个体及社会功能量表中文版在抑郁障碍患者中信效度.docVIP

个体及社会功能量表中文版在抑郁障碍患者中信效度【摘 要】 目的:考察个体和社会功能量表中文版(Chinese version of the Personal and Social Performance scale,PSP-CHN)在抑郁障碍患者中的信度和效度。方法:收集74例符合《精神障碍诊断和统计手册》第四版(Diagnostic and Statistical Mannual of Mental Disorders,Fourth Edition,test revision,DSM-IV-TR)抑郁障碍诊断标准的门诊或住院患者,其中6例参加了研究者之间一致性培训,68例(急性期42例,稳定期26例)进行了大体功能量表(Global Assessment of Functioning Scale,GAF))、Hamilton抑郁量表17项(Hamilton Depression Rating Scale 17 items,HAMD-17)和PSP-CHN检查,分析PSP-CHN量表评估抑郁障碍患者的内部一致性、PSP-CHN与GAF的一致性(效标效度)以及与患者疾病严重度的相关性(关联效度),32例患者在首次PSP-CHN评估后的5~7天内,由另一名研究者对其进行第2次检查,评价PSP-CHN在抑郁障碍患者中的重测信度。26例HAMD17评分17分的患者,接受标准化治疗8周后,评估HAMD17评分和PSP-CHN的评分变化。结果: PSP-CHN量表的内部一致性Cronbach α系数为0.71,PSP-CHN总分的研究者之间一致性Kappa值为0.82(ICC=0.94),重测一致性ICC=0.90。PSP-CHN总分与GAF总分呈正相关(r=0.95,P0.001),与HAMD-17总分负相关(r=-0.54),急性期和稳定期与PSP-CHN总分相关的抑郁因子不同。结论:个体和社会功能量表中文版可以评价抑郁症患者的个体和社会功能,但是总体信度低于在精神分裂症患者中的评估。 【关键词】 社会功能;抑郁障碍;个人和社会功能量表;信度;效度 中图分类号:R749.404 文献标识码:A 文章编号:1000-6729(2010)007-0481-05 doi:10.3969/j.issn.1000-6729.2010.07.001 The reliability and validity of Chinese version of Personal and Social Performance Scale(PSP) in patients with major depressive disorder(MDD) SI Tian-Mei,SHU Liang,TIAN Cheng-Hua,SU Yun-Ai,YAN Jun,CHENT Jia,LI Xue-Ni, LIU Qi,MA Yan-Tao,ZHANG Wei-Hua,DANG Wei-Min,ZHANG Hong-Yan Peking University Institute of Mental Health,Key Laboratory of Ministry of Health(Peking University),Beijing 100191,China Corresponding author,SI Tian-Mei,E-mail:si.省略 【Abstract】 Objective:To evaluate the reliability and validity of the Chinese version of the Personal and Social Performance Scale(PSP-CHN)in patients with major depressive disorder(MDD).Method:Seventy-four out-patients and in-patients meeting the Diagnostic and Statistical Mannual of Mental Disorders,Fourth Edition,test revision (DSM-IV-TR)criteria for major depressive disorder were entered in the study.The Global Assessment of Functioning Scale(GAF)was regarded as the ‘ gold standard ‘ to investigate the validity of PSP-CHN.The Hamilto