中文版剑桥前瞻性记忆测试量表计算机测量用于慢性精神分裂症患者的信效度.docxVIP

- 950 -·临床研究·DOI: 10.3969/j.issn. - 950 - ·临床研究· DOI: 10.3969/j.issn.1006-9771.2014.10.013 中文版剑桥前瞻性记忆测试量表计算机测量用于 慢性精神分裂症患者的信效度 谢孟杰，邹义壮，王志仁，陈楠，张勇，郜肖肖，郑文静 [摘要] 目的 探讨中文版剑桥前瞻性记忆测试量表(C-CAMPROMPT)计算机测量用于慢性精神分裂症患者前瞻性记忆(PM) 功能评估的临床信效度。方法 选取年龄、性别、受教育年限相匹配的慢性精神分裂症患者(病例组)以及健康对照(对照组)各 50 例。以 C-CAMPROMPT 计算机测量评估 PM 功能；以韦氏成人记忆量表第四版中文版(WMS-Ⅳ)评估逻辑记忆(LM)及视觉记忆 (VR)；以威斯康星卡片分类测验(WCST)评估执行功能；以言语流畅性测验(CFT)评估处理速度；进行 C-CAMPROMPT 的临床信效 度分析。结果 该量表的重测信度和分半信度(Pearson 相关系数)分别为 0.981 和 0.627(均 P0.001)，内部一致性信度(Cronbach α系 数)为 0.742。病例组 PM 总分及各个因子、条目得分均低于对照组(均 P0.05)。病例组 PM 与 LM、VR、WCST-CC、CFT 正相关(r= 0.34~0.89, P0.05)。判别分析显示量表的灵敏度为 86%，特异度为 92%，符合率为 89%。探索性因子分析将量表的所有条目聚为 2 个因子(累计贡献率 61.46%)。结论 C-CAMPROMPT 计算机测量在慢性精神分裂症患者 PM 功能评估中具有较好的临床信效度， 是一个敏感性较高、适用性较强且稳定的工具。 [关键词] 精神分裂症；前瞻性记忆；中文版剑桥前瞻性记忆测试量表；信度；效度 Reliability and Validity of Computerized Chinese Version of Cambridge Prospective Memory Test in Chronic Schizophrenia XIE Meng- jie, ZOU Yi- zhuang, WANG Zhi- ren, CHEN Nan, ZHANG Yong, GAO Xiao- xiao, ZHENG Wen- jing. Beijing Huilongguan Teaching Hospital of Peking University, Psychological Research Room of Psychiatry Research Centre, Beijing 100096, China Abstract: Objective To explore the reliability and validity of the computerized Chinese version of Cambridge Prospective Memory Test (C-CAMPROMPT) for assessment of prospective memory (PM) in chronic schizophrenia patients. Methods 50 patients and 50 healthy controls formed the study sample. PM performance was measured with computerized C-CAMPROMPT, while the Wechsler Adult Memory Scale-Forth Edition (WMS-IV), Wisconsin Card Sorting Test (WCST) and Category Fluency Test (CFT) were administered to assess logical memory (LM), visual representation (VR), executive function and processing speed. Results The test- retest reliability (0.981, P0.001), split half reliability (0.627, P0.001) and internal consistency reliability (0.742) of C-CAMPROMPT were satisfied. The scores of C-CAM- PROMPT and its subtest in schizophrenia were lower th