个体和社会功能量表中文版在精神分裂症患者中信效度.docVIP

个体和社会功能量表中文版在精神分裂症患者中信效度 　　【摘 要】 目的:考察个体和社会功能量表(Personal and Social Performance scale,PSP)中文版(PSP-CHN)在精神分裂症患者中的信度和效度。方法:收集165例符合DSM-IV-TR精神分裂症诊断标准的门诊或住院精神分裂症患者,10例患者用于研究者一致性培训,155例进行大体社会功能量表(Global Assessment of Functioning Scale,GAF))、阳性和阴性症状量表(Positive and Negative Syndrome Scale,PANSS)和PSP-CHN检查,分析PSP-CHN量表的内部一致性、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)。66例患者在首次PSP-CHN评估后的5~7天内,由另一名研究者对患者进行第2次检查,评价PSP-CHN的重测信度。27例PANSS总分≥60分的患者,接受系统药物治疗8周,评估8周后PANSS及PSP-CHN评分改变,以及二者的相关性。结果:PSP-CHN量表的内部一致性Cronbach α系数为0.84,PSP-CHN总分的研究者之间一致性Kappa值为0.56(ICC=0.94),重测一致性ICC=0.95。PSP-CHN总分与GAF有较好的相关性(ICC=0.95),与PANSS总分及分量表分负相关(r=-0.79,-0.57,-0.63和-0.71,P 　　【关键词】 社会功能;个人和社会功能量表;信度;效度;心理测量学 　　中图分类号: R749.3 文献标识码:A 文章编号:1000-6729(2009)011-0790-05 　　doi:10.3969/j.issn.1000-6729.2009.11.008 　　 　　Evaluation of Reliability and Validity of the Chinese Version of Personal and 　　Social Performance Scale in Patients with Schizophrenia 　　SI Tian-Mei?@,SHU Liang,TIAN Cheng-Hua,SU Yun-Ai,YAN Jun,CHENG 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 Mental Health,Ministry of Health 　　(Peking University),Beiing100191,China 　　@ Corresponding author,Email: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 schizophrenia.Methods:Totally 165 out-patients and in-patients meeting the DSM-IV-TR criteria for schizophrenia were entered in the study.Ten of subjects was included the intra-rater reliability training.The Global Assessment of Functioning Scale (GAF) was regarded as the gold standardto investigate the validity of PSP-CHN,and the Positive and Negative Rating Scale was used to assess the severity of disease to explore the correlative validity,in the other 155 subjects.Five to seven days after the first PSP-CHN interview,the second PSP-CHN was evaluated by another investigator to ass