RDC/TMD中文版的建立及其信度和效度评价  

Development and evaluation on reliability and validity of a Chinese version of the Research Diagnostic Criteria for Temporomandibular Disorders

作　　者：陈伟生[1,2] 郑有华[1] 吴夏怡[1] 何恩宝[1] 胡雅[1] 林雪峰[1] 

机构地区：[1]中山大学光华口腔医学院·附属口腔医院,广东省口腔医学重点实验室,广州510055 [2]广东省普宁市人民医院口腔科

出　　处：《中华口腔医学研究杂志（电子版）》2012年第5期36-40,共5页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：卫生部部属(管)医院2010-2012年度临床学科重点项目(构建颞下颌关节紊乱病个性化调压治疗新体系);中山大学临床医学研究5010计划(2007050)

摘　　要：目的研究建立适合中国的颞下颌关节紊乱病研究诊断标准(RDC/TMD)中文版,并评价其信度和效度。方法对RDC/TMD英文版进行翻译、回译和文化调适,形成RDC/TMD中文版,使用该中文版对颞下颌关节紊乱病(TMD)患者进行调查,考察RDC/TMD中文版的信度和效度。结果共有118例TMD患者接受调查,有效量表109份,量表的完成率为92.4%。RDC/TMD中文版的Cronbach′sα系数为0.93,折半信度系数为0.71。各分量表的Cronbach′sα系数分别为慢性疼痛0.88、抑郁症状0.93、颌骨功能受限0.68、非特异性生理症状(包括疼痛)0.86、非特异性生理症状(除外疼痛)0.81。内容效度和结构效度分析显示,量表存在预想的连带关系和逻辑关系。结论建立了RDC/TMD中文版,该中文版具有良好的信度和效度,可在临床中试用。Objective To translate the original English version of the Research Diagnostic Criteria for Temporomandibular Disorders （RDC/TMD） into a Chinese version, and evaluate the validity of the new version among TMD patients. Methods In order to develop a Chinese version of RDC/TMD, the original English version of RDC/TMD was translated, back-translated and acculturated. TMD patients aged above 18 were randomly selected and surveyed using the Chinese version of RDC/TMD. Psychometric properties of the Chinese version of RDC/TMD were tested. Results A total of 118 TMD patients were surveyed and examined clinically. Internal consistency test showed that the Cronbach＇s α coefficient of the Chinese version of RDC/TMD was 0.93 while the split-haft coefficient was 0.71, and the Cronbach＇s α coefficient of each sub-scale of RDC/TMD was Chronic pain 0.88, Depression 0.93, Limitation related to mandibular functioning 0.68, Nonspecific physical symptoms （pain items included） 0.86, Nonspecific physical symptoms （pain items excluded） 0.81. Validity analysis of the RDC/TMD showed that there was a significant logic correlation in the scale. Conclusions The Chinese version of RDC/TMD has been established successfully with good psychometric properties which provide the theoretical evidence for further application in Chinese TMD patients.

关 键 词：颞下颌关节紊乱病 颞下颌关节紊乱病研究诊断标准 跨文化调适 信度 效度 

分 类 号：R782.6[医药卫生—口腔医学]