失眠症思虑过度状态评定量表信效度研究.docVIP

失眠症思虑过度状态评定量表信效度研究摘 要:目的:考核失眠症思虑过度评定量表的信度和效度,以完善失眠症思虑过度状态评定量表。方法:采用现场调查的方式,由患者本人填写该量表,收回有效量表220份。通过分析克朗巴赫系数α、分半信度和表面效度、结构效度,评价失眠症思虑过度状态评定量表的信度和效度。结果:各领域、方面以及量表总体的克朗巴赫系数在0.7108～0.9050之间,折半信度为0.7809。结构效度采用因子分析法,按特征根值1提取其因子,共提取因子5个,累计贡献率为53.29%,因子分析结果可以用中医理论解释。结论:失眠症思虑过度状态评定量表体现了中医的特色,具有较好的信度和效度,在相关领域研究和评定中具有一定的实用价值。 关键词: 失眠症;思虑过度状态;信度;效度 中图分类号:R256.23 文献标识码:A 文章编号:1673-7717(2010)01-0094-03 Evaluation of Reliability and Validity of the Scale for Insomnia With The State of Over-Anxiety TENG Jing?1,QI Xiang?hua?1, WANG Li?2,KANG Xiu?li?3 (1.Affiliated Hospital of Shandong University ofTCM, Jinan250011, Shangdong,China; 2.Yantai Yuhuangding Hospital, Yantai 264000, Shangdong,China; 3.Pingdingshan Hospital of TCM, Pingdingshan 467000, Henan, China) Abstract:Objective:To evaluate reliability and validity to perfect the scale for insomniawith thestate of over-anxiety. Methods:Thought spot-survey,the scale is filled in by informant.We have received 220 valid scales. The reliability was evaluated with Cronbach alpha and Guttman Split-half,the construct and content validity of the questionnaire were evaluated with factor analysis. Results:The Cronbach alpha is from0.7108 to 0.9050 and the Guttman Split-half is 0.7809 in various fields,aspects and whole scale. The method of construct validity is factor analysis. There are 5 factors that the Eigenvalue is above 1.The cumulative proportion is 53.29%. Conclusion:The scale for insomnia with the state of over-anxiety with TCM feature has well reliability and validation,and is applicable to the research and evaluation in related field. Key words:insomnia;state of over-anxiety;reliability;validation 心理状态是特定时刻或时间区间心理信息内容保持相对不变时心理系统各种要素及关系和功能存在的总和。笔者在长期的临床研究中发现,失眠患者存在着不同程度的心理紊乱状态,其中以思虑过度状态最为常见。通过文献调研、专家讨论以及预调查和对量表反复修改后,笔者初步制定了具有中医特色的失眠症思虑过度状态评定量表,为了考核该量表的有效性和稳定性,拟对其信度和效度进行评价,以进一步修改和完善失眠症思虑过度状态评定量表。 1 资料与方法 1.1 研究对象来源 在2007年6月-2007年12月期间,于山东中医药大学附属医院、齐鲁医院、千佛山医院收集门诊及住院病人作为研究来源。 1.2 病例选择标准 诊断和纳入标