中文迁延悲伤量表修订版的效度和信度  

Validity and reliability of the Chinese version of the Prolonged Grief-13 Revised

作　　者：霍平乐 李然立 孙芸[1] 陈新英[1] PRIGERSON Holly G CHOU S Patricia 陈光东 禚传君 黄春海 HUO Pingle;LI Ranli;SUN Yun;CHEN Xinying;PRIGERSON Holly G;CHOU S Patricia;CHEN Guangdong;ZHUO Chuanjun;HUANG Chunhai(Department of Nursing,Tianjin Anding Hospital,Tianjin 300222.China;Epidemiology and Biometry Branch,National Institute on Alcohol Abuse and Alcoholism,Rockville,MD 20852,United Sates;Comell Center for Research on End-of-Live Care,Weill Cornell Medicine,New York 218313,USA;The Seventh People's Hospital of Wenzhou City,Zhejiang Province,Psychiatric Psy-chological Test Center,W enzhou 325000,Zhejiang Province,China;Key Laboratory of PMOD Nankai University Affliated Tian-jin Fourth Center Hospital,Tianjin Fourth Center Hospital,Tianjin 300140,China)

机构地区：[1]天津市安定医院神经影像与共病实验室,天津市安定医院护理部,天津300222 [2]Epidemiology and Biometry Branch,National Institute on Alcohol Abuseand Alcoholism,Rockville,MD 20852,United States [3]Cornell Center for Researchon End-of-Live Care,Weill Cornell Medicine,New York,218313,United States [4]温州市第七人民医院,精神医学心理测查中心,浙江温州325000 [5]南开大学附属天津市第四中心医院精神疾病多器官损害重点实验室,天津市第四中心医院,天津300140

出　　处：《中国心理卫生杂志》2022年第5期411-416,共6页Chinese Mental Health Journal

基　　金：国家自然科学基金资助(81871052,82171503);温州市科技局基金(Y2020446)。

摘　　要：目的:评价中文迁延悲伤量表修订版(PG-13-R)的效度和信度。方法:招募符合DSM-5-TR迁延悲伤障碍(PGD)诊断标准的患者200例为研究对象,进行迁延悲伤量表修订版评定,计算组内相关系数(ICC)评价评定者之间的一致性;计算Cronbachα系数评价量表的内部一致性,采取主成份方法计算条目的因子载荷考评量表的结构效度。通过计算PG-13-Revised量表的评分与社会适应量表(WSAS)评分和自评抑郁量表(SDS)的相关性来考察PG-R-13效标效度。以DSM-5-TR诊断标准为依据,计算受试者可接受曲线下面积(AUC)来判断量表的区分效度以及划定量表的划界分。结果:评定者一致性系数ICC为0.97;各个分条目之间的相关系数在0.85~0.99之间。量表总Cronbachα系数为0.85。在PG-13-R的13个条目中,采用主成分分析法算出1个主因子,贡献率达78.98%,高于结构效度检验的标准50%。以临床评估标准为参考,在区分轻度迁延悲伤障碍时划界分为≥25时灵敏度和特异度最好,分别为93.3%和78.2%,AUC为0.82,区分中度迁延悲伤障碍,划界分≥37时灵敏度和特异度最高,分别为92.5%、90.7%,AUC为0.92;在区分重度迁延悲伤障碍时,划界分≥46时灵敏度和特异度最高,分别为95.47%、92.18%,AUC为0.96。结论:中文迁延悲伤量表修订版(PG-13-R)有良好的效度和信度,能够早期测评迁延悲伤障碍的严重程度。Objective:To evaluate the validity and reliability of the Chinese version of the Prolonged Grief-13 Revised(PG-13-R).Methods:Totally 200 patients meeting the DSM-5-TR diagnostic criteria for prolonged grief disorder(PGD) were recruited.Intraclass correlation coefficient(ICC) was calculated to measure inter-rater agreement.Cronbach α coefficient was calculated to measure the internal consistency of the scale, and the principal component method was adopted to calculate the factor load of items and evaluate the structural validity of the scale.The criterion validity of PG-13-R scale was evaluated by analyzing the correlation of the PG-13-R scores to the scores of Work and Social Adjustment Scale(WSAS) and Self-Rating Depression Scale(SDS).According to the DSM-5-TR diagnostic criteria, the area under curve(AUC) was calculated to determine the discrimination effect of PG-13-R scale and the cut off score.Results:The ICC for inter-rater agreement was 0.97,and the correlation coefficients between each sub-item were 0.85-0.99.The total Cronbach α coefficient of the scale was 0.85.Among the 13 items of PG-R-13,one principal factor was calculated by the principal component method, the contribution rate was 78.98%,which was higher than 50%.Using the clinical assessment criteria as a reference, the sensitivity and specificity of the scale for discrimination of mild PSD were best when the cut-off score was ≥25,which were 93.3% and 78.2%,respectively, and the AUC was 0.82.The sensitivity and specificity for discrimination of moderate PSD were highest when the cut-off score was ≥37,which were 92.5% and 90.7%,respectively, and the AUC was 0.92.The sensitivity and specificity for discrimination of severe PSD were highest when the cut-off score was ≥46,with 95.47% and 92.18%,respectively, and the AUC was 0.96.Conclusion:It suggests that the Chinese version of the Prolonged Grief-13 Revised based on DSM-5-TR diagnostic criteria has good validity and reliability, and could identify the severity of PGD in the early stage.

关 键 词：迁延悲伤量表 效度 信度 

分 类 号：R749.04[医药卫生—神经病学与精神病学]