吕贝克酒精戒断综合征风险预测量表中文版的效度和信度  

Validity and reliability of the Chinese version of the Lubeck Alcohol Withdrawal Risk Scale

作　　者：虞海萍 姜德国 陈策 平晶 陈光东 禚传君 YU Haiping;JIANG Deguo;CHEN Ce;PING Jing;CHEN Guangdong;ZHUO Chuanjun(Department of Psychiatry,Wenzhou Seventh Peoples'Hospital,Wenzhou 325000,Zhejiang Province,China;Department of Psychiatry,Tianjin Fourth Center Hospital,Tianjin 300140,China;Alcohol Abuse Research Laboratory,Tianjin Anding Hospital,Tianjin 300222,China)

机构地区：[1]温州市第七人民医院精神科,浙江温州325000 [2]天津市第四中心医院精神科,天津300140 [3]天津市安定医院酒精滥用研究室,天津300222

出　　处：《中国心理卫生杂志》2024年第6期473-477,共5页Chinese Mental Health Journal

基　　金：温州市科技局基金资助(Y20180563);天津市科技基金委项目资助(17JCZDJC35700)。

摘　　要：目的:评估吕贝克酒精戒断综合征风险预测量表中文版(C-LARS)的效度和信度。方法:参阅既往文献和采取德尔菲法征求专家意见,翻译和回译并且建立了吕贝克酒精戒断综合征风险预测量表中文版。采用主成分分析法评估C-LARS的结构效度,采用方差最大法计算因子和因子负荷来评估量表的结构效度。采用酒精戒断量表(AWS)评估患者酒精戒断综合征的严重程度,通过计算AWS与C-LARS的相关系数来评估C-LARS的效标效度。结果:内部相关系数(ICC)为0.972,总Cronbachα系数为0.938。因子分析和ROC显示,C-LARS评分≥3可预测轻度酒精戒断综合征发生,敏感度和特异度分别为0.945和0.899;C-LARS评分≥5分可预测中度酒精戒断综合征发生,敏感度和特异度分别为0.910和0.905;C-LARS评分≥7分可预测12h内重度酒精戒断综合征的发生;敏感度和特异度分别为0.990和0.877。结论:吕贝克酒精戒断综合征风险预测量表中文版具有较好的信度和效度,在就诊时使用,可以作为评定就诊后12h内酒精戒断综合征的发生率和严重程度的工具。Objective:To evaluate the validity and reliability of the Chinese version of the Lubeck Alcohol Withdrawal Risk Scale(C-LARS).Methods:Referring to previous literature and clinical expert opinions using the Delphi method,a C-L ARS was established through translation and back-translation.Principal component analysis was used to evaluate the structural validity of C-LARS,and the maximum variance method was used to calculate factors and factor loadings to evaluate the structural validity of C-LARS.The severity of alcohol withdrawal syn-drome in patients was evaluated using the the Alcohol Withdrawal Scale(AWS),and the criterion validity of C-LARS was evaluated by calculating the correlation coefficient between AWS and C-LARS.Results:The internal correlation coefficient(ICC)of the evaluation factors was 0.972,and the total Cronbach a coefficient was 0.938.Factor analysis and ROC analysis showed that a C-LARS score of≥3 could predict the occurrence of mild alcohol withdrawal syndrome,with sensitivity and specificity of 0.945 and 0.899,respectively.The C-LARS scores of≥5 could predict the occurence of moderate alcohol withdrawal syndrome,with sensitivity and specificity of 0.910 and 0.905,respectively.The C-LARS scores of≥7 could predict the occurrence of severe alcohol with-drawal syndrome within 12 hours,the sensitivity and specificity were 0.990 and 0.877,respectively.Conclusion:The C-LARS has good validity and reliability,which could be used as a tool to assess the incidence and severity of alcohol withdrawal syndrome within 12 hours after visit.

关 键 词：酒精 戒断综合征 效度 信度 划界分 

分 类 号：B841.7[哲学宗教—基础心理学] R749.62[哲学宗教—心理学]