马萨诸塞州综合医院认知及躯体功能量表中文版测评抑郁症患者的效度和信度  

Validity and reliability of the Chinese version of the Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire in patients with depression

作　　者：贾艳滨[1] 李雪果 柯宇璐 陈骏浩 单炎炎 赵辉[1] JIA Yanbin 1,LI Xueguo 2,KE Yulu 1,CHEN Junhao 2,SHAN Yanyan 2,ZHAO Hui 1(1The First Affiliated Hospital of Jinan University,Guangzhou 510630,China ; 2School of Management,Jinan University,Guangzhou 510630,China)

机构地区：[1]暨南大学附属第一医院精神医学科,广州510630 [2]暨南大学管理学院,广州510630

出　　处：《中国心理卫生杂志》2018年第6期473-477,共5页Chinese Mental Health Journal

基　　金：国家自然科学基金面上项目(81671351);广州市科技计划项目(201607010204);广东省省级科技计划项目(2017B020227011)

摘　　要：目的:引进Fava编制的马萨诸塞州综合医院认知及躯体功能量表(CPFQ),并检验中文版在抑郁症患者中的效度和信度。方法:采用连续入组的方法,对111例符合精神障碍诊断与统计手册第5版(DSM-5)重性抑郁障碍诊断标准的成年患者进行施测,选取汉密顿抑郁量表(HAMD)、淡漠评估量表-医生版(AES-C)、简明疲劳量表(BFI)、持续操作测验(CPT)作为效度指标,与133例正常被试对比进行实证效度研究,2周后对其中42例患者进行重测以评价其信度。结果:中文版CPFQ包含7条目,量表符合原单因素模型,共解释67.6%的方差变异;量表总分与HAMD得分呈正相关(r=0.60,P<0.01),条目1~3得分分别与AES-C、HAM D睡眠障碍因子、BFI得分呈正相关(r=0.41~0.60,P<0.01),2周重测后CPT与条目4~7总分的分数变化呈负相关(r=-0.28,P<0.05);抑郁组CPFQ各条目分及总分均高于正常对照组(P<0.001);总量表内部一致性系数为0.92,重测信度为0.68。结论:中文版CPFQ测评抑郁症患者有良好的效度和信度。Objective： To evaluate psychometric properties of Chinese version of Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire （CPFQ） in patients with depression. Methods： A sample of 111 adult patients who were diagnosed with major depressive disorder according to the criteria of Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition （DSM-5） was tested.The Hamilton Depression Rating Scale for Depression （HAMD）,Apathy Evaluation Scale-Clinician Administered （AES-C）,Brief Fatigue Inventory （BFI）,Continuous Performance Test （CPT） were chosen as the criterion-related indication,and 133 normal subjects were compared for empirical validity.Forty-two patients were retested after 2 weeks. Results： The Chinese version of CPFQ included 7 items.The exploratory factor analysis of CPFQ conformed to the single factor model,which explained 67.6% of the total variance.For the total score of CPFQ,the correlation coefficient was 0.60 with HAMD.The score of item 1-3,separately,was correlated with AES-C,Insomnia subscale of HAMD and BDI （ r =0.41-0.60, P 〈0.01）.After 2 weeks of retest,changes in total score of item 4-7 were negatively correlated with changes on CPT（ r =-0.28, P 〈0.05）.In depression patients,the scores of each item and total score were higher than those in normal control （ P 〈0.001）.The internal consistency was 0.92,and the test-retest reliability was 0.68. Conclusion： The validity and reliability of the Chinese version of CPFQ are satisfactory in patients with depression.

关 键 词：中文版CPFQ 抑郁症 效度 信度 

分 类 号：R749.04[医药卫生—神经病学与精神病学] R749.41[医药卫生—临床医学]