认知情绪调节量表在大学生中的初步信效度检验

目的:考察认知情绪调节量表(Cognitive Emotion Regulation Questionnaire,CERQ)中文版的信度和效度.方法:将CERQ修订成中文版,以自尊量表(The Self-Esteem Scale,SES)为效标,施测于我国4所大学的744名大学生.结果:中文版的CERQ由8个因子构成,分别为自责、接受、沉思默想、积极调整、积极设想、自我安慰、灾难化和责备他人,其因子负荷为0.51-0.75,总量表及8个子量表的Cronbach α系数信度为0.60-0.89,3个月后的重测信度为0.60-0.82.相关分析显示,除自我安慰维度外CERQ量表与自尊量表评分均有相关性,如灾难化与自尊总分和自我肯定维度呈负相关(r=-0.44、-0.34),与自我贬低量表呈正相关(r=0.45);积极设想与自尊总分和自我肯定维度呈正相关(r=0.32、0.31),与自我贬低分量表呈负相关(r=-0.26)(均P＜0.01).用结构方程进行验证,其拟合指数分别为x2/df=3.28,GFI=0.81,NNFI=0.90,CFI=0.92,RMSEA=0.08.结论:CERQ中文版具有良好的信度、效度,是测量大学生认知情绪调节策略的有效工具.     

简明神经精神量表中文版在老年痴呆患者中的信效度

目的:建立简明神经精神量表(Neuropsychiatric Inventory Questionnaire,NPI-Q)的中文版,并考察其在老年痴呆患者中的信度和效度。方法:经原作者同意后,将NPI-Q翻译为中文版。10例痴呆患者由3名测评员使用NPI-Q联合评定,检验量表的评定者间一致性信度。对86例痴呆患者及30例健康对照进行AD病理行为评分表(behavioral pathologyin Alzheimer's disase,BEHAVE-AD)、简明精神病量表(The Brief Psychiatric Rating Scale,BPRS)与NPI-Q评定,检验量表的效标效度,其中30例痴呆患者间隔24h重复评定,检验量表的重测信度。结果:(1)内部一致性,NPI-Q的严重程度分量表Cronbach α系数为0.566,条目间平均相关系数为0.098;痛苦程度分量表Cronbach α系数为0.642,条目间平均相关系数为0.130。(2)评定者间一致性信度,严重程度分量表组内相关性系数(ICC)为0.97;痛苦程度分量表组内相关性系数(ICC)为0.94。(3)重测信度,严重程度分量表重测相关系数为0.89;痛苦程度分量表重测相关系数为0.86。(4)效标效度,严重程度分量表总分与BEHAVE-AD总分、BPRS总分相关系数分别为0.70和0.40;痛苦程度分量表总分与BEHAVE-AD总评相关系数为0.76。(5)痴呆组严重程度、痛苦程度评分均高于正常对照(中位数:10vs.1.5,10vs.0;均P0.001)。(6)探索性因子分析获得精神病性、异常行为、失自控及情感障碍4个公因子。4个公因子对方差的累计贡献率为58.3%。各条目在相应公因子上的因子负荷在0.596～0.803之间。结论:简明神经精神量表中文版的信效度符合量表测量学的要求,但仍然需要扩大样本进行更深入的研究分析。     

社会适应功能评估量表在精神疾病患者中的信效度

目的:评价社会适应功能评估量表(Social-Adaptive Functioning Evaluation,SAFE)在中国精神疾病患者中的适用性。方法:采用方便取样,选择按DSM-IV诊断为精神分裂症、情感障碍及其他精神障碍的患者共200名(病例组,年龄18~70岁)及正常对照30名(正常组,年龄19~56岁)。请3名精神科专业人员使用SAFE中文版进行评估,并对其中30名患者同时评定世界卫生组织残疾评定量表II(WHO Disability Assessment Schedule,WHO-DAS-II)和自我意识量表中的社交焦虑分量表(Social AnxietySubscale of the Self-Consciousness Scale,SAS)。结果:SAFE中文版的重测信度为0.96~0.99,评定者一致性0.77,内部一致性0.77~0.95;SAFE中文版与WHO-DAS-II和SAS的相关分析显示,SAFE中文版具有较好聚合和区分效度;探索性因素分析将SAFE中文版聚合为4因子模型,验证性因素分析显示该模型结构合理。病例组SAFE中文版各因子评分(除基本生活技能外)均高于正常组(P<0.005)。结论:社会适应功能评估量表在我国使用信效度良好,可以用来评估18岁以上精神疾病患者的社会适应功能。     

危险评估量表修订版的信效度检验

目的:对15个条目的台湾版危险评估(DA)量表进行修订,并在亲密伴侣暴力中的女性受害者中检测其信效度。方法:在DA量表的基础上经专家小组讨论和专家咨询增加了5个条目,并选取简易冲突策略量表(BCTS)中的2个条目,组成预测量表。方便取样,选取新疆某市与河北某县妇联、派出所等相关机构报告的亲密伴侣暴力中的女性受害者200例,对量表进行项目分析和信效度检验。随机抽取其中50名受害者,2～4周后进行重测。结果:项目分析与相关分析剔除不满足条件的条目,最终形成由两个部分组成的危险评估量表修订版(DA-R),第1部分包括9个条目,Cronbachα系数为0.76,各条目与量表总分的相关系数在0.29～0.66之间,重测相关系数为0.84(P0.01);量表总分与BCTS中致死性暴力行为间ROC曲线下面积为0.77。第2部分为BCTS中用来判断有无致命暴力行为的2个条目,此部分不计分。结论:危险评估量表修订版具有较好的信效度,能够作为评估亲密伴侣暴力危险程度的工具。     

多维疲劳量表中文版在军队基层医护人员中的初步修订

目的: 对多维疲劳量表(MFI-20)在军队基层医护人员中进行初步修订.方法: 通过量表的翻译、回译及文化调适,制定中文版的MFI-20,并通过267例军队基层医护人员进行的测试对量表进行考评.结果: 量表包含20个项目,4个因素,分别是体力疲劳、脑力疲劳、动力下降、活动减少.因素分析结果表明,4个因素累计解释方差的56.852%,20个项目区分度指数在0.262至0.750之间;整体量表内部一致性为0.882,因素的内部一致性平均0.702;被试疲劳总分及各因素得分与负性事件总得分的相关系数分别为0.59、0.57、0.47、0.25、0.26,P<0.001.结论: MFI-20中文修订版在军队基层医护人员中具有较好的信度和效度,针对其他对象的信效度有待进一步研究.     

彩票购买者认知偏差量表初步编制及信效度检验

目的:初步编制我国电脑型彩票购买者认知偏差量表.方法:根据国外相关理论和评估工具收集适用于我国购彩者的量表项目.经前期访谈、项目筛选和专家讨论等确定项目.按地域和彩票销售状况选择6省25个地市,随机抽取购彩者3584名施测,总样本随机分成两组分别进行探索性和验证性因素分析.结果:经项目分析和探索性因素分析删除项目后,最终形成19个项目的认知偏差量表,包括概率谬误、控制幻想、关系错觉和过于乐观的预期等四个因子.总量表及各因子的α系数在0.56-0.80之间;分半信度0.72;模型拟合指数均达到要求(χ2/df=5.45;Mc=0.93;IFI=0.95;CCI=0.95;NFI=0.94;RSMEA=0.050).结论:本研究编制的电脑型彩票购彩者认知偏差量表具有较好的心理测量学品质.可在未来研究中应用.     

二维自尊量表中文版在大学生中的信、效度分析

目的:探讨二维自尊量表(SLCSR)中文版在大学生中的适用性。方法:720名大学生完成SLCSR中本版,其中249名同时完成自尊量表(SES),471名同时完成SCL90,72名间隔2周后进行重测。结果:量表的自我能力感、自我喜欢两维度重测信度为0.84和0.80,同质性信度为0.86和0.84;验证性因素分析揭示了二维的量表结构(χ2/df=6.69,CFI=0.91,NNFI=0.90,NFI=0.90,RMSEA=0.07);SLCSR与SES、SCL90相关的系数分别为0.70和-0.31(P<0.01)。结论:SLCSR量表具有较好的信、效度,可以推广运用,但是大学生之外群体的适用性还需进一步考证。     

师幼关系量表的信效度检验

目的:考察师幼关系量表中文版的信度和效度。方法:对442名幼儿的教师进行了师幼关系量表的测查。结果:验证性因素分析显示量表具有较好的结构效度;效标关联效度检验表明,总量表及各维度与儿童当时及9个月后的行为问题普遍存在显著关联;信度检验也发现,总量表及各维度的克伦巴赫α系数在0.67～0.83之间,重测信度系数在0.46～0.81之间(P0.01)。结论:本研究修订的师幼关系量表具有较好的信、效度。     

贝克抑郁量表第2版中文版在抑郁症患者中的信效度

目的:评估贝克抑郁量表第2版(Beck Depression Inventory-II,BDI-II)中文版的信度和效度。方法:方便选取142名复发性抑郁症患者完成BDI-II和汉密尔顿抑郁量表(HAMD)的测试,并随机抽取20名患者1周后进行BDI-II的重测。结果:BDI-II中文版的Cronbachα系数为0.94,各条目间的相关系数在0.18～0.71之间,各条目与BDI-II总分的相关系数在0.56～0.82之间,重测相关系数为0.55(P<0.05);BDI-II分与HAMD分呈正相关(r=0.67,P<0.01)。探索性因子分析显示BDI-II可提取躯体化-情感(13个条目)和认知(8个条目)2个因子。结论:贝克抑郁量表第2版中文版具有良好的信度与效度,能够作为自评工具用来评估抑郁症状严重度。     

儿童抑郁量表中文版在中小学生中的信效度

目的:检验儿童抑郁量表(Children's Depression Inventory,CDI)中文版的信效度,探讨在国内中小学生中的适用情况。方法:采用方便取样,抽取湖南长沙和湘潭市区2所小学,1所初中和1所高中的2~11年级学生2580名,使用CDI、儿童应激事件量表(Children`s Hassles Scale,CHAS)进行调查,其中小学2~6年级的1320名学生还进行了儿童多维焦虑量表(Chinese version of the multidimensional Anxie-ty Scale for children,MASC-C)调查,以检验CDI的信效度;间隔1月对小学2~3年级全体学生(n=528)进行CDI重测,以分析其重测信度。结果:CDI中文版的内部一致性Cronbachα系数为0.88,间隔1个月的重测皮尔逊相关r=0.81(P0.001),平均组内相关系数(ICC)为0.89。CDI的低效感、低自尊、负性情绪和快感缺乏分量表的一致性α系数在0.60~0.74之间,间隔1个月的重测皮尔逊相关介于0.64~0.71之间(均P0.001),平均ICC介于0.78~0.83之间,但人际问题分量表的信度较低(重测皮尔逊相关系数为0.50,P0.001;平均ICC为0.67)。CDI的5因素和单因素结构的验证性因素分析表明,5因素结构优于单因素结构(SBχ2=1504.65、df=314、SBχ2/df=4.79、TLI=0.88、NNFI=0.87、RMSEA=0.038、90%CI=0.036-0.040);CDI总分与CHAS和MASC-C得分呈正相关(r=0.43,0.44;均P0.001)。结论:儿童抑郁量表及分量表总体上具有良好的信效度,适合国内中小学生的使用,但其中的人际问题分量表还需进行文化差异上的探索,并结合我国的文化背景进行修订。     

Reliability and Construct Validity of the Pain Distress Inventory

We conducted three studies to evaluate further the reliability and construct validity of a new self-report instrument, the Pain Distress Inventory (PDI; Osman et al., 2003, The Pain Distress Inventory: Development and initial psychometric properties, J. Clin. Psychol. 59: 767–785). In Study I, exploratory and confirmatory factor analytic results confirmed the replicability of the four-factor oblique solution of the PDI in a mixed sample of students and nonstudents. We also found strong evidence for criterion-related validity of scores on this instrument. In Study II, multisample analyses results found further evidence for equivalence of structure of the PDI across African American and Caucasian young adults. Ethnic and gender group differences were obtained on two of the PDI scale scores. Internal consistency reliability estimates on the PDI total and scale scores were good in both Studies I and II. In Study III, additional analyses of internal consistency and known-groups validity established strong support for construct validity of the PDI.     

Long-Term Health Outcomes in Patients with Recurrent Abdominal Pain

Investigated somatic and emotional symptoms, functional disability,and health service utilization in 31 former RAP patients and31 former well patients who had originally been interviewed5 to 6 years earlier. Both former patients and their motherswere interviewed for this follow-up study. Medical records wereobtained for those patients who reported receiving new diagnosesfor abdominal pain since their initial assessment. Results indicatedthat only one of the former RAP patients was later diagnosedwith organic disease that clearly accounted for his earlierabdominal pain. Nonetheless, at follow-up former RAP patientsreported significantly higher levels of abdominal pain, othersomatic symptoms, and functional disability (including school/workabsence) than did former well patients. Mothers reported higherlevels of internalizing emotional symptoms in former RAP patientsthan in former well patients.     

Factor Structure, Reliability, and Validity of the Pain Catastrophizing Scale

The Pain Catastrophizing Scale (PCS; Sullivan et al., Psychol. Assess. 7, 524–532, 1995) has recently been developed to assess three components of catastrophizing: rumination, magnification, and helplessness. We conducted three studies to evaluate the factor structure, reliability, and validity of the PCS. In Study I, we conducted principal-components analysis with oblique rotation to replicate the three factors of the PCS. Gender differences on the original PCS subscales were also analyzed. In Study II, we conducted confirmatory factor analyses to evaluate the adequacy of fit of four alternative models. We also evaluated evidence for concurrent and discriminant validity. In Study III, we evaluated the ability of the PCS and subscales to differentiate between the responses of clinic (students seeking treatment) and nonclinic undergraduate samples. Also, in the clinic sample, we evaluated evidence of concurrent and predictive validity for the PCS. The internal consistency reliability indices for the total PCS and subscales were examined in all three studies. Limitations and future directions are discussed.     

The Fear of Pain Questionnaire-III: Further Reliability and Validity with Nonclinical Samples

The Fear of Pain Questionnaire-III (FPQ-III) is a 30-item self-report measure designed recently to assess fears about pain across three pain dimensions: severe, minor, and medical. We conducted three studies to replicate the factor structure of the FPQ-III and examine several psychometric properties of reliability and validity in nonclinical samples. A principal-axis with oblique rotation analysis provided strong empirical support for the three-factor solution of the FPQ-III (Study 1). In Study 2, results of the confirmatory factor analyses (CFA) confirmed the fit of the three-factor oblique model to an independent sample of data. In addition, we evaluated several measurement models to address issues related to convergent and discriminant validity for the FPQ-III. In Study 3, data from adult samples were analyzed for the adequacy of internal consistency and criterion-related validity of the FPQ-III. The FPQ-III total and scales showed high levels of reliability estimates across the three studies. Limitations and future research with the FPQ-III are discussed.     

疾病感知问卷中文版对急性心肌梗死患者的适用性和信效度分析

目的:探讨修订的疾病感知问卷(IPQ-R)中文版在急性心肌梗死患者中的适用性,并分析其信效度。方法:按量表翻译程序将IPQ-R译成中文,方便选取118名急性ST段抬高的心肌梗死患者进行IPQ-R中文版的测量,同时运用综合性医院焦虑抑郁量表(HADS)初步评价情绪状态。选取32名患者于初评后1个月重复测量。结果:IPQ-R中文版内部一致性系数为0.66-0.92;1个月的重测信度略低,为0.35-0.61;与焦虑评分相关明显(r=0.049-0.384,P<0.05)。探索性因素分析提取了7个特征根大于1的因子,各条目负荷范围为0.42-0.88,累积贡献率为60.75%,能够合理解释问卷的结构。结论:IPQ-R中文版适用于急性心肌梗死患者,具有较好的信度和效度。     

An Overview of the Patient‐Reported Outcomes Measurement Information System (PROMIS) for Assessing Chronic Low Back Pain Patients

This study aimed to demonstrate the relevance of the Patient‐Reported Outcomes Measurement Information System (PROMIS ) measures to the assessment of chronic low back pain. A literature search was conducted to find all relevant articles regarding the PROMIS domains of pain impact, behavior, interference, quality, and intensity, as well as the other PROMIS domains of sleep disturbance, fatigue, satisfaction with social roles, anxiety, depression, and physical function. Findings were compiled. Although few measures assessed low back pain specifically, all were found reliable and valid, and useful for a wide variety of other populations. The PROMIS has several advantages over other “legacy” measures, including generalizability, comparability, ease of access and use, having a wide range of methodologies to utilize in assessment, and free availability to the public. Having the PROMIS available at no additional cost will help further research by making it more accessible.     

精神分裂症患者生活质量量表信效度检验与应用

目的：引进和进行《精神分裂症患者生活质量量表》（SQLS）的信度和效度检验，并初步进行临床应用。方法：将SQLS译成中文，并回译。以174例精神分裂症住院患者和51例门诊患者为样本进行信度，效度评定。结果：SQLS中文版重度测度0．87，内部一致性α系数0．70－0．92，与SF－36，SCL－90显著相关，因素分析证实了三个因子。在临床应用中，我们发现住院患者在精力／动机上反而好于门诊患者，而患病时间对主观生活质量的影响最为显著，随着患病时间的延长，主观生活质量呈下降趋势。此外，参加工娱治疗，使用副反应小的新型抗精神药物的患者主观生活质量高。上述结论提示量表反映的情况与临床实际基本相符。结论：《精神分裂症患者生活质量量表》（SQLS）中文版经初步测试，信度，效度符合要求，具有临床应用价值。     

个体和社会功能量表中文版在精神分裂症患者中的信效度

目的:考察个体和社会功能量表(Personal and Social Performance scale,PSP)中文版(PSP-CHN)在精神分裂症患者中的信度和效度.方法:收集165例符合DSM-IV-TR精神分裂症诊断标准的门诊或住院精神分裂症患者,10例患者用于研究者一致性培训,155例进行大体社会功能量表(Global Assessment of Functioning Scale,GAF))、阳性和阴性症状量表(Positive and Negative Syndrome Scale,PANSS)和PSP-CHN检查,分析PSP-CHN量表的内部一致性、PSP-CHN与GAF的一致性(效标效度)以及与患者疾病严重度的相关性(关联效度).66例患者在首次PSP-CHN评估后的5～7天内,由另一名研究者对患者进行第2次检查,评价PSP-CHN的重测信度.27例PANSS总分≥60分的患者,接受系统药物治疗8周,评估8周后PANSS及PSP-CHN评分改变,以及二者的相关性.结果:PSP-CHN量表的内部一致性Cronbach α系数为0.84,PSP-CHN总分的研究者之间一致性Kappa值为0.56(ICC=0.94),重测一致性ICC＝0.95.PSP-CHN总分与GAF有较好的相关性(ICC＝0.95),与PANSS总分及分量表分负相关(r=-0.79,-0.57,-0.63和-0.71,P＜0.01).治疗8周后,治疗有效患者(定义为PANSS与基线比较的减分率≥50%)PSP评分增加(平均增加21.2)明显高于部分有效的患者(定义为PANSS与基线比较的减分率<50%,PSP增加10.2分).结论:个体和社会功能量表中文版是评估精神分裂症急性期和稳定期患者个人和社会功能的一个简洁、易操作、较稳定的工具,适用于临床实践或研究中使用.     

The Effects of Medical Evidence and Pain Intensity on Medical Student Judgments of Chronic Pain Patients

This study examined symptom judgments made by medical students of hypothetical chronic low back pain patients. Eight vignettes were varied as to the pain intensity reported by the hypothetical patient (low vs. moderate vs. high vs. very high) and the availability of medical evidence supportive of the pain report (present vs. absent). Ninety-five subjects read vignettes and made judgments of patient emotional distress, pain intensity, and pain-related disability. Subjects significantly discounted pain level when intensity was high but slightly augmented pain level when intensity was low. Judgments of pain and disability were higher for patients for whom medical evidence was present compared to those for whom it was absent. The results support and extend previous research on the effects of situational and patient variables on observer pain judgments. Future research should examine the influence of these biasing variables on the assessment and treatment of chronic pain patients.     

6-Month Results of Transdiscal Biacuplasty on Patients with Discogenic Low Back Pain: Preliminary Findings

Study Design: Prospective observational study.Objective: Our aim is to investigate the efficacy and safety of TransDiscal Biacuplasty.Summary of Background Data: Chronic discogenic pain is one of the leading causes of low back pain; however, the condition is not helped by most non-invasive methods. The results of major surgical operations for these patients are unsatisfactory. Recently, attention has shifted to disk heating methods for treatment. TransDiscal Biacuplasty is one of the minimally invasive treatment methods. The method was developed as an alternative to spinal surgical practices and Intradiscal Electrothermal Therapy for treatment of patients with chronic discogenic pain.Methods: The candidates for this study were patients with chronic discogenic pain that did not respond to conservative treatment. The main criteria for inclusion were: the existence of axial low back pain present for 6 months; disc degeneration or internal disc disruption at a minimum of one level, and maximum of two levels, in MR imaging; and positive discography. Physical function was assessed using the Oswestry Disability Index when measuring the pain with VAS. Patient satisfaction was evaluated using a 4-grade scale. Follow-ups were made 1, 3, and 6 months after treatment.Results: 15 patients were treated at one or two levels. The mean patient age was 43.1±9.2 years. We found the mean symptom duration to be 40.5±45.7 months. At the sixth month, 57.1% of patients reported a 50% or more reduction in pain, while 78.6% of patients reported a reduction of at least two points in their VAS values. In the final check, 78.6% of patients reported a 10-point improvement in their Oswestry Disability scores compared to the initial values. No complications were observed in any of the patients.Conclusions: TransDiscal Biacuplasty is an effective and safe method.