癌症歧视感量表在中国西南地区甲状腺癌患者中的修订及信效度检验  

Revision and validation of the cancer self-perceived discrimination scale in patients with thyroid cancerin southwest China

作　　者：刘智金 冯林森[2] 张世文[3] 李烽 杨丽蓉 洪爽 王羽丰[1] LIU Zhijin;FENG Linsen;ZHANG Shiwen;LI Feng;YANG Lirong;HONG Shuang;WANG Yufeng(Department of Geriatric Oncology,The Third Affiliated Hospital of Kunming Medical University-Yunnan Cancer Hospital,Kunming 650118,China;Hematology Department,The Sixth Affiliated Hospital of Kunming Medical University-Yuxi People's Hospital;Head and Neck Surgery Department,The Third Affiliated Hospital of Kunming Medical University-Yunnan Cancer Hospital)

机构地区：[1]昆明医科大学第三附属医院暨云南省肿瘤医院干部医疗科,云南昆明650118 [2]昆明医科大学第六附属医院暨玉溪市人民医院血液内科 [3]昆明医科大学第三附属医院暨云南省肿瘤医院头颈外一科

出　　处：《中国健康心理学杂志》2023年第8期1192-1197,共6页China Journal of Health Psychology

基　　金：2022年云南省哲学社会科学规划项目(编号:QN202214);2021年云南省卫生健康委员会医学领军人才培养计划项目(编号:L-2019012);2020年云南省研究生优质课程建设项目(编号:JX0036)。

摘　　要：目的:修订癌症歧视感量表(Cancer Self-Perceived Discrimination Scale,CSPDS)以适用于甲状腺癌患者,并检验其信效度和可接受性。方法:采用专家咨询法和项目分析法对CSPDS条目进行修订和改进,形成甲状腺癌歧视感量表(Cancer Self-Perceived Discrimination Scale in thyroid cancer,CSPDS-TC)。选取153例甲状腺癌患者进行问卷调查,检验CSPDS-TC的信度、效度和可接受性,并分析歧视感的影响因素。结果:CSPDS-TC包括14个条目,分为3个分量表:污名化6个条目,自我否定5个条目,社交回避3个条目。量表具有良好的效度(χ^(2)/df=1.655,RMSEA=0.066,GFI=0.904,CFI=0.948,IFI=0.949,TLI=0.932)、信度(Cronbach’sα系数为0.863,分半信度为0.676,重测信度为0.981)、可接受性[平均完成时间(10.01±1.348分钟)和95.63%的有效应答率。经济负担、病程和手术方式是患者歧视感的独立影响因素。结论:CSPDS-TC具有良好的信效度,可用于评价甲状腺癌患者歧视感的程度,为将来开展健康教育、社会支持和肿瘤心理学服务提供科学评价的依据。Objective:The Cancer Self-Perceived Discrimination Scale(CSPDS)is revised to apply to patients with thyroid cancer,and its reliability,validity and acceptability are tested.Methods:The CSPDS items were revised and improved by expert consultation and item analysis to form the Cancer Self-Perceived Discrimination Scale in thyroid cancer(CSPDS-TC).A total of 153 patients with thyroid cancer were investigated by questionnaire to test the reliability,validity and acceptability of CSPDS-TC,and the risk factors of self-perceived discrimination was analyzed.Results:The CSPDS-TC consisted of 14 items,which were divided into 3 subscales:6 items for shame,5 items for self-deprecation,and 3 items for social avoidance.It had good validity(χ^(2)/df=1.655,RMSEA=0.066,GFI=0.904,CFI=0.948,IFI=0.949,TLI=0.932),reliability(Cronbach'sαcoefficient was 0.863,split half reliability was 0.676,retest reliability was 0.981)and acceptability[average completion time(10.01±1.348 minutes)and effective response rate of 95.63%].The economic burden,disease duration and operation mode were independent risk factors of patients'self-perceived discrimination.Conclusion:CSPDS-TC has a good reliability and validity,which can be used to assess the level of self-perceived discrimination of thyroid cancer patients,and provide scientific evaluation basis for future health education,social support and cancer psychological services.

关 键 词：甲状腺癌 歧视感 量表 信度 效度 心理健康 

分 类 号：R395.9[哲学宗教—心理学]