牵连观念访谈表中文版在精神障碍病人中的信效度初步分析  

Reliability and Validity of Ideas of Reference Interview Scale in Psychosis Patients

作　　者：苟宁芝 黄凯茵 范泽斌 吴国伟[1] 王政[1] 张雯[1] 孙梦[1] 蒲唯丹[3] 陶好娟[1] 薛志敏[1] 刘哲宁[1] 

机构地区：[1]中南大学湘雅二医院精神卫生研究所,国家精神心理疾病,临床研究中心,精神疾病诊疗技术工程实验室,湖南省精神病学与精神卫生重点实验室,长沙410011 [2]香港大学社会工作及社会行政学系,中国香港999077 [3]中南大学湘雅二医院医学心理学研究所,长沙410011

出　　处：《中国临床心理学杂志》2017年第4期650-654,649,共6页Chinese Journal of Clinical Psychology

基　　金：国家自然科学基金青年科学基金项目资助(项目批准号:81301161)

摘　　要：目的:初步评价牵连观念访谈表中文版在精神障碍病人中的信度和效度。方法:由双语精神病学专家将英文版牵连观念访谈表翻译成中文,再回译成英文,最后初步定稿中文版牵连观念访谈表。共179名精神障碍病人和50名健康对照进入研究并完成了中文版牵连观念访谈表。结果:牵连观念访谈表中文版在精神障碍病人中的Cronbachα系数为0.85;评分者一致性信度系数为0.97(P=0.00);探索性因子分析得到4个因子,可解释63.93%的总变异量。牵连观念访谈表总分与阳性症状量表的条目14(SAPS-14)的相关系数为0.58(P<0.01);以SAPS-14≥3分为分组因素,根据牵连观念访谈表得分绘制的ROC曲线下面积为0.89(95%CI:0.94-0.84)。结论:牵连观念访谈表中文版具有良好的信效度,可用于对精神障碍病人牵连观念症状的临床评估。Objective： To preliminarily assess the reliability and validity of the Chinese version of Ideas of Reference Interview Scale（IRIS） in psychosis patients. Methods： English version of IRIS was translated into Chinese version. Fifty healthy controls and 179 psychosis patients were included from January 2012 to June 2016. The psychotic symptoms of each participant were evaluated by two experienced psychiatrists who were skilled in the use of IRIS, Scale for the Assessment of Positive Symptoms（SAPS） and Scale for the Assessment of Negative Symptoms（SANS）. All the participants were assessed with IRIS, SAPS and SANS. Results： Chinese version of IRIS demonstrated good internal consistency（Cronbach＇s alpha 0.85）, inter-rater reliability（correlation coefficient 0.97, P=0.00） and discriminant validity with other symptoms. IRIS correlated significantly with the Ideas of Reference and delusions of reference（IOR/DOR） subscale on SAPS（r=0.71, P0.01）. Grouping by individuals with or without IOR/DOR, the area under the receiver operator characteristic curve（ROC） for IRIS was 0.89（95% CI：0.94-0.84）. Exploratory Factor Analysis indicated that Chinese version of IRIS was composed of five factors which could explain 63.93% percent of the total variance. Conclusion： Chinese version of IRIS has good reliability and validity, and could be used for the detailed assessment of IOR/DOR in psychosis patients.

关 键 词：牵连观念 关系妄想 精神障碍 信度 效度 

分 类 号：R395.1[哲学宗教—心理学]