PTSD筛查量表-城市居民版（PCL-C）的修订及在住院癌症患者中的初步应用  

PTSD Checklist -civilian （PCL-C） Chinese Reversion in Cancer Inpatients

作　　者：王雪梅[1] 刘娟[1] 王倩[1] 杨蕴萍[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,精神疾病诊断与治疗北京市重点实验室,北京100088

出　　处：《医学信息》2013年第5期62-63,共2页Journal of Medical Information

摘　　要：目的调查修订后的创伤后应激障碍自评量表（PCL-C）在症患者中的信效度，确定其分界点。方法采用修订后的PCL-C量表、DSM临床结构轴1半定式访谈（SCID-1）、一般资料调查表，对抽取的100例住院癌症患者进行调查。结果①PCL-C量表在癌症患者中有良好的信度和效度，量表整体的Cronbach’s a 系数为0．940（P〈0．05），2w后的重测信度为0．804（P〈0．01）；②因素分析得到三因子结构，三个因子可解释总方差的67349％；③以SCID-1作为效标，发现以38分作为癌症患者PCL-C的分界点时，该量表的敏感性和特异性分别为95％和86．25％，正确诊断指数为8125％。结论PCL-C量表在癌症患者中有良好的信效度和较高的正确诊断指数，可用于筛查癌症患者创伤后应激障碍的共病，Objective Translate FFSD checklist -civilian version （PCL-C） into Chinese version, survey the reliability and validity of PCL-C in cancer patients in China and find out the cut off point in cancer patient.Methods Take the PCL-C, SCID-I （Structured clinical interview for DSM-IV axis I disorders （SCID-I） and a questionnaire about general information to make a survey among the 100 cancer inpatients randomly.Results ①PCL-C has a good reliability and validity in Chinese cancer inpatients, the Cronbach＇ct coefficient of the whole checklist is 0.940, the test-retest reliability of the total score was 0.804 after two weeks. ②Results of explorative factor analysis was three factors＂ structure. The cumulative Squared Loadings of the three factors was 67.349%. ③Compared with SCID-I, when use 38 as the cut off point, the sensitivity and specificity were 95% and 86.25%,Youden index was 81.25%. Conclusion PCL-C has a good reliability , validity and Youden index in Chinese cancer patients. It can be used in clinical work to screen PISD in cancer patients.

关 键 词：创伤后应激障碍 创伤后应激障碍筛查量表 信度 效度 癌症 

分 类 号：R473.73[医药卫生—护理学]