青少年情景攻击动态评估量表评估自伤行为的信度和效度  

Reliability and Validity of the Dynamic Appraisal of Situational Aggression-Youth Version in Assessing Self-injury Behavior

作　　者：欧梦喜 张四美[2] 王国君 刘铁榜[1,2] OU Meng-xi;ZHANG Si-mei;WANG Guo-jun;LIE Tie-bang(School of Mental Health and Psychological Science,Anhui Medical University,Hefei 230032,Anhui,China;Shenzhen Kangning Hospital/Shenzhen Mental Health Center,Shenzhen 518000,Guangdong,China)

机构地区：[1]安徽医科大学精神卫生与心理科学学院,安徽合肥230032 [2]深圳市康宁医院/深圳市精神卫生中心,广东深圳518000

出　　处：《医学信息》2023年第15期148-151,共4页Journal of Medical Information

基　　金：广东省高水平临床重点专科(深圳市配套建设经费)资助项目(编号:SZGSP013)。

摘　　要：目的检验青少年情景攻击动态评估量表(DASA-YV)评估我国内地精神障碍青少年人群自伤行为的信度和效度。方法通过翻译、回译、文化调试、预实验得到中文版DASA-YV,邀请10名精神科专家对量表的内容效度评定;对参加本研究的护士进行统一培训,合格后评估20名相同的青少年精神障碍患者,得出评估者间信度;选取2022年3月-8月深圳市某三级甲等精神专科医院208例青少年精神障碍患者,每24 h使用中文版DASA-YV对患者评估1次,同时应用修订版外显攻击行为量表(MOAS)的自我攻击分量表进行效度评定,以未来24 h实际自伤行为检验预测效度。以Cronbach'sα系数和Pearson相关系数检验中文版DASA-YV的同质性信度。结果中文版DASA-YV量表内容效度指数(平均S-CVI)为0.86,量表总分及各条目与MOAS的自我攻击分量表评分均呈正相关(r值在0.252~0.574);最佳截点为2时,24 h操作者特征曲线(ROC)的曲线下面积(AUC)值为0.866,Cronbach'sα系数为0.893;量表的11个条目与其总分的题总相关性在0.568~0.799。结论中文版DASA-YV可作为精神障碍青少年人群自伤行为的风险评估工具。Objective To test the reliability and validity of Dynamic Appraisal of Situational Aggression-Youth Version(DASA-YV)in assessing self-injury behavior among adolescents with mental disorders in the mainland of China.Methods The Chinese version of DASA-YV was obtained through translation,back translation,cultural debugging and pre-experiment.Ten experts working in psychiatry were invited to evaluate the content validity of the scale.The nurses who participated in this study were trained in a unified way.After passing the training,20 same adolescent patients with mental disorders were evaluated,and the interrater reliability was obtained.While,208 adolescent patients with mental disorders were selected from March to August 2022 in a tertiary first-class psychiatric hospital in Shenzhen,and the Chinese version of DASA-YV was used to evaluate the patients once every 24 hours.The modified self-aggression scale(MOAS)was used to evaluate the simultaneous validity,and the predictive validity was tested by the actual self-injury behavior in the next 24 hours.Cronbach'sαcoefficient and Pearson correlation coefficient were used to test the homogeneity reliability of Chinese version DASA-YV.Results The content validity index(average S-CVI)of the Chinese version of DASA-YV was 0.86.The total score and items of the scale were positively correlated with the self-aggression subscale of MOAS(r=0.252-0.574).When the optimal cut-off point was 2,the area under the curve(AUC)of the operator characteristic curve(ROC)for 24 hours was 0.866,cronbach'sαcoefficient was 0.893,and the total correlation between 11 items and its total score was 0.568-0.799.Conclusion The Chinese version of DASA-YV can be used as a risk assessment tool for self-injury behavior in adolescents with mental disorders.

关 键 词：青少年 自伤行为 青少年情景攻击动态评估量表 信度 效度 

分 类 号：R749.99[医药卫生—神经病学与精神病学]