惊恐障碍严重程度量表中文版的信效度研究  

Panic Disorder Severity Scale-Chinese Version： reliability and validity

作　　者：熊红芳[1] 李占江[1] 韩海英[1] 徐子燕[1] 郭志华[1] 姚淑敏[1] 郭萌[1] 姜长青[1] 

机构地区：[1]首都医科大学附属北京安定医院临床心理学系精神疾病与治疗北京市重点实验室,100088

出　　处：《中华精神科杂志》2012年第5期285-288,共4页Chinese Journal of Psychiatry

基　　金：国家科技支撑计划项目（2007BA177801,2009BA177811）

摘　　要：目的评估中文版惊恐障碍严重程度量表（Panic Disorder Severity Scale-Chinese-Version，PDSS—CV）的心理测量学特征。方法采用翻译后的PDSS—CV对105例惊恐发作患者进行惊恐障碍严重程度评估，同时评估14项汉密尔顿焦虑量表（Hamilton Anxiety Scale，HAMA）及临床疗效总评量表（Clinical Global Impression，CGI）作为效标效度标准。结果（1）验证性因素分析结果显示，PDSS二因子结构模型的拟合结果：卡方自由度比值为1．16，拟合优度指数为0．96，近似误差均方根值为0．04；（2）PDSS—CV总分与CGI的相关系数为0．85（P〈0．05），与HAMA的相关系数为0．56（P〈0．05）；（3）PDSS—CV的内部一致性系数为0．83，总分重测相关系数为0．95，各条目重测相关系数为0．72～0．95，总分评分者间一致性系数为0．94，各条目评分者间一致性系数为0．72～0．92；（4）PDSS—CV严重程度划界分：8～10分为轻度，11—13分为中度，14～16分为偏重，≥17分为重度。结论PDSS—CV具有良好的心理测量学特性，可在我国惊恐障碍的临床及研究评估中试用。Objective To investigate the psychometric characteristics of the Panic Disorder Severity Scale-Chinese Version （PDSS-CV）. Method One hundred and five outpatients with panic attack in Beijing Anding Hospital were assessed with the PDSS-CV, Hamilton Anxiety Scale （ HAMA14 ） and Clinical Global Impression Scale （ CGI）. Results （ 1 ） The confirmation factor analysis result of the two-factor model of PDSS-CV was X^2/df = 1.16, GFI = 0. 96, RMSEA - 0.04. （2） The total scores of PDSS-CV was correlated with CGI score （ r = 0. 85, P 〈 0. 05 ） , and positively correlated with the HAMA score （ r = 0. 56, P 〈 0. 05 ）. （3）The internal consistency reliability was 0. 83, the total test-retest correlation coefficient was 0. 95, the test-retest coefficients of each item were 0. 72 - 0. 95, the intraclass correlation coefficient （ICC） among raters was 0. 94, the ICCs between each item were 0. 72-0. 92. （4）The PDSS-CV cut-off scores for severity were as follows： score 8 - 10 was slight; 11 - 13 was moderate; 14 - 16 was marked, and 17 and above was the most severity. Conclusion The PDSS-CV has good psychometric features and can be used for clinical and research assessment of panic disorder in China.

关 键 词：惊恐病 信度 效度 惊恐障碍严重程度量表 

分 类 号：R749.7[医药卫生—神经病学与精神病学]