抗精神病药所致性功能障碍自评量表的初步编制

目的：为抗精神病药引起性功能的研究提供工具，方法：在查阅文献的基础上选编条目，再经专家评定。小范围内进行预实验，形成初稿，然后对初稿进行进一步的检验与修改，形成最终量表，并对量表进行信度与效度检验，然后，据此量表进一步判定其划界点。结果：男性性功能障碍评定量表（MBSDSRS）共10条，分为3个因子，分别为：性能力减退，性焦虑，性痛楚，量表和因子的Chronbachα系数为0．65－0．90,Spearman-Brown分半信度为0．69－0．87，重测信度为0．61－0．93，女性功能障碍评定量表（FBSDSRS）共12条，分为4个因子，分别为：月经紊秘，性能力减退，性痛楚，性焦虑。量表和因子的Chronbachα系数为0．73－0．91，Spearman-Brown分信度为0．67－0．90，重测信度为0．075－0．85。两量表的信度与效度均达到统计学要求，进一步得出男性量表划界点为15分，女性量表未得出准确的划界点，粗略估计为21分，结论：性功能障碍评定量表基本符合理论构想，且具有一定的信度与效度，男性量表划界点较为，妇性量表划界点仍需进一步研究。

The Development, Reliability and Validity of Self-Rating Scale of Sexual Dysfunction induced by Antipsychotics

Objective: To develop an instrument for study of sexual dysfunction induced by antipsychotics. Method: Based on the information form documents in this area, items were selected. After being confirmed by specialists, the draft was pretest so as to produce the initial version. The cut-off point, reliability and validity of this version were tested. Result: The scale for male had 10 items, reflecting sexual aspects in 3 dimensions: reduction in sexual ability, sexual anxiety and sexual pain. The Cronbach α of the scale and factors were 0.65～0.90, Spearman-Brown split reliability were 0.69～0.87, test-retest reliability were 0.61～0.93. The scale for female had 12 items, which reflected aspects of 4 dimensions: disorder of menses, reduction in sexual ability, sexual anxiety and sexual pain. The Cronbach αof scale and factors were 0.73～0.91. The Spearman-Brown split reliability were 0.67～0.90, test-retest reliability were 0.75～0.85. The cut-off point of scale for male was 15, while that for female could not be decided precisely, so that the author selected 21 as a tentative one. Conclusion: The reliability and validity of Sexual Dysfunction Self-Rating Scale are satisfying. The cut-off point for male is decided, but that for female is a tentative one.