成瘾严重程度指数量表在强制隔离戒毒场所海洛因依赖者中使用情况分析  

The reliability,validity and limitation of Addiction Severity Index in patients with heroin dependence from compulsory treatment

作　　者：陈晗晖[1] 杜江[1] 孙海明[1] 江海峰[1] 杜哲一 孟琴琴 陈志康 赵敏[1] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,200030

出　　处：《精神医学杂志》2011年第3期161-164,共4页Journal of Psychiatry

基　　金：十一五国家科技支撑项目(编号:2007BAI107B01);上海市科委国际科研合作项目(编号:09410707000);上海市卫生局课题项目(编号:2007Y13)

摘　　要：目的评估成瘾严重程度指数量表(Addiction Severity Index,ASI)中文版在强制隔离戒毒场所使用的各分量表的内部信度和效度。方法将英文版ASI译成中文,根据国情修订。使用ASI中文版量表从上海3个强制隔离戒毒场所中招募537例海洛因依赖者进行评估,有505例研究对象的数据进入内部信度和效度分析。结果 ASI七个分量表的克朗巴赫α系数如下:家庭和社会支持状况的大于0.7;躯体健康状况、药物使用状况和精神疾病状态的在0.35和0.7之间;就业/支持状态、酒精使用状况和法律状况的小于0.35。精神疾病状态的KMO值大于0.8;躯体健康状况和家庭/社会支持状况的KMO值大于0.7;药物使用状况的KMO值大于0.6;就业/支持状态和酒精使用状况的KMO值大于0.5;且其Bartlett's球面检验P值均小于0.01,通过因素分析提取其相应的因素;违法犯罪情况分量表无法计算KMO值,不适合进行因素分析。结论在强制隔离场所使用ASI时,部分分量表内部信度和结构效度偏低,存在较大的局限性,使用时需要调整条目和慎重考虑其结果。Objective To assess the reliabilities and validities of subscales of Addiction Severity Index （ASI） used in isolated compulsive rehabilitation situations. Methods ASI in English was translated into Chinese and was adjusted according to the social environment in China. 537 heroin - drugsters recruited from 3 compulsory treatment centers in Shanghai were assessed with ASI Chinese version and 505 of them were included in the data analysis. Results The Cronbach＇ α coefficient for the 7 subscales of ASI were listed as following ： α for family/social status＇ s was above 0.7 ; ct for medical status, drugs and psychiatric status were between 0.35 to 0.7 ; α for employment/support, alcohol and legal status were less than 0.35. The KMO value for psychiatric status subscale was above 0.8 ; KMO value for medical status and family/social status subscales were above 0.7 ; KMO value for drugs subscale was above 0.6 ; KMO value for family/social status and alcohol subscales were above 0. 5. the p values for Bartlett＇ s Test of Sphericity in above subscales were less than 0.01 and their factors were extracted through factor analysis. The KMO value for legal status subscale could not be calculated, so the factor analysis was not suitable for this subscale. Conclusion When ASI is used in the isolated compulsory situations, the low reliabilities and validities for several subscales suggest its limitation. If it will be used in the compulsory environment, some items should be adjusted and the results should be considered cautiously.

关 键 词：成瘾严重程度指数量表 强制隔离戒毒场所 信度 效度 海洛因依赖 

分 类 号：C913.8[经济管理]