。方法 通过对630例职业院校教师的调研和访谈,编制了职业院校教师心理素质量表,间隔两周后对其中的87例教师重新施测,考察问卷的重测信度、同质性信度;选用大学优秀教师心理素质量表（DTPA）、中学教师心理素质量表（MTCA）作为效标问卷,对其中64例进行效标效度检验。结果 探索性因子分析形成6个因子,分别为表达与交流性、创新性、操作演示性、稳定性、聪慧性、职业认同感。量表重测信度为0.654,6个因子的Cronbach＇sα系数均大于0.7;总的分半信度系数为0.871,90.6%的条目的 CVR在0.6以上。效标效度检验除操作演示性与两个量表的相关没有达到显著性水平外,其他均具有统计学意义（P〈0.05）。结论该量表具有较好的信度效度,可以作为职业院校教师心理素质的测量工具。