中国青少年日间嗜睡量表(CADSS)在青少年抑郁障碍患者中的信效度研究  

Reliability and validity of the Chinese Adolescent Daytime Sleepiness Scale(CADSS)in adolescents with depressive disorder

作　　者：杨际轲 王子阳 孙浚源 胡蕾[2] YANG Jike;WANG Ziyang;SUN Junyuan(Mental Health College,Jining Medical University,Jining 272002,China)

机构地区：[1]济宁医学院精神卫生学院,山东济宁272002 [2]山东省精神卫生中心(山东大学附属精神卫生中心)

出　　处：《精神医学杂志》2024年第1期37-42,共6页Journal of Psychiatry

摘　　要：目的检验中国青少年日间嗜睡量表(CADSS)在青少年抑郁障碍患者中的信度和效度。方法使用方便抽样法选取门诊及新入院(入院时间≤2 d)的412例青少年抑郁障碍患者进行问卷调查。使用SPSS 26.0统计软件中的“随机个案样本”功能进行随机抽样,将总样本随机分成两个子样本,样本1(n=174)进行探索性因子分析,样本2(n=238)进行验证性因子分析。使用青少年失眠症自我评定量表(YSIS)、爱普沃斯嗜睡量表(ESS)、流调中心用抑郁量表(CES-D)作为校标工具。结果CADSS各条目和量表总分之间均呈正相关(P<0.01);探索性因子分析共提取一个特征值>1的公因子;验证性因子分析提示单因子结构模型拟合指标良好。CADSS总分与ESS、CES-D、YSIS总分及失眠症状和白天功能损害维度得分均呈正相关(P<0.01)。本研究中CADSS的Cronbach’sα系数为0.89,分半信度为0.79。结论CADSS在青少年抑郁障碍患者中具有较好的信度和效度,可用于青少年抑郁障碍患者日间嗜睡程度的临床评估。Objective To assess the reliability and validity of Chinese Adolescent Daytime Sleepiness Scale(CADSS)among adolescents with depressive disorder.Methods A total of 412 adolescents with depressive disorder[outpatients&inpatients(admission time≤2 d)]were selected through convenience sampling method for a questionnaire survey.The total sample was randomly divided into two subsamples by SPSS 26.0 statistical software,sample 1(n=174)for exploratory factor analysis and sample 2(n=238)for confirmatory factor analysis.Youth Self-Rating Insomnia Scale(YSIS)and Epworth Sleepiness Scale(ESS)and Center for Epidemiologic Studies Depression(CES-D)were used to test the criterion correlation validity.Results All item scores of CADSS were positively correlated with the scale’s total score(P<0.01).Exploratory factor analysis extracted a common factor with eigenvalue>1.Confirmatory factor analysis indicated that the single factor structure model fit well.The total score of CADSS was positively correlated with the total scores of ESS,CES-D,YSIS,and dimension scores of insomnia symptom and daytime impairment(P<0.01).In this study,the Cronbach’sαcoefficient of CADSS was 0.89,and the split-half reliability was 0.79.Conclusion CADSS has good reliability and validity in adolescents with depressive disorder,and can be used for clinical evaluation of daytime sleepiness in adolescents with depressive disorder.

关 键 词：中国青少年日间嗜睡量表 信度 效度 青少年 抑郁障碍 

分 类 号：R749.94[医药卫生—神经病学与精神病学]