医院版卒中失语抑郁问卷的汉化及其应用评价  

Chinese Adaptation and Application Evaluation of Stroke Aphasic Depression Questionnaire-Hospital Version

作　　者：刘艳君[1] 张亚清[1] 张轶[1] 刘鑫鑫[1] 张玉梅[1] LIU Yan-Jun;ZHANG Ya-Qing;ZHANG Yi;LIU Xin-Xin;ZHANG Yu-Mei.1.National Clinical Research Center for Neurological Diseases;2.Department of Neurology;Beijing Tiantan Hospital;Capital Medical Universi04;Beijing 100050;China）

机构地区：[1]国家神经系统疾病临床医学研究中心首都医科大学附属北京天坛医院神经病学中心,北京100050

出　　处：《中国卒中杂志》2018年第9期928-933,共6页Chinese Journal of Stroke

基　　金：国家自然科学基金(81371201);首都医科大学基础与临床合作重点项目(16JL03);北京市医管局“扬帆计划”重点扶持项目

摘　　要：目的汉化10条目医院版卒中失语抑郁问卷(stroke aphasic depression questionnaire-hospital version,SADQ-H10),评价该量表在卒中后失语伴抑郁患者中的可接受度、信度和效度,为评价卒中后失语患者的抑郁提供标准化测量工具。方法对SADQ-H10原版进行汉化,选取2016年1月-2018年2月在首都医科大学附属北京天坛医院神经内科就诊的120例卒中后失语患者作为研究对象,进行SADQ-H10测评,同时完成汉密尔顿抑郁量表(Hamilton depression scale,HAMD)及Beck抑郁自评量表(Beck depression inventory,BDI)测评为效标,并随机选取其中42例患者于1～2周后复测SADQ-H10。根据测评结果分析SADQ-H10的可接受度、信度、效度。结果 SADQ-H10的完成率为91.7%(110例),测评时间最短3 min,最长10 min。重测信度0.821(P<0.01),克隆巴赫系数0.87(P<0.01)。内容效度指数为1。以HAMD为效标,相关系数为0.890(P<0.01),以BDI为效标,相关系数为0.853(P<0.01)。配对卡方检验进行区分效度检验,结果显示P值均>0.05。结论 SADQ-H10汉化版简洁易懂,使用方便,量表可接受度较好。量表具有良好的信度和效度,对中国卒中后失语患者抑郁的诊断具有良好的诊断效能。Objective To adapt stroke aphasic depression questionnaire-hospital version（SADQ-H10） into Chinese version, and test its repeatability, reliability and validity.Methods 120 patients with poststroke aphasia from Beijing Tiantan hospital from January 2016 to February 2018 were included in this study. All the patients were assessed with SADQ-H10, Hamilton depression scale（HAMD）, and Beck depression inventory（BDI）. A randomly selected sample of 42 patients were re-evaluated with SADQ-H10 within 1-2 week（s） after the first evaluation. Based on the evaluation results, the repeatability, reliability and validity of the Chinese version of SADQ-H10 were tested.Results 110 patients completed SADQ-H10（91.7%）. The time of completing the SADQ-H10 ranged from 3 to 10 minutes. The test-retest reliability was 0.821（P 0.01）. The Cronbach＇s α coefficient was 0.87（P 0.01）. The content validity ratio（CVR） was 1. With HAMD as the criterion, the validity coefficient was 0.890（P0.01）, while with BDI as the criterion, the validity coefficient was 0.853（P 0.01）. The paired Chi-square test showed that all P values were greater than 0.05.Conclusion SADQ-H10 has good repeatability, reliability and validity. It may be used as a tool to evaluate the depression in Chinese patients with poststroke aphasia.

关 键 词：失语 抑郁量表 信度 效度 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.4[医药卫生—临床医学]