中文版Bell-Lysaker情绪识别任务在重性抑郁障碍患者中的信效度  

Psychometric properties of the Chinese version of the Bell-Lysaker emotion recognition task(BLERT)in major depressive disorder

作　　者：李大志 贾晓菊[1] 王文辰 楚利君 张健[1] 孙霞[1] 张勇[1] LI Dazhi;JIA Xiaoju;WANG Wenchen;CHU Lijun;ZHANG Jian;SUN Xia;ZHANG Yong(Tianjin A riding Hospital,Tianjin 300222,China)

机构地区：[1]天津市安定医院心境障碍科,天津300222

出　　处：《中国神经精神疾病杂志》2020年第8期466-470,共5页Chinese Journal of Nervous and Mental Diseases

基　　金：天津市临床重点学科(专科)建设项目:精神病学(编号:ADYKHT2020004)。

摘　　要：目的评估中文版Bell-Lysaker情绪识别任务(Bell-Lysaker emotion recognition task,BLERT)在中国成年重性抑郁障碍(major depressive disorder,MDD)患者中的信度和效度。方法招募MDD患者125例,稳定期双相障碍(bipolar disorder,BD)患者69例,健康对照(healthy controls, HC)66名,使用中文版BLERT、中国面部表情图片系统(Chinese affective facial picture system,CAFPS)进行测评,其中83例MDD患者(66.4%)2周后完成重测。结果中文版BLERT的内部一致性信度Cronbach'sα为0.78,重测信度组内相关系数为0.72(P<0.01);关联效度r为0.55(P<0.01),BLERT在MDD组与HC组间区分效度较高,最佳划界分为15分(此时敏感性为0.79,特异性为0.60);验证性因子分析显示7种基本情绪拟合良好(RMSEA=0.03,IFI=0.95,TLI=0.93,CFI=0.94)。结论中文版BLERT在中国成年MDD患者中具有可接受的信度和效度。Objective To evaluate the reliability and validity of the Chinese version of the Bell-Lysaker emotion recognition task(BLERT)in Chinese adult patients with major depressive disorder(MDD).Methods One hundred twenty-five patients with MDD,69 patients with bipolar disorder(BD)and 66 healthy controls(HC)were recruited from Tianjin Anding Hospital and local community.All participants were administered the Chinese version of BLERT and Chinese affective facial picture system(CAFPS).A total of 83 patients with MDD completed the retest 2 weeks later.Results The internal consistency reliability of BLERT was 0.78.The test-retest reliability at week 2 was 0.72(P<0.01).The scores of positive emotion(r=0.78,P<0.01),negative emotion(r=0.90,P<0.01)and no emotion(r=0.73,P<0.01)were highly associated with the total score of BLERT in MDD.The BLERT was positively correlated with the total score of CAFPS in MDD(r=0.55,P<0.01).The BLERT showed high discriminant ability among MDD,BD patients and healthy controls.The area of ROC curve was 0.73(P<0.01),and the cut-off value was 15(sensitivity was0.79,specificity was 0.60).The confirmatory factor analysis showed that the seven-factor model was well-fitted(RMSEA=0.03,IFI=0.95,TLI=0.93,CFI=0.94).Conclusion The Chinese version of BLERT has good reliability and validity in Chinese patients with MDD.

关 键 词：重性抑郁障碍 Bell-Lysaker情绪识别任务 信度 效度 

分 类 号：R749.4[医药卫生—神经病学与精神病学]