精神分裂症复发先兆量表的汉化及效度和信度检验  

Validity and Reliability of the Chinese Version of the Early Signs Scale of Schizophrenia

作　　者：徐韦云 汪作为[2] 茅荣杰[2] 薛志强 熊金霞[2] 崔桃桃[2] 李川 史泊海[2] 周建芳[2] 黄丹琪[2] 王亚 XU Wei-yun;WANG Zuo-wei;MAO Rong-jie,;XUE Zhi-qiang;XIONG Jin-xia;CUI Tao-tao;LI Chuan;SHI Bo-hai;ZHOU Jian-fang;HUANG Dan-qi;WANG Ya(CAS Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Sciences,Beijing 100101,China;Shanghai Hongkou District Mental Health Center,Shanghai 200083,China)

机构地区：[1]中国科学院心理研究所心理健康重点实验室,北京100101 [2]上海市虹口区精神卫生中心,上海200083

出　　处：《中国临床心理学杂志》2018年第5期887-890,1043,共5页Chinese Journal of Clinical Psychology

基　　金：国家重点研发计划(2016YFC1307105);上海市医学重点专科建设计划(ZK2015A06);上海市虹口区医疗卫生重点专科建设项目(虹科委[2014]16号);上海卫生计生系统重要薄弱学科建设项目(2015ZB0405);第四轮上海市公共卫生三年行动计划项目(GWⅣ-6);上海市虹口区医学科研课题项目(虹卫1603-34);上海市卫生和计划生育委员会科研课题计划(项目编号:201440327)资助

摘　　要：目的:检验精神分裂症复发先兆量表(early signs scale, ESS)中文版(ESS-C)的效度和信度。方法:应用ESS-C对200例社区慢性精神分裂症患者(社区稳定组)和60例复发住院患者(复发入院组)进行评估,2周后抽取30例社区患者重测。结果:验证性因素分析表明原量表的四因子结构拟合指数为CFI=0.83,TLI=0.82,SRMR=0.056,RMSEA=0.084。各维度的因子负荷范围为焦虑0.545-0.753;抑郁/退缩0.563-0.760;失控/兴奋0.462-0.757;初始的精神病性表现0.566-0.790。ESS-C的内容效度(CVI)为0.92,所有条目的CVI值均在0.80-1.00范围内。组间比较Kolmogorov-Smirnov检验结果显示复发入院组的量表总分显著高于社区稳定组。总量表内部一致性Cronbachα系数为0.966,各因子Cronbachα系数为0.813-0.922;总量表、各因子的重测信度在0.724-0.921之间。结论:最终形成的ESS-C量表内容效度、效标效度及信度良好,结构效度可接受但不够理想。Objective： To translate the Early Signs Scale（ESS） into Chinese and to test the validity and reliability of the Chinese version of the ESS（ESS-C）. Methods： Two-hundred community stable schizophrenia patients and 60 relapsed in patients with schizophrenia were administered the ESS-C. Two weeks later, 30 community patients were administered the ESS-C again. Results： Confirmatory factor analysis showed that the 4-factor structure showed acceptable but not ideal goodness-of-fit, the indices were CFI=0.83, TLI=0.82, SRMR=O.056, RMSEA=0.084. The factor loads of each factor were 0.545-0.753 for anxiety/agitation, 0.563-0.760 for depression/withdrawal, 0.462-0.757 for disinhibition, 0.566-0.790 for incipient/psychosis. The mean content validity（CVI） for ESS-C was 0.92, CVI for each item ranged from 0.80-1.00. The Cronbach＇ s α was 0.966 for the whole scale, and ranged from 0.813 to 0.922 for each factor. The test-retest reliability ranged from 0.724 to 0.921 for factor scores and total score. Conclusion： The ESS-C showed good content validity, criteri- on validity and reliability, the structure validity was acceptable but not ideal.

关 键 词：精神分裂症 复发先兆量表 效度 信度 

分 类 号：R395.1[哲学宗教—心理学]