中文版社会认知视频测查工具在精神分裂症中的信效度  

The Chinese version of Movie for the Assessment of Social Cognition for schizophrenia patients:validity and reliability

作　　者：刘梦慧 沈志华[2] 林倩倩 陈申 汪永光[2,3] LIU Menghui;SHEN Zhihua;LIN Qianqian;CHEN Shen;WANG Yongguang(Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学精神卫生与心理科学学院,合肥230032 [2]杭州市第七人民医院 [3]中国美术学院

出　　处：《中国神经精神疾病杂志》2020年第11期660-664,共5页Chinese Journal of Nervous and Mental Diseases

基　　金：国家自然科学基金面上项目(编号:81471366);浙江省科技厅公益技术研究项目(编号:LGF18H090023);杭州市科学技术局项目(编号:20190101A11,20180533B82)。

摘　　要：目的检验中文版社会认知视频测查工具(Chinese version of the movie for the assessment of social cognition,MASC-C)在精神分裂症患者中测查心理理论的信度与效度。方法将原版MASC视频和题目汉化并做本土化修改,拍摄和制作MASC-C。纳入42例精神分裂症患者和46名健康对照完成MASC-C、眼区任务、失言觉察任务。选取5例精神症状相对稳定的精神分裂症患者和5名健康对照进行MASC-C重测。结果信度指标中,MASC-C的内部一致性Cronbach′sα系数为0.816,两次心理理论总分的组内相关系数为0.822(95%CI:0.436~0.953)。效度指标中,MASC-C总分与眼区任务心理阅读总分(r=0.574,P<0.001)和失言总分(r=0.445,P<0.001)正相关;MASC-C总分区分精神分裂症患者的受试者工作特征曲线下面积为0.904。结论MASC-C具有良好的信度与效度,可用于评估精神分裂症心理理论认知功能损害的严重程度。Objective To evaluate the psychometric properties of the Chinese version of the Movie for the Assessment of Social Cognition(MASC-C)in schizophrenia patients.Methods The MASC-C was developed according to the original version of the Movie for the Assessment of Social Cognition(MASC).Forty-two patients with schizophrenia and 46 normal controls were administered the MASC-C,Eyes Task and Faux pas Task.Five patients with schizophrenia and 5 normal controls completed the retest of MASC-C.Results The internal consistency reliability of MASC-C was 0.816.The test-retest reliability was 0.822(95%CI:0.436~0.953).The scores of MASC-C were positively correlated with the scores on Eyes Task(r=0.574,P<0.001)and Faux pas Task(r=0.445,P<0.001).The area under the receiver operating characteristic curve of MASC-C was 0.904.Conclusion MASC-C is a suitable tool for ToM assessment in Chinese schizophrenia patients with adequate psychometric properties.

关 键 词：精神分裂症 心理理论 社会认知视频测查工具 信度 效度 

分 类 号：R749.3[医药卫生—神经病学与精神病学]