青少年非自杀性自伤行为评定问卷的编制及其信效度评价  

Development and evaluation on reliability and validity of Adolescent Non-suicidal Self-injury Assessment Questionnaire

作　　者：万宇辉[1,2] 刘婉 郝加虎[1,2] 陶芳标[1,2] 

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥230032 [2]人口健康与优生安徽省重点实验室

出　　处：《中国学校卫生》2018年第2期170-173,共4页Chinese Journal of School Health

基　　金：国家自然科学基金项目(81773453);安徽医科大学校博士资助项目(XJ201521)

摘　　要：目的编制适合我国使用的青少年非自杀性自伤行为评定问卷,并对其信效度进行评价,为更好地了解我国青少年非自杀性自杀行为提供工具。方法自行编制青少年非自杀性自伤行为评定问卷。采用分层整群抽样方法,选取沈阳、郑州、南昌和深圳部分在校初、高中学生,共15 096人进行问卷调查。通过同质信度、分半信度、结构效度等评价问卷的信效度。选取合肥市某中学94名学生使用自残功能性评估问卷(Functional Assessment of Self-mutilation,FASM)作为校标问卷进行调查,考察问卷的效标关联效度。结果青少年非自杀性自伤行为评定问卷分为行为问卷(12个条目)和功能问卷(19个条目)2部分。行为问卷的Cronbachα系数为0.921,分半信度为0.851,重测信度为0.843,累计方差贡献率为64.914%,与校标问卷FASM行为维度得分的相关系数r=0.833(P<0.01)。功能问卷总分的Cronbachα系数为0.905,分半信度为0.786,重测信度为0.805,累计方差贡献率为53.871%,与校标问卷FASM功能维度得分的相关系数r=0.859(P<0.01)。结论青少年非自杀性自伤行为评定问卷具有较好的信效度,可作为我国青少年非自杀性自伤行为和功能的评定工具。Objective To develop and evaluate the reliability and validity of the Adolescent Non-suicidal Self-injury Assessment Questionnaire and the psycho-evaluation of its reliability and validity was carried out,and to provide an instrument for better understanding adolescent non-suicidal self-injury. Methods A total of 15 096 middle school students were selected from junior and senior middle school in Shenyang,Zhenzhou,Nanchang and Shenzhen. The reliability and validity of the questionnaire were evaluated by Cronbach＇s alpha coefficient,split-half reliability coefficient,confirmatory factor analysis and so on. A total of 94 middle students were selected to investigate the test-retest reliability coefficient and criterion validity by the Functional Assessment of Self-mutilation. Results The Adolescent Non-suicidal Self-injury Assessment Questionnaire included two parts： the behavior questionnaires（ 12 items） and the functional questionnaires（ 19 items）. The Cronbach＇s alpha coefficient,split-half reliability coefficient,test-retest reliability coefficient of the behavior questionnaires were 0.921,0.851,0.843,respectively. The correlation coefficient between FASM behavior score and the behavior questionnaires was 0.833（ P〈0.01）. The Cronbach＇s alpha coefficient,splithalf reliability coefficient,test-retest reliability coefficient of the functional questionnaires was 0. 905,0. 786,and 0. 805,respectively. The correlation coefficient between FASM behavior score and the functional questionnaires was 0.833（ P〈0.01）. Conclusion The Adolescent Non-suicidal Self-injury Assessment Questionnaire has a good reliability and validity,so it can be used as an effective tool for assessment of adolescents in China non-suicidal self-injury behavior and self-injury function.

关 键 词：自我伤害行为 精神卫生 青少年 

分 类 号：B841.7[哲学宗教—基础心理学] R641[哲学宗教—心理学]