两种淡漠评定量表知情者版的汉化及效度信度检验  

Validity and reliability of the Chinese version of the Lille Apathy Rating Scale-informant and the Apathy Evaluation Scale-Informant

作　　者：李树亚[1] 李峥[1] Li Shuya;Li Zheng(School of Nursing,Peking Union Medical College,Beijing 100144,China)

机构地区：[1]北京协和医学院护理学院,北京100144

出　　处：《中国心理卫生杂志》2018年第8期656-661,共6页Chinese Mental Health Journal

基　　金：中央级公益性科研院所基本科研业务费项目--社区老年人认知功能和抑郁随访研究

摘　　要：目的:引进里尔淡漠评定量表知情者版(LARS-i)、淡漠评定量表-知情者版(AES-I),并对其信效度进行初步评价。方法:使用LARS-i、AES-I对186名社区初筛为轻度认知障碍(MCI)老年人的家属进行调查,通过内容效度(CVI)、探索性因子分析和相容效度评价其效度,通过内部一致性和重测信度评价其信度。结果:中文版LARS-i量表的CVI平均值为1;包含33条目,分为9个维度,共解释58.76%的方差变异,9个维度进而可提取3个公因子,累积方差贡献率为54.76%;量表的Cronbachα为0.82,各条目Cronbachα系数为0.79~0.81,重测信度为0.80。中文版AES-I量表的CVI平均值为0.94;因子分析共提取4个公因子,累积贡献率为53.15%;量表的Cronbachα为0.85,各条目Cronbachα系数为0.77~0.80;重测系数为0.76。LARS-i与AES-I的相容效度系数为0.59(P<0.01)。结论:中文版LARS-i、AES-I量表具有较好的信效度,可为评估M CI患者淡漠表现的工具。Objective： To evaluate the validity and reliability of the Chinese version of the Lille Apathy Rating Scale-informant（ LARS-i） and the Apathy Evaluation Scale-Informant（ AES-I）. Methods： Data were collected from186 informants of people with mild cognitive impairment by using the LARS-i and AES-I. The validity was tested by using content validity index,exploratory factor analysis and congruent validity. The reliability was tested by using internal consistency coefficient and test-retest coefficient. Results： For LARS-i, the total content validity index of the scale was 1. Factor analysis indicated a nine-factor structure, the cumulative contribution rate was 58. 76%, and three-factor structure was further established with the cumulative contribution rate of 54. 76%. Cronbach＇ s α of the LARS-i was 0. 82, and items ranged 0. 79-0. 81. The test-retest reliability value was 0. 80. For AES-I, the total content validity index of the scale was 0. 94. Exploratory factor analysis identified 4 common factors,which explained53. 15% of total variance. Cronbach＇ s α coefficients were 0. 85 for AES-I and 0. 77-0. 80 for each item. The testretest coefficient was 0. 76 for the total scale. The total scores of LARS-i were correlated with AES-I scores. Conclusion： The Chinese version of LARS-i and AES-I are reliable and valid instruments for measuring apa-thy in Chinese patients.

关 键 词：轻度认知障碍 里尔淡漠评定量表 淡漠评定量表 信度 效度 

分 类 号：B841.7[哲学宗教—基础心理学] B842.1[哲学宗教—心理学]