| 思维、语言和交流评定量表(TLC)的信度和效度研究 |
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| 引用本文： | 刘登堂,徐一峰. 思维、语言和交流评定量表(TLC)的信度和效度研究[J]. 上海精神医学, 2008, 20(4): 229-233 |
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| 作者姓名： | 刘登堂 徐一峰 |
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| 作者单位： | 上海交通大学医学院附属精神卫生中心,200030;华东师范大学心理学系博士后流动站;上海交通大学医学院附属精神卫生中心,200030 |
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| 基金项目： | 上海市科学技术委员会资助项目(07ZR14093); 上海市卫生局科研课题项目(024036); 上海市精神疾病临床医学中心重点项目(K-04-2); 上海市优秀青年医学人才培养计划项目 |
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| 摘 要： | 目的评价思维、语言和交流评定量表（TLC）中文译本的信度和效度。方法对46例精神障碍住院患者评定,应用Alpha模型和Split-Half模型评定TLC的内在信度,1周或2周后重测评定其外在信度。以临床评定的思维形式障碍和阳性与阴性症状量表（PANSS）评分作为效标评定TLC的效度。结果①内在信度：α信度系数为0.82,折半信度系数为0.90。②外在信度：重测信度系数除了TLC18偏低外,其余各项均大于0.7,TLC总评和总分的重测信度系数分别为0.82和0.96;评分者一致性系数除了TLC18和TLC14偏低外,其余各项均大于0.7,TLC总分的一致性系数高达0.99。③临床评定的思维形式障碍和TLC总评及总分的相关系数分别为0.92和0.75,以TLC总分≥7分为界值,TLC诊断的敏感度和特异度分别为91.9%和88.9%。④TLC总分或总评与PANSS总分、阳性量表分、思维障碍分、认知因子和兴奋因子等均显著相关（P均〈0.01）。结论TLC量表中文译本具有较好的信度和效度。
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| 关 键 词： | 思维、语言和交流评定量表(TLC) 信度 效度 思维形式障碍 |
The reliability and validity of the Scale for Thought,Language and Communication(TLC) in Chinese psychosis |
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| Liu Dengtang,Xu Yifeng. The reliability and validity of the Scale for Thought,Language and Communication(TLC) in Chinese psychosis[J]. Shanghai Archives of Psychiatry, 2008, 20(4): 229-233 |
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| Authors: | Liu Dengtang Xu Yifeng |
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| Affiliation: | Liu Dengtang,Xu Yifeng( Shanghai Mental Health Center,Shanghai Jiaotong University, Shanghai 200030) |
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| Abstract: | Objective:To evaluate the reliability and validity of the Scale for Thought,Language and Communication(TLC). Methods: Forty-six mental disorder patients were recruited and evaluated using TLC. Data were analyzed for internal consistency, split-half reliability, test-retest reliability and interrater reliability. And the TLC validity with clinical assessment and Positive and Negative Syndrome Scale(PANSS) were also evaluated. Results:The internal consistency coefficient was 0.82, the splif-half reliability w... |
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| Keywords: | Scale for Thought Language and Communication (TLC) Reliability Validity Formal thought disorder |
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