SF-36在神经症病人中应用的信度及效度研究  

A study of the reliability and validity of the SF-36 in patients with neuroses

作　　者：张曙映[1] 李春波[1] 姚军[1] 吴文源[1] 

机构地区：[1]同济大学附属同济医院心身科,200065

出　　处：《上海精神医学》2003年第z1期23-25,共3页Shanghai Archives of Psychiatry

基　　金：上海市高等学校青年科学基金(2000QN13)

摘　　要：目的 评价健康状况调查问卷(The Short-Form-36 Health Survey,SF-36)在神经症病人中的信度和效度。方法 由专业医生对53例心身科门诊及住院患者评定焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)和SF-36,4周后予以重测。对量表的内部一致性、重测信度及效标关联效度等指标进行分析。结果 SF-36的Cronbach's α系数为0.7581,各维度的Cronbach's α系数较好,重测后各项目的相关系数均在0.284～0.796之间。SF-36各维度分与SAS、SDS总分间。除躯体功能,躯体健康功能导致的角色受限,情感功能所致的角色受限外,均与SAS总分呈明显负相关,除躯体功能、躯体健康功能导致的角色受限,躯体疼痛,情感功能所致的角色受限外,SDS总分呈明显负相关。结论 SF-36具有较好的信度和效度,部分分量表能较好反映神经症病人的情绪状态,基本适用于神经症病人生活质量评价。Objective: To assess the reliability and validity of the Short-Form-36 Health Survey (SF-36) in patients with neurosis. Methods: 53 patients with neurosis were evaluated with SAS,SDS and SF-36 by trained doctors , and these patients were rated again with SF-36 one month later. The inter-item consistency, test-retest reliability and parallel validity of SF-36 were analyzed respectively. Results: The Cronbach alpha coefficient was 0.758, it covered a good coefficient of inter-item consistency (Cronbach's αcoefficient). The coefficients of test-retest for all subscales of SF-36 were ranged from 0. 284 to 0. 796. Except physical functioning, role limitations due to physical health, role limitations due to emotional problems, the subscales of SF-36 were significantly relative with total scores of SAS, and were significantly relative with total scores of SDS except physical functioning, role limitations due to physical health, bodily pain, role limitations due to emotional problems. Conclusion: The results indicated that the Chinese version of SF-36 had relatively good reliability and validity, the subscales could reflect the mood state and other dimension of quality of life of the patients with neurosis, and could be basically applicable for life quality assessment in the patients with neurosis.

关 键 词：神经症 健康状况调查问卷 信度 效度 

分 类 号：R749.7[医药卫生—神经病学与精神病学]