自我报告问卷在社区人群筛查精神障碍的适宜性  

Reliability and validity of the Chinese version of self-reporting questionnaire for the screening of mental disorder among community population

作　　者：方瑜[1,2] 陈树林[3] 刘健[2] 毛洪京[2] 李琳[3] 余湘娥[2] 刘军云[2] 

机构地区：[1]安徽医科大学医学心理学系,安徽合肥230032 [2]浙江省杭州市第七人民医院,浙江杭州323000 [3]浙江大学心理与行为科学学院,浙江杭州310028

出　　处：《中国农村卫生事业管理》2013年第5期507-510,共4页Chinese Rural Health Service Administration

基　　金：国家博士后基金项目20080441224;杭州市科技局重点专病项目(20080333Q14)

摘　　要：目的:验证中文版自我报告问卷在社区人群中使用的心理测量学特征。方法:采用自我报告问卷、焦虑自评量表、抑郁自评量表对60名来自社区卫生服务中心的受试者和956名来自社区的受试者进行调查,同时由精神科医生对60名来自社区卫生机构的受试者进行精神疾病诊断访谈,访谈工具是SCID。结果:在社区人群中,自我报告问卷的内部一致性系数是0.91,条目与总分的相关系数是0.51-0.69,60名社区卫生服务的受试者两周间隔的重测相关系数是0.93.因素分析结果显示有抑郁症状、焦虑症状和躯体化症状3个因子,解释了54.17%的方差。ROC曲线分析显示ACU是0.83,6/7分划界分的敏感性与特异性分别是84%和72%。结论:自我报告问卷在社区使用显示了良好的信效度,适用于中国社区环境。Objective To investigate the psychometric properties of the Chinese version of the SRQ-20 in community set- tings. Methods 956 participants from 10 communities of Hangzhou City and 60 participants from 2 community primary care centers were evaluated by the SRQ-20 for the presence of mental disorders. Discriminative,concurrent,and construct validity as well as internal consistency and screening properties of the SRQ-20 were evaluated. Results Cronbach＇s alpha for the SRQ -20 was 0.91, and item-total correlation coefficients ranged from 0.51 to 0.69 in the community. The test-retest correla- tion coefficient was 0. 93 in primary care. Varimax-rotated principal component analysis of the SRQ-20 items yielded three factors ： depressive symptoms, anxiety symptoms, and somatic symptoms, accounting for 54. 17 % of total variance. The area under the receiver operating characteristic （ROC） curve was 0.83. The optimal cut-off point for the SRQ-20 was 6/7 yielding sensitivity of 84 % and specificity of 72%. Conclusions The SRQ-20 appears to be a reliable and a valid screening tool for common mental disorders in the community of China.

关 键 词：自我报告问卷 信度 效度 社区精神卫生 

分 类 号：R749[医药卫生—神经病学与精神病学]