Psychometric properties of the Chinese-version Behavioral Inhibition System/Behavioral Activation System Scales among stroke survivors with depressive symptoms  

中文版行为抑制/激活系统量表在脑卒中伴抑郁症状患者中的验证性分析

作　　者：Dan Shi Yuen Yu Chong Lijuan Zhou Ho Yu Cheng 石丹;庄婉瑜;周丽娟;郑可瑜

机构地区：[1]The Nethersole School of Nursing,Faculty of Medicine,The Chinese University of Hong Kong,Hong Kong,China [2]Nursing Department,The Affiliated Taizhou People’s Hospital of Nanjing Medical University,Taizhou,Jiangsu Province,China

出　　处：《International Journal of Nursing Sciences》2025年第1期74-80,共7页国际护理科学(英文)

摘　　要：Objective:This study aimed to examine the reliability and validity of the Chinese version of the Behavioral Inhibition System/Behavioral Activation System(BIS/BAS)scales among stroke survivors.Methods:The cross-sectional study was conducted at four comprehensive hospitals in Taizhou,Jiangsu,China.A sample of 232 first-ever stroke survivors were recruited from June to August 2023.Validity was examined using face validity and construct validity,which used confirmatory factor analysis(CFA)and known-group analysis.Reliability was evaluated by internal consistency and test-retest reliability.Results:The BIS/BAS scales demonstrated satisfactory face validity.The findings of CFAs supported the original four-factor structure of BAS-reward,BAS-drive,BAS-fun seeking,and BIS with acceptable model fit indices.Discriminative validity,assessed via known-group analysis,indicated that stroke survivors with probable depression had significantly lower mean BAS-reward,BAS-drive,and BAS-fun seeking scores(P<0.001)and a higher mean BIS score(P=0.028)compared to those without probable depression.The internal consistency,measured by Cronbach’s a coefficients for the subscales,ranged from 0.669 to 0.964.Test-retest reliability,assessed using intra-class correlation coefficients,ranged from 0.61 to 0.93.Conclusions:The Chinese version of the BIS/BAS scales could be a reliable and valid instrument for measuring behavioral activation among stroke survivors.目的验证中文版行为抑制/行为激活系统(Behavioral Inhibition System/Behavioral Activation System,BIS/BAS)量表在脑卒中伴抑郁症状患者中的信效度。方法于2023年6月至8月,在中国江苏省泰州市4所综合性医院选取232名首次发现患有脑卒中的患者。采用表面效度和结构效度(验证性因子分析和已知组别分析)验证量表的效度。采用内部一致性和重测信度验证量表的信度。结果验证性因子分析的结果支持量表原有的4因子结构,即行为激活-奖赏反应、行为激活-驱力、行为激活-愉悦追求和行为抑制。已知组别分析结果显示,可疑抑郁组脑卒中患者的行为激活-奖赏、行为激活-驱力、行为激活-愉悦追求得分显著低于无可疑抑郁组脑卒中患者(P<0.001),而行为抑制得分较高(P=0.028)。各子量表的内部一致性Cronbach’sα系数为0.669~0.964。重测信度通过组内相关系数评估,范围为0.61~0.93。结论中文版BIS/BAS量表用于测量行为抑制/激活,在脑卒中患者中具有良好的信效度。

关 键 词：Behavior DEPRESSION Reliability STROKE Validity 

分 类 号：R74[医药卫生—神经病学与精神病学]