门诊慢性失眠患者躯体化症状自评量表的临床应用  

Clinical application of self-Rating somatization symptoms scale in patients with chronic insomnia in general hospital of Beijing

作　　者：刘永珍[1] 尹静[1] 武月红[1] 于逢春[1] LIU Yong-zhen Y WU Yue-hong YU Feng-chun(Department of Neurology, the Belting Haidian Hospital, Beijing 100080,China.)

机构地区：[1]北京市海淀医院神经内科(北京大学第三医院海淀院区),北京100080

出　　处：《脑与神经疾病杂志》2017年第8期486-489,共4页Journal of Brain and Nervous Diseases

摘　　要：目的评估躯体化症状自评量表(SSS)在综合医院门诊慢性失眠患者中的应用价值。方法采用SSS与焦虑自评量表(SAS)和抑郁自评量表(SDS)对373例慢性失眠患者和178例正常人进行测查,分析SSS的信度、效度和可行性。结果 SSS的Cronbach'sα系数为0.87,分半系数为0.83,重测信度为0.87(P<0.01);SSS总分与各因子分的相关系数在0.57~0.86之间,各因子分间的相关系数在0.31~0.68之间(均P<0.01);SSS-SAS、SSS-SDS、SAS-SDS的相关系数分别为0.63、0.60和0.69(均P<0.01)。结论 SSS具有较好的信度和效度,临床上可以应用SSS作为综合医院门诊慢性失眠患者的自评精神障碍筛查工具,尤其适用于伴随躯体症状的患者。Objective To evaluate the application of SSS （ self-rating somatization symptoms scale ） in patients of chronic insomnia in general hospital. Method SSS, SAS （ zung-self-rating anxiety scale and SDS （ zung-self-rating depression scale ） were used to rate the three humlrefl and seventy-three chronie insomnia patients in general hospital and one hundred and scventy-eigth heahh aduhs, and then SSS was evaluated by examining its reliability and validity. Results Cronbaeh＇s α coefficient of SSS is 0.87, split--half reliability coefficienl of SSS is 0.83, and retest reliability of SSS is 0.87 （ P〈0.01 ） . The correlation coefficient belween the total score and Ihe thctor score, of SSS is ranged 0.57 to 0.86. The correlation coefficient among 4 factor scores is ranged 0.31 to 0.68（ P〈0.01 ）. The correlation coefficient of SSS-SAS, SSS-SDS, SAS-SDS is 0.63, 0.60, and 0.69 （ P〈0.01 ） . Conclusion SSS had a good reliability and validity, and could be reliably used to assess chronic insomnia patients in general hospital as a self-administer inventor, especially for those patients with somatizatinn symptoms.

关 键 词：失眠 躯体化症状 信度 效度 心理测量学研究 

分 类 号：R741[医药卫生—神经病学与精神病学]